Thalassemia. Beta thalassaemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion: Aged 2 years; Serum ferritin >2000 ng/ml and unresponsive to current treatment with doses > 35 mg/kg QD (decrease in ferritin level less than 10%); patients who did not tolerate single dose therapy due to adverse effects Exclusion: Patients will be excluded from this trial if they have one of the following criteria: positive serology for HBS Ag , HCV Ab, HIV Ab. Abnormal liver or kidney function tests;An alanine aminotranferase (ALT) level greater than 250 U/L;serum creatinine level above the upper limit of normal, and a urinary protein-creatinine ratio of greater than 0.5 mg/mg); a history of ocular toxicity related to iron chelation therapy;uncontrolled systemic hypertention, a prolonged corrected QT interval; systemic infection within 10days prior to enrollment; gastrointestinal absorption problem ;Patients who found complication of chelation therapy during trial as well as breast feeding and pregnant women.
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Efficacy as reduction in serum ferritin levels as well as change in T2MRI. Timepoint: Base line,three month,six month,nine month,end of study. Method of measurement: For better evaluation of serum ferritin changes during one year, we define an index: Mean of Relative Change of Serum Ferritin (MRC-SF) from the baseline levels that will be calculated as the percentage of difference between mean serum ferritin levels of each occasion from mean baseline serum ferritin levels. | — |
Secondary
| Measure | Time frame |
|---|---|
| Gastrointestinal symptoms and skin rash fatal, acute, irreversible renal failure. Timepoint: Baseline,three months,six months,nine months,End of study. Method of measurement: Exact follow up of the patients examination,laboratory data.;Safety. Timepoint: 12 years. Method of measurement: exact follow up of the patients examination and laboratory data. | — |
Countries
Iran (Islamic Republic of)
Contacts
Hematology Research Center, Nemazee Hospital, Shiraz