Serial Assessment of Fertility Experiences
SAFE
A Prospective Longitudinal Study of Growth, Development, Fertility and Reproductive Outcomes Among Adolescents and Young Adults With Sickle Cell Anemia With Hydroxyurea
1 other identifier
observational
250
3 countries
3
Brief Summary
The SAFE study is a long-term research project that watches people with sickle cell anemia (SCA) over time. The main goal is to see how a medicine called hydroxyurea affects their growth, puberty, and ability to have children. A second goal is to see how hydroxyurea affects pregnancy outcomes, by comparing people who take the medicine to those who don't.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Jul 2023
Longer than P75 for all trials
3 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
July 10, 2023
CompletedFirst Submitted
Initial submission to the registry
July 23, 2025
CompletedFirst Posted
Study publicly available on registry
August 12, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 19, 2035
ExpectedStudy Completion
Last participant's last visit for all outcomes
December 31, 2035
February 4, 2026
August 1, 2025
11.9 years
July 23, 2025
February 3, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Clinical Outcomes
The number of people who experience serious health events like pregnancy, stroke, cancer, or death.
From enrollment up to 10 years after enrollment.
Secondary Outcomes (12)
Female Reproductive Potential and Outcomes
From enrollment up to 10 years after enrollment.
Female Reproductive Potential and Outcomes
From enrollment up to 10 years after enrollment.
Female Reproductive Potential and Outcomes
From enrollment up to 10 years after enrollment.
Female Reproductive Potential and Outcomes
From enrollment up to 10 years after enrollment.
Female Reproductive Potential and Outcomes
From enrollment up to 10 years after enrollment.
- +7 more secondary outcomes
Study Arms (1)
Sickle Cell Anemia
Those with sickle cell anemia (SCA).
Eligibility Criteria
People with sickle cell anemia who are at least 8 years old and seen in Jamaica and Dominican Republic.
You may qualify if:
- Patients with documented sickle cell anemia (SCA).
- At least 8 years of age at the time of enrollment.
- Enrolled on the EXTEND or SACRED study.
- Provide informed consent.
- Able to take part in all parts of the study, including treatments, check-ups, and follow-up visits.
You may not qualify if:
- Currently taking part in another treatment study (not EXTEND or SACRED).
- Has received other treatments for sickle cell disease in the past 6 months.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (3)
Centro de Obstetricia y Ginecologia
Santo Domingo, Dominican Republic
Caribbean Institute for Health Research, University of West Indies
Kingston, Jamaica
Buganda Medical Centre
Mwanza, Tanzania
Related Links
Biospecimen
Whole blood and FTA dried blood spots.
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Russell E Ware, MD, PhD
Children's Hospital Medical Center, Cincinnati
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 23, 2025
First Posted
August 12, 2025
Study Start
July 10, 2023
Primary Completion (Estimated)
May 19, 2035
Study Completion (Estimated)
December 31, 2035
Last Updated
February 4, 2026
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share
Study data will be collected and managed using REDCap™ electronic data capture tools. REDCap™ is a secure, web-based application designed to support data capture for research studies, providing: 1) an intuitive interface for validated data entry; 2) audit trails for tracking data manipulation and export procedures; 3) automated export procedures for seamless data downloads to common statistical packages; and 4) procedures for importing data from external sources. The REDCap™ system is available for use through institutions participating in the REDCap™ consortium. Cincinnati Children's Hospital Medical Center serves as the home institution to allow the REDCap™ system for de-identified data collection in the SAFE study.