Myelodysplastic Syndrome, Thalassemia
Conditions
Keywords
Iron Overload, hemotranfusion, deferasirox, ferritin, Rare anemia, Transfusional Iron Overload
Brief summary
This study will evaluate the efficacy and safety of deferasirox in patients with MDS, thalassemia and rare anemia patients with transfusion iron overload.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Age ≥ 2 years 2. Primary Diagnosis: Myelodysplastic Syndrome (presenting with low or intermediate-1 IPSS risk), thalassemia or rare anemias patients (anemia Diamond-Blackfan, Fanconi's anemia, Sideroblastic anemia, Red cell aplasia) 3. ECOG Performance Status ≤ 2 4. Transfusion overload confirmed with ferritin level \>1000 µg/l. 5. No severe concomitant uncontrolled disease (uncontrolled diabetes mellitus, heart failure, renal failure). 6. Serum creatine level \> ULN 7. No proteinuria 8. Liver enzymes level \< 5 ULN. 9. No pregnancy or lactation 10. Signed informed consent by adults. In case inclusion of children under 18 years old, the informed consent should be signed by parents.
Exclusion criteria
1. Age \< 2 years 2. No iron overload (Ferritin level \<1000 µg/l). 3. Primary iron overload (hereditary hemochromatosis) 4. Severe concomitant disease (uncontrolled diabetes mellitus, heart failure, renal failure) 5. Elevated serum creatinine \> ULN or/and proteinuria 6. Liver enzymes level \>5 ULN. 7. Pregnancy or lactation. Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| changes in ferritin level, compared to baseline, in patients with transfusion-induced iron overload treated with Exjade | Baseline assessment is followed by monthly assessments for up to 1 year |
Secondary
| Measure | Time frame |
|---|---|
| changes in clinical manifestations of iron overload by means of echocardiogram (ECHO), electrocardiogram (ECG), routine laboratory assessments and physical examination | Baseline assessment is followed by monthly assessments for up to 1 year. |
| changes in iron overload evidence on cardiac and liver magnetic resonance imaging (MRI) T2*, compared to baseline, in patients with transfusion-induced iron overload treated with Exjade | at baseline and 1 at year (at the end of study). |
| Number of participants with adverse events. Safety is evaluated through the continuous monitoring and recording of adverse events, as well as though routine laboratory assessments and physical examination. | From the start of study up to 1 year |
Countries
Russia