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Safety and Efficacy of Immunomodulator Drug Thalidomide in Multi-transfused Thalassemia Patients

Safety and Efficacy of Immunomodulator Drug Thalidomide in Multi-transfused Thalassemia Patients: A Single Center Experience From South Punjab, Pakistan

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06888232
Enrollment
121
Registered
2025-03-21
Start date
2023-08-01
Completion date
2024-12-31
Last updated
2025-03-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Thalassemia

Brief summary

This study aimed to determine the safety and efficacy of thalidomide in multi-transfused thalassemic children.

Detailed description

Given the significant burden of transfusion dependency, an effective and safe inducer is needed that could improve quality of life and reduce the healthcare costs associated with frequent transfusions and iron chelation therapy. If this study could establish the safety of thalidomide in terms of teratogenicity along with its efficacy, it would be a great support to multi-transfused thalassemic children.

Interventions

DRUGThalidomide

Thalidomide was administered at a dose of 1.5 mg/kg/day, and all patients continued standard iron chelation therapy and other supportive treatments as per institutional protocols.

Sponsors

Muhammad Aamir Latif
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
2 Years to 5 Years
Healthy volunteers
No

Inclusion criteria

* Children of both genders * Aged 2-5 years * With transfusion-dependent thalassemia (TDT) * Whose parents/guardians showed willingness to adhere to follow-up visits

Exclusion criteria

* Children with uncontrolled infections * Significant hepatic or renal dysfunction * Malignancy * Known contraindications to thalidomide

Design outcomes

Primary

MeasureTime frameDescription
Efficacy of treatment6 monthsEfficacy was categorized as excellent response showing an increase in hemoglobin by 1-2 g/dL or freedom from blood transfusions, partial response as an increase in hemoglobin \<1 g/dL or a decrease in transfusion frequency, or no response if there was no increase in hemoglobin or an increase in transfusion requirement within three months.
Safety of treatment6 monthsTreatment was considered safe if no adverse events were documented based on clinical assessment and laboratory findings.

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026