Phase 2
Completed N=9
Combination Deferasirox and Deferiprone for Severe Iron Overload in Thalassemia
Thalassemia Major With Severe Transfusional Iron Overload
Source: ClinicalTrials.gov NCT01709032 ↗
Enrolled (actual)
9
Serious AEs
33.3%
Results posted
Mar 2019
Primary outcomePrimary: Number of Participants With Improvement in Liver Iron Concentration — 3 Participants
Summary
We hypothesize that the combination treatment with deferasirox and deferiprone will be well tolerated and will result in significant improvement in cardiac and liver iron levels.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Number of Participants With Improvement in Liver Iron Concentration |
3 | — |
| SECONDARY Number of Participants With Improvement in Cardiac T2* MRI |
3 | — |
Eligibility Criteria
Inclusion Criteria
- Alpha or beta thalassemia
- Receiving chronic transfusions (at least 20 transfusions in lifetime) with iron overload requiring treatment with chelation
- Serum ferritin >500 ng/ml
- Liver iron concentration equal to or greater than 10 mg/g dw (by R2 MRI) or 7 to 10 mg/g dw (by R2 MRI) and not improving OR cardiac T2* between 6 and 300 mg/L, clinically significant liver disease (ALT > 5x upper limit of normal), pulmonary or cardiovascular disease
- History of other clinically relevant oral, endocrine, neurologic, psychiatric, immunologic, bone marrow or skin disorder that contraindicates dosing with deferasirox or deferiprone
- History of adverse reaction or known allergy to either deferasirox or deferiprone necessitating drug discontinuation
- Currently receiving treatment for active hepatitis
- Use of any investigational agent in the past 30 days
- Cardiac T2* <6 ms, left ventricular ejection fraction < 56%, and/or arrhythmia (certain subjects may be eligible if they have already had a trial of deferoxamine and deferiprone). Subjects who refuse to use deferoxamine after extensive consultation with at least 2 health care providers will also be allowed to participate.
- Pregnant or breastfeeding females
- Unwilling or unable to comply with study related procedures
Data sourced from ClinicalTrials.gov (NCT01709032). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.