Motixafortide in Semicircular Canal Dehiscence: NCT06442761 Clinical Landscape Report 2026

28 September 2026
9 min read

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This Clinical Landscape Report was built with PatSnap Life Sciences MCP workflows. Clinical Trials MCP supplies protocol and result records, Drug & Asset MCP adds asset context, and Company & Deal Intelligence MCP resolves sponsor background. Use the same structured MCP building blocks in your research workflow.

Data snapshot: 28 September 2026. This strategic research report is not medical, regulatory or investment advice. Trial status and dates can change.

Phase 1

Clinical phase

Recruiting

Recruitment status

20

Planned enrollment

2028-01-01

Primary-completion proxy

Executive view

NCT06442761 evaluates Motixafortide in Semicircular Canal Dehiscence. The disclosed sponsor is St. Jude Children's Research Hospital, Inc., the design is Interventional, and the geographic footprint is United States. The first listed primary endpoint is To assess the safety and tolerability of motixafortide in participants with sickle cell disease (SCD) as determined by the incidence of adverse events., assessed over 0 - 30 days.

The key landscape question is whether this protocol can generate a clinically interpretable signal relative to nearby programs. Phase alone is not a measure of evidence quality. Endpoint relevance, comparator choice, masking, enrollment feasibility, patient selection, country coverage and follow-up must be considered together.

PatSnap MCP Servers make this assessment reproducible by keeping protocol facts, result evidence, asset attributes and sponsor identity in separate structured calls.

How the MCP evidence stack was assembled

Clinical Trials MCP clinical_trial_fetch retrieved the design, outcomes, phase, status, enrollment, sponsor, countries and timing for NCT06442761 and selected peers. clinical_trial_result_fetch supplied detailed result records from the wider Semicircular Canal Dehiscence landscape. Drug & Asset MCP drug_fetch was queried for Motixafortide, while Company & Deal Intelligence MCP organization_fetch was queried for St. Jude Children's Research Hospital, Inc..

This separation reduces a common diligence error: treating a registry label, a company description or a result excerpt as if each represented the complete evidence package. Explore the source workflow at the PatSnap MCP marketplace.

Trial landscape table

TrialAsset / interventionPhase / statusSponsorGeographyPrimary endpointReadout proxy
NCT06442761MotixafortidePhase 1 / RecruitingSt. Jude Children's Research Hospital, Inc.United StatesTo assess the safety and tolerability of motixafortide in participants with sickle cell disease (SCD) as determined by…
0 - 30 days
2028-01-01
NCT06481306BMS-986470Phase 1/2 / RecruitingBristol Myers Squibb Co.Canada, United States, United Kingdom, Italy, FranceNumber of participants with adverse events (AEs)
Up to 26 months
2027-01-06
PACTR202406801520269EtavopivatPhase 3 / PendingSponsor not reportedGhana, Kenya, Nigeria, Uganda
Timing not reported
NCT06464458HydroxycarbamideNot Applicable / Unknown statusLes Hopitaux Universitaires de StrasbourgFranceComparison of the time to obtained MTD in 2 groups of sickle cell patients on hydroxyurea with different treatment foll…
Theoretical start date: January 2023 Duration of inclusion period: 30…
2025-08-07
CTRI/2024/06/068363DesidustatPhase 2 / CompletedZydus Lifesciences Ltd.India
2025-08-02

The table aligns endpoints, sponsors, phases, geographies and readout proxies. It is descriptive, not a head-to-head efficacy comparison. Differences in population, baseline risk, intervention schedule and follow-up can dominate apparent cross-trial differences.

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Protocol design and endpoint interpretation

NCT06442761 is a Phase 1, recruiting study with 20 planned participants. Allocation is Non-Randomized, masking is None (Open Label), and the intervention model is Sequential Assignment.

The primary endpoint is “To assess the safety and tolerability of motixafortide in participants with sickle cell disease (SCD) as determined by the incidence of adverse events.” over “0 - 30 days.” No additional primary-endpoint description was returned in the selected field set.

Interpretation should test whether the endpoint captures a clinically meaningful change, whether its time horizon matches the proposed biology, and whether treatment discontinuation or missing data can bias the estimate. The planned enrollment of 20 should be assessed against expected effect size, event frequency, multiplicity, subgroup plans and attrition.

No named control drug was returned in the protocol field set. A placebo comparator can strengthen internal efficacy assessment, while an active comparator may better test clinical differentiation. Single-arm and open-label programs require greater weight on objective outcomes, independent assessment and external benchmarks.

Indexed readouts in the surrounding landscape

5 recent result records were selected as contextual evidence for Semicircular Canal Dehiscence. These records do not establish direct evidence for NCT06442761 unless the registration number matches.

A Phase 1/2/3 Study to Evaluate the Safety and Efficacy of a Single Dose of Autologous CRISPR-Cas9 Modified CD34+ Human Hematopoietic Stem and Progenitor Cells (CTX001) in Subject…

Phase 2/3; n=63; Percentage of Participants Who Have Not Experienced Any Severe Vaso-occlusive Crisis (VOC) for at Least 12 Consecutive Months (VF12) After Exa-cel Infusion = 91.3 Percentage of participants (95% Confidence Interval, 79.2 - 97.6) Source: https://clinicaltrials.gov/ct2/show/results/NCT03745287

Evaluation of The Use of Hydroxyurea in Treating Children With Sickle Cell Anemia in Central Africa's Rural Area

Not Applicable; n=69; HbF(12 months) = 3.0 fold Source: https://pubmed.ncbi.nlm.nih.gov/42577886/

Reduced Intensity Conditioning (RIC) Regimen for Patients With Non-malignant Disorders

Phase 2; n=56; Number of Participants With Engraftment = 53 Participants Source: https://clinicaltrials.gov/ct2/show/results/NCT01050855

Result fields should be reconciled with the source record before quantitative comparison. Population definitions, analysis sets, dose cohorts, estimands, confidence intervals, rescue therapy and follow-up can materially change the meaning of a numerical endpoint. Clinical Trials MCP supports repeatable refreshes as result records change.

Asset and sponsor context

Motixafortide is indexed as Synthetic peptide with CXCR4 biology and a global stage of Approved. The asset profile lists Biokine Therapeutics Ltd. as an originator or developer.

St. Jude Children's Research Hospital, Inc. is indexed in United States with the website http://www.stjude.org. St. Jude Children's Research Hospital® is a pediatric treatment and research institution focused on childhood cancer and other diseases. The record lists 77 development-stage drug assets.

For execution diligence, monitor sponsor ownership, collaborator additions, site expansion, protocol amendments and enrollment revisions. A change in ownership or geography can alter operational confidence as well as the commercial meaning of a future readout.

Development white space

  1. Endpoint white space. Determine whether a more patient-relevant outcome, longer durability window or blinded central assessment would resolve uncertainty left by the current endpoint.
  2. Population white space. Test biomarker-defined, treatment-line or risk-stratified subgroups where effect size and unmet need could be clearer.
  3. Comparator white space. Identify whether the study can support differentiation against the current standard of care rather than only activity against baseline or placebo.
  4. Geographic white space. Assess whether the disclosed footprint supports recruitment, regulatory transferability and commercial generalizability.
  5. Sequencing white space. Clarify whether Motixafortide is intended for monotherapy, combination, maintenance, rescue or an earlier treatment line.

White space should be framed as an unanswered development question, not merely an unoccupied mechanism label. A credible program closes a measurable clinical uncertainty with a design that can be executed and interpreted.

Strategic implications and next readouts

For sponsors, the endpoint hierarchy, safety window, enrollment pace and protocol amendment history should all support the same target product profile. Advancement criteria should be set before the readout and tied to clinical effect, uncertainty, tolerability and operational feasibility.

For business-development teams, differentiation may come from a sharper population, stronger comparator, more durable benefit, simpler delivery or clearer sequencing role. For investors, the central risk is evidence quality relative to time and capital, not the phase label in isolation.

Track recruitment status, enrollment changes, primary-completion timing, endpoint revisions, new result records, sponsor ownership and collaborator changes. Re-run the PatSnap MCP workflow when a surrogate becomes a clinical outcome, a single-country study expands, the comparator changes or a new result materially shifts the competitive benchmark.

Source trail and bottom line

Anchor trial: NCT06442761
Protocol source: https://clinicaltrials.gov/study/NCT06442761
MCP sources: Clinical Trials MCP (clinical_trial_fetch and clinical_trial_result_fetch); Drug & Asset MCP (drug_fetch); Company & Deal Intelligence MCP (organization_fetch).
Data snapshot: 28 September 2026.

Motixafortide in Semicircular Canal Dehiscence is best understood through the interaction of protocol design, surrounding readouts, asset context and sponsor execution. The current record makes To assess the safety and tolerability of motixafortide in participants with sickle cell disease (SCD) as determined by the incidence of adverse events. and 2028-01-01 the leading decision points.

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