A critical evaluation of crizanlizumab for the treatment of sickle cell disease

Nabin Raj Karki, Katherine Saunders, Abdullah Kutlar

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: P-selectin is a key adhesion molecule in the pathogenesis of sickle cell disease, including acute painful event(s). Many of the mediators activated in prototypical pain crisis are also involved in other complications seen in this population. Crizanlizumab is a monoclonal antibody approved in the US in 2019 for patients of all genotypes of sickle cell disease. By blocking P-selectin, it effectively prevents acute painful event(s) and has a manageable safety profile. Areas covered: In this review, we provide an overview of the (i) biology of P-selectin in sickle cell disease, (ii) various agents inhibiting P-selectin, (iii) pharmacology of crizanlizumab, (iv) preclinical and clinical data on crizanlizumab, and (v) its potential for other indications, ongoing studies, regulatory status, and cost issues. Further, we describe its position among other approved agents in sickle cell disease and project future directions as well. Expert opinion: Crizanlizumab holds great promise in modulating the natural history of sickle cell disease and may have pleotropic effects. Studies are ongoing to define its role in preventing other sickle cell-related complications, non-sickle cell inflammatory states, and thrombotic disorders.

Original languageEnglish (US)
Pages (from-to)5-13
Number of pages9
JournalExpert Review of Hematology
Volume15
Issue number1
DOIs
StatePublished - 2022

Keywords

  • Crizanlizumab
  • P-selectin
  • SEG101
  • pain crisis
  • sickle cell disease

ASJC Scopus subject areas

  • Hematology

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