Trial Outcomes & Findings for SIKAMIC (SIklos on Kidney Function and AlbuMInuria Clinical Trial) (NCT NCT03806452)

NCT ID: NCT03806452

Last Updated: 2025-05-14

Results Overview

The primary endpoint of this study is the proportion of patients in the hydroxycarbamide and placebo groups achieving at least a 30% decrease in ACR baseline value at 6 months after treatment initiation. Patients who do not achieve at least a 30% decrease of the ACR baseline value at month 6 will be considered non-responders.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

86 participants

Primary outcome timeframe

6 months

Results posted on

2025-05-14

Participant Flow

From 28 May 2019 to 30 May 2024, 86 patients were included in the study in the mITT population and analysed in France and Africa (Mali, Ivory Coast and Senegal).

Participant milestones

Participant milestones
Measure
Hydroxycarbamide
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Initial Treatment Period
STARTED
46
40
Initial Treatment Period
COMPLETED
44
38
Initial Treatment Period
NOT COMPLETED
2
2
Responders Extended Treatment Period
STARTED
18
15
Responders Extended Treatment Period
COMPLETED
15
9
Responders Extended Treatment Period
NOT COMPLETED
3
6

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

one patient with missing information

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Hydroxycarbamide
n=46 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=40 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Total
n=86 Participants
Total of all reporting groups
Age, Continuous
30.3 years
STANDARD_DEVIATION 10.0 • n=45 Participants • one patient with missing information
30.0 years
STANDARD_DEVIATION 8.7 • n=40 Participants • one patient with missing information
30.2 years
STANDARD_DEVIATION 9.3 • n=85 Participants • one patient with missing information
Sex: Female, Male
Female
32 Participants
n=46 Participants
27 Participants
n=40 Participants
59 Participants
n=86 Participants
Sex: Female, Male
Male
14 Participants
n=46 Participants
13 Participants
n=40 Participants
27 Participants
n=86 Participants
Race/Ethnicity, Customized
Continent of origin · Africa - America
45 Participants
n=46 Participants
40 Participants
n=40 Participants
85 Participants
n=86 Participants
Race/Ethnicity, Customized
Continent of origin · Other
1 Participants
n=46 Participants
0 Participants
n=40 Participants
1 Participants
n=86 Participants
Region of Enrollment
Senegal
17 participants
n=46 Participants
12 participants
n=40 Participants
29 participants
n=86 Participants
Region of Enrollment
Mali
12 participants
n=46 Participants
8 participants
n=40 Participants
20 participants
n=86 Participants
Region of Enrollment
Guadeloupe
0 participants
n=46 Participants
1 participants
n=40 Participants
1 participants
n=86 Participants
Region of Enrollment
Côte D'Ivoire
5 participants
n=46 Participants
4 participants
n=40 Participants
9 participants
n=86 Participants
Region of Enrollment
Martinique
1 participants
n=46 Participants
0 participants
n=40 Participants
1 participants
n=86 Participants
Region of Enrollment
France
11 participants
n=46 Participants
15 participants
n=40 Participants
26 participants
n=86 Participants
SCD genotype
HbSS
43 Participants
n=46 Participants
37 Participants
n=40 Participants
80 Participants
n=86 Participants
SCD genotype
HbSbeta0
3 Participants
n=46 Participants
3 Participants
n=40 Participants
6 Participants
n=86 Participants

PRIMARY outcome

Timeframe: 6 months

Population: 3 patients in the hydroxycarbamide arm and 2 patients in the placebo arm do not have any measure at 6 months and so were not part of this analysis

The primary endpoint of this study is the proportion of patients in the hydroxycarbamide and placebo groups achieving at least a 30% decrease in ACR baseline value at 6 months after treatment initiation. Patients who do not achieve at least a 30% decrease of the ACR baseline value at month 6 will be considered non-responders.

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Number of Patients Achieving at Least a 30% Decrease in ACR Baseline Value
18 Participants
15 Participants

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in eGFR Value
3.2 ml/min/1.73m2
Standard Deviation 18.5
-1.0 ml/min/1.73m2
Standard Deviation 13.8

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in ACR Value
3.5 mg/mmol
Standard Error 19.7
1.0 mg/mmol
Standard Error 13.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Proportion of Patients With a Shift From Macroalbuminuria to Microalbuminuria
1 Participants
2 Participants

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=8 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Proportion of Patients With a Shift From Microalbuminuria to Normoalbuminuria
10 Participants
7 Participants

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Proportion of Patients With a Shift From Macroalbuminuria to Normoalbuminuria
1 Participants
0 Participants

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Proportion of Patients With a Shift From Microalbuminuria to Macroalbuminuria
3 Participants
3 Participants

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=40 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=34 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes of Systolic Blood Pressure
2.8 mmHg
Standard Deviation 10.7
2.2 mmHg
Standard Deviation 13.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=37 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes of Body Weight
2.2 kg
Standard Deviation 3.0
-0.3 kg
Standard Deviation 2.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=40 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=35 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes of Diastolic Blood Pressure
2.5 mmHg
Standard Deviation 13.3
-1.0 mmHg
Standard Deviation 12.9

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=41 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=37 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes of Heart Rate Measure
-2.1 beats/minute
Standard Deviation 11.3
2.4 beats/minute
Standard Deviation 12.5

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=37 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in White Blood Cells Count
-3659.6 cells/mm3
Standard Deviation 3524.4
-228.4 cells/mm3
Standard Deviation 2982.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=37 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Platelets Count
-49.3 10^9 platelets per liter
Standard Deviation 150.9
-16.0 10^9 platelets per liter
Standard Deviation 83.5

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=37 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Mean Corpuscular Volume
15.1 fL
Standard Deviation 10.8
-0.3 fL
Standard Deviation 3.4

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=33 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Mean Corpuscular Haemoglobin Concentration
1.7 g/L
Standard Deviation 15.8
-4.8 g/L
Standard Deviation 16.4

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=34 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Mean Corpuscular Haemoglobin
5.5 pg
Standard Deviation 4.0
-0.8 pg
Standard Deviation 1.6

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=44 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=36 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Hemoglobin Count
12 g/L
Standard Deviation 11.3
-2.2 g/L
Standard Deviation 6.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=24 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=24 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Foetal Hemoglobin Count
8.5 percentage of hemoglobin
Standard Deviation 8.8
0.3 percentage of hemoglobin
Standard Deviation 1.9

SECONDARY outcome

Timeframe: 6 months and 12 months for responder patients willing to continue the study after month 6.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months and 12 months for responder patients willing to continue the study after month 6.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months

Population: Very few patients have an evaluation of endogenous erythropoietin count. Only 3 in hydroxycarbamide group and 6 in placebo group

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=3 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=6 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Endogenous Erythropoietin Count
-8.2 U/L
Standard Deviation 22.1
17.4 U/L
Standard Deviation 37.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=41 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=35 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Ferritin Count
28.1 µg/L
Standard Deviation 664.2
-8.0 µg/L
Standard Deviation 404.3

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=42 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Lactate Dehydrogenase
-170.5 U/L
Standard Deviation 349.4
-1.8 U/L
Standard Deviation 220.9

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Aspartate Aminotransferase
-8.7 U/L
Standard Deviation 19.2
-1.0 U/L
Standard Deviation 10.9

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=43 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=38 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Alanine Amino Transferase
-1.7 U/L
Standard Deviation 51.2
-0.2 U/L
Standard Deviation 13.7

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=42 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=36 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Blood Urea Nitrogen
-0.5 mmol/L
Standard Deviation 6.4
0.5 mmol/L
Standard Deviation 2.6

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=39 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=35 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Conjugated Bilirubin
-0.7 µmol/L
Standard Deviation 33.8
-1.9 µmol/L
Standard Deviation 9.8

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=40 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=35 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Total Bilirubin
-8.9 µmol/L
Standard Deviation 106.5
4.7 µmol/L
Standard Deviation 30.1

SECONDARY outcome

Timeframe: 6 months

Outcome measures

Outcome measures
Measure
Hydroxycarbamide
n=40 Participants
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=36 Participants
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Absolute Mean Changes in Reticulocytes
-116082.5 cells/mm3
Standard Deviation 168548.6
-35336.1 cells/mm3
Standard Deviation 108156.3

Adverse Events

Hydroxycarbamide

Serious events: 5 serious events
Other events: 30 other events
Deaths: 0 deaths

Placebo

Serious events: 7 serious events
Other events: 29 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Hydroxycarbamide
n=46 participants at risk
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=40 participants at risk
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Blood and lymphatic system disorders
SICKLE CELL ANAEMIA WITH CRISIS
4.3%
2/46 • Number of events 2 • 6 months
5.0%
2/40 • Number of events 2 • 6 months
Blood and lymphatic system disorders
ANAEMIA
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
Respiratory, thoracic and mediastinal disorders
ACUTE CHEST SYNDROME
0.00%
0/46 • 6 months
5.0%
2/40 • Number of events 2 • 6 months
Respiratory, thoracic and mediastinal disorders
DYSPNOEA
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
Hepatobiliary disorders
CHOLECYSTITIS
2.2%
1/46 • Number of events 1 • 6 months
0.00%
0/40 • 6 months
Hepatobiliary disorders
CHOLELITHIASIS
2.2%
1/46 • Number of events 1 • 6 months
0.00%
0/40 • 6 months
Hepatobiliary disorders
HEPATIC PAIN
2.2%
1/46 • Number of events 1 • 6 months
0.00%
0/40 • 6 months
Infections and infestations
INFLUENZA
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
Infections and infestations
PNEUMONIA
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
Gastrointestinal disorders
ABDOMINAL PAIN
2.2%
1/46 • Number of events 1 • 6 months
0.00%
0/40 • 6 months
General disorders
PYREXIA
2.2%
1/46 • Number of events 1 • 6 months
0.00%
0/40 • 6 months
Injury, poisoning and procedural complications
HEPATOBILIARY PROCEDURAL COMPLICATION
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
Musculoskeletal and connective tissue disorders
BONE INFARCTION
0.00%
0/46 • 6 months
2.5%
1/40 • Number of events 1 • 6 months

Other adverse events

Other adverse events
Measure
Hydroxycarbamide
n=46 participants at risk
Hydroxycarbamide will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Hydroxycarbamide will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Hydroxycarbamide: Hydroxycarbamide tablets of 100 and 1000 mg
Placebo
n=40 participants at risk
Placebo will be supplied as 100 mg or 1000 mg film-coated tablets. The posology will be based on the patient's body weight (bw). Placebo will be prescribed at a dose of 15 mg/kg bw/day and will be adminitered for 6 months. Hydroxycarbamide will be administered for 12 months for patients qualified as responders willing to continue to participate in the trial. Placebo Oral Tablet: Placebo tablets of 100 and 1000 mg to mimic hydroxycarbamide tablets
Musculoskeletal and connective tissue disorders
ARTHRALGIA
10.9%
5/46 • Number of events 6 • 6 months
15.0%
6/40 • Number of events 6 • 6 months
Musculoskeletal and connective tissue disorders
BACK PAIN
6.5%
3/46 • Number of events 3 • 6 months
7.5%
3/40 • Number of events 3 • 6 months
Musculoskeletal and connective tissue disorders
PAIN IN EXTREMITY
6.5%
3/46 • Number of events 4 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
General disorders
ASTHENIA
4.3%
2/46 • Number of events 2 • 6 months
12.5%
5/40 • Number of events 5 • 6 months
General disorders
CHEST PAIN
2.2%
1/46 • Number of events 1 • 6 months
10.0%
4/40 • Number of events 5 • 6 months
General disorders
PYREXIA
8.7%
4/46 • Number of events 6 • 6 months
2.5%
1/40 • Number of events 1 • 6 months
General disorders
FATIGUE
2.2%
1/46 • Number of events 1 • 6 months
7.5%
3/40 • Number of events 3 • 6 months
Gastrointestinal disorders
ABDOMINAL PAIN UPPER
8.7%
4/46 • Number of events 6 • 6 months
7.5%
3/40 • Number of events 3 • 6 months
Gastrointestinal disorders
ABDOMINAL PAIN
4.3%
2/46 • Number of events 2 • 6 months
7.5%
3/40 • Number of events 3 • 6 months
Nervous system disorders
HEADACHE
17.4%
8/46 • Number of events 9 • 6 months
12.5%
5/40 • Number of events 6 • 6 months
Blood and lymphatic system disorders
SICKLE CELL ANAEMIA WITH CRISIS
6.5%
3/46 • Number of events 3 • 6 months
17.5%
7/40 • Number of events 7 • 6 months
Ear and labyrinth disorders
VERTIGO
6.5%
3/46 • Number of events 3 • 6 months
12.5%
5/40 • Number of events 5 • 6 months
Respiratory, thoracic and mediastinal disorders
ACUTE CHEST SYNDROME
0.00%
0/46 • 6 months
7.5%
3/40 • Number of events 3 • 6 months

Additional Information

Clinical Operation Manager

THERAVIA

Phone: +330149709583

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place