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AG-946

Phase 2

Anemia, Sickle Cell | Small molecule | Hematology |Agios Pharmaceuticals, Inc.|Trials Updated: Sep 28, 2026

AG-946 development status

Highest phase Phase 2 (NCT06924970)
Phase scored for AGIOPhase 1
Registered trials 3 across 1 sponsor since Sep 2020

AG-946 target and mechanism

ModalitySmall molecule

Also known as Tebapivat

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials3
Total Enrollment268

FDA Designations

No designations recorded

AG-946 clinical trials

AG-946 · 3 trials · 4 indications

Phase 2 2Phase 1 1
NCT06924970A Dose-Finding Study of Tebapivat to Assess Efficacy, and Safety in Participants With Sickle Cell Disease (SCD)Sickle Cell Disease
ACTIVE NOT_RECRUITING59 Analytics
NCT05490446A Study of Tebapivat (AG-946) in Participants With Anemia Due to Lower-Risk Myelodysplastic Syndromes (LR-MDS)Myelodysplastic Syndromes
ACTIVE NOT_RECRUITING87 Analytics
PHASE2ACTIVE NOT_RECRUITING
A Dose-Finding Study of Tebapivat to Assess Efficacy, and Safety in Participants With Sickle Cell Disease (SCD)
Sickle Cell DiseaseUnlock trial analytics
PHASE2ACTIVE NOT_RECRUITING
A Study of Tebapivat (AG-946) in Participants With Anemia Due to Lower-Risk Myelodysplastic Syndromes (LR-MDS)
Myelodysplastic SyndromesUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Hb Response
Baseline, Week 10 through Week 12
Phase 2a: Proportion of Participants With Hemoglobin (Hb) Response
Baseline, Week 8 through Week 16

Hb response is defined as a ≥1.5-grams per deciliter (g/dL) increase from baseline in the average Hb concentration from Week 8 through Week 16.

Phase 2a: Proportion of Participants With Transfusion Independence During the Core Period
Up to 16 weeks

Transfusion Independence is defined as transfusion-free for ≥8 consecutive weeks during the Core Period (participants With Low Transfusion Burden \[LTB\] only).

Phase 2b: Proportion of Participants With Transfusion Independence
Up to 24 weeks

Transfusion independence, defined as transfusion-free for ≥8 consecutive weeks (TI8) during the Core Period.

SAD and MAD: Number of Participants Who Experienced at Least One Adverse Event (AE), by Severity
SAD: Up to Day 13; MAD: Up to Day 49
SAD and MAD: Number of Participants Who Experienced at Least One AE Related to the Study Drug
SAD: Up to Day 13; MAD: Up to Day 49
SAD and MAD: Number of Participants Who Experienced at Least One Serious Adverse Event (SAE)
SAD: Up to Day 13; MAD: Up to Day 49
SAD and MAD: Number of Participants With Clinically Significant Laboratory Abnormalities, by Severity
SAD: Up to Day 13; MAD: Up to Day 49
SAD and MAD: Number of Participants With Clinically Significant Changes in Vital Signs and in Electrocardiogram (ECG) Parameters
SAD: Up to Day 13; MAD: Up to Day 49
SCD: Number of Participants Who Experienced at Least One AE, by Severity
Up to Day 56
SCD: Number of Participants Who Experienced at Least One AE Related to the Study Drug
Up to Day 56
SCD: Number of Participants Who Experienced at Least One SAE
Up to Day 56
SCD: Number of Participants With Clinically Significant Laboratory Abnormalities, by Severity
Up to Day 56
SCD: Number of Participants With Clinically Significant Changes in Vital Signs and in ECG Parameters
Up to Day 56

Secondary Endpoints

Number of Participants With Adverse Events (AEs) and Serious Adverse Events (SAEs)
Up to Week 72
Average Change From Baseline in Hb Concentration
Baseline, Week 10 through Week 12
Average Change From Baseline in Indirect Bilirubin
Baseline, Week 10 through Week 12
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Study Design & Arms

AllocationRANDOMIZED
MaskingQUADRUPLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Tebapivat 2.5 milligrams (mg)EXPERIMENTALParticipants will receive 2.5 mg tebapivat orally, once daily (QD) for 12-weeks in the double-blind (DB) period. Participants who complete the DB Period will be eligible to receive the same dose in the Open-Label Extension (OLE) period for up to 52 weeks.
Tebapivat 5.0 mgEXPERIMENTALParticipants will receive 5.0 mg tebapivat orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be eligible to receive the same dose in the OLE period for up to 52 weeks.
Tebapivat 7.5 mgEXPERIMENTALParticipants will receive 7.5 mg tebapivat orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be eligible to receive the same dose in the OLE period for up to 52 weeks.
Tebapivat Matched PlaceboPLACEBO_COMPARATORParticipants will receive a matched placebo, orally, QD, for 12-weeks in the DB period. Participants who complete the DB Period will be randomized in 1:1:1 to receive tebapivat 2.5 mg QD, tebapivat 5.0 mg QD, or tebapivat 7.5 mg QD in the OLE period for up to 52 weeks
Core Period: Phase 2a - Tebapivat 5 mgEXPERIMENTALParticipants will receive 5 milligrams (mg) tebapivat orally, once daily for up to 16 weeks. At the discretion of the investigator, participants who complete the Core Period will be eligible to receive the same dose in Extension Period for up to 156 weeks.
Core Period: Phase 2b - Tebapivat 10 mgEXPERIMENTALParticipants will receive 10 mg tebapivat, orally, once daily for up to 24 weeks. At the discretion of the investigator, participants who complete the Core Period will be eligible to receive the same dose in Extension Period for up to 156 weeks.
Core Period: Phase 2b - Tebapivat 15 mgEXPERIMENTALParticipants will receive 15 mg tebapivat, orally, once daily for up to 24 weeks. At the discretion of the investigator, participants who complete the Core Period will be eligible to receive the same dose in Extension Period for up to 156 weeks.
Core Period: Phase 2b - Tebapivat 20 mgEXPERIMENTALParticipants will receive 20 mg tebapivat, orally, once daily for up to 24 weeks. At the discretion of the investigator, participants who complete the Core Period will be eligible to receive the same dose in Extension Period for up to 156 weeks.
Part 1: Single Ascending Dose (SAD) PhaseEXPERIMENTALParticipants will receive a range of doses of AG-946 or placebo, orally, once on Day 1. AG-946 will be given under fasted or fed conditions.
Part 2: Multiple Ascending Dose (MAD) PhaseEXPERIMENTALParticipants will receive a range of doses of AG-946 or placebo, orally, once daily (QD) for 14 days or using an alternative dosing regimen for up to 28 days under fasted conditions.
Part 3: Sickle Cell Disease (SCD) PhaseEXPERIMENTALParticipants will receive a range of selected ascending doses of AG-946, orally, QD or using an alternative dosing regimen for 28 days.

Interventions

NameTypeDescription
TebapivatDRUGOral tablets.
Tebapivat Matched PlaceboDRUGOral tablets.
AG-946DRUGAG-946, oral encapsulated coated-granules or tablets.
AG-946 Matched PlaceboDRUGAG-946 matched-placebo, oral encapsulated sugar spheres or tablets.
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Eligibility Criteria

Age Range16 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites20

Key Inclusion Criteria: * Documented diagnosis of SCD (HbSS, HbSC \[combined heterozygosity for hemoglobins S and C\], sickle hemoglobin \[HbS\]/β0-thalassemia, HbS/β+-thalassemia, or other sickle cell syndrome variants). * Hemoglobin ≥5.5 and ≤10.5 grams per decilitre (g/dL). Hemoglobin concentrat...

Countries:United StatesBelgiumCanadaFranceIrelandNetherlandsUnited KingdomAustraliaAustriaCzechiaGermanyGreeceIsraelItalyPolandSouth KoreaSpainDenmark
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Recent Changes (Last 90 Days)

LOWSep 28, 2026NCT05490446lastUpdatePostDate: changed
LOWSep 28, 2026NCT06924970lastUpdatePostDate: changed
LOWSep 28, 2026NCT05490446lastUpdatePostDate: changed
LOWSep 28, 2026NCT06924970lastUpdatePostDate: changed
LOWAug 27, 2026NCT05490446lastUpdatePostDate: changed
LOWAug 27, 2026NCT05490446lastUpdatePostDate: changed
LOWAug 20, 2026NCT06924970primaryCompletionDate: changed
LOWAug 20, 2026NCT06924970primaryCompletionDate: changed
LOWJul 30, 2026NCT05490446lastUpdatePostDate: changed
LOWJul 30, 2026NCT05490446lastUpdatePostDate: changed

Frequently asked questions about AG-946

What is AG-946?

AG-946 is an investigational small molecule developed by Agios Pharmaceuticals for hematology indications, specifically anemia and sickle cell disease. It has been studied in a Phase 1 clinical trial in healthy volunteers and participants with sickle cell disease. AG-946 is not approved and remains in clinical development.

What is AG-946 used for in sickle cell disease and anemia?

AG-946 is being developed for anemia and sickle cell disease. A Phase 1 study evaluated its safety, tolerability, pharmacokinetics, and pharmacodynamics in healthy volunteers and participants with sickle cell disease. The drug is investigational, and no approved use in these indications has been established.

Who makes AG-946?

AG-946 is developed by Agios Pharmaceuticals, Inc., which trades on the Nasdaq under the ticker AGIO. Agios is the sponsor of the clinical program studying AG-946 in anemia and sickle cell disease.

What phase is AG-946 in?

AG-946 is in Phase 1 clinical development. Its single reported trial, NCT04536792, was a Phase 1 study that has been completed. The drug is investigational and has not been approved for any indication.

What clinical trials is AG-946 in?

AG-946 has been studied in one clinical trial, NCT04536792, titled a study to assess the safety, tolerability, pharmacokinetics, and pharmacodynamics of AG-946 in healthy volunteers and in participants with sickle cell disease. The Phase 1 trial enrolled 122 participants across the United States, Denmark, and Spain and is completed.

Was the AG-946 Phase 1 trial randomized and controlled?

Yes. The Phase 1 trial of AG-946, NCT04536792, was randomized, double blind, and controlled. It enrolled 122 participants aged 18 years and older, including healthy volunteers and participants with sickle cell disease, and was conducted in the United States, Denmark, and Spain.