Table 4.

Actively recruiting clinical trials of NO and related agents, antiplatelet agents, and anticoagulants in SCD

MechanismDrugSponsorNCT number (study acronym)Clinical phase/statusStudy design/interventionNumber/ageOutcome
Increased NO production Arginine Emory University NCT02447874 Phase 1/2 IV infusion 3 times a day for maximum of 7 d 21/7-21 y Pharmacokinetics, NO metabolites 
NCT04839354
(STArT trial) 
Phase 3 One-time L-arginine loading dose (200 mg/kg IV) + standard dose (100 mg/kg IV 3 times a day) 360/3-21 y Evaluate change in time to crisis resolution, pain scores, total parenteral opioid use, PROMIS pain interference, pain-behavior and fatigue score 
L-citrulline Asklepion Pharmaceuticals NCT04852172 Phase 1/2 IV infusion (bolus + continuous infusion for 7 h) during VOC
Part 1: identify optimum dose regime
Part 2: doses selected from part 1 vs placebo 
120/6-21 y Pharmacokinetics, adverse events, effect on VOC including amount of overall opioid use, time to resolution of VOC 
MechanismDrugSponsorNCT number (study acronym)Clinical phase/statusStudy design/interventionNumber/ageOutcome
Increased NO production Arginine Emory University NCT02447874 Phase 1/2 IV infusion 3 times a day for maximum of 7 d 21/7-21 y Pharmacokinetics, NO metabolites 
NCT04839354
(STArT trial) 
Phase 3 One-time L-arginine loading dose (200 mg/kg IV) + standard dose (100 mg/kg IV 3 times a day) 360/3-21 y Evaluate change in time to crisis resolution, pain scores, total parenteral opioid use, PROMIS pain interference, pain-behavior and fatigue score 
L-citrulline Asklepion Pharmaceuticals NCT04852172 Phase 1/2 IV infusion (bolus + continuous infusion for 7 h) during VOC
Part 1: identify optimum dose regime
Part 2: doses selected from part 1 vs placebo 
120/6-21 y Pharmacokinetics, adverse events, effect on VOC including amount of overall opioid use, time to resolution of VOC 

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