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Safety and Efficacy of Desferasirox in Chinese Patients With Iron Overload and Aplastic Anemia

Phase 4
Completed
Conditions
Iron Overload
Interventions
Drug: Desferasirox
Registration Number
NCT01546415
Lead Sponsor
Novartis Pharmaceuticals
Brief Summary

The study is designed to collect safety and efficacy of Desferasirox in Chinese patients with Iron Overload and Aplastic Anemia.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
64
Inclusion Criteria
  • Patients presenting with transfusion-related IOL as shown by a SF level of ≥ 1000 ng/mL at start of study

  • History of transfusion >20 international units or 100 mL/kg of red blood cells

  • Underlying transfusion-dependent illness:

    • AA: Clinically diagnosed AA with bone marrow confirmation of the diagnosis
  • Age ≥ 18 years, male or female

  • Written informed consent obtained from patient prior to any screening procedures.

Exclusion Criteria
  • Patients with serum creatinine > ULN or with significant proteinuria as indicated by a urinary protein/creatinine ratio (UPCR) ≥ 1.0 mg/mg in a non-first void urine sample at baseline. If serum creatinine is found to be > ULN or UPCR is found to be ≥ 1 mg/mg the test can be repeated after 1 month.
  • Creatinine Clearance <40 ml/min
  • Patients with other than AA transfusion-dependent underlying illnesses
  • Patients with a previous history of clinically relevant ocular and/or auditory toxicity related to iron chelation
  • Any other surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of any drug. The investigator should be guided by evidence of any of the following:
  • history of inflammatory bowel syndrome, gastritis, ulcers, gastrointestinal or rectal bleeding
  • history of major gastrointestinal tract surgery such as gastrectomy, gastroenterostomy, or bowel resection
  • history of pancreatic injury or pancreatitis; indications of impaired pancreatic function/injury as indicated by abnormal lipase or amylase
  • history or presence of impaired renal function as indicated by creatinine or blood urea nitrogen (BUN) values equal or above ULN
  • history of urinary obstruction or difficulty in voiding

Other protocol-defined inclusion/exclusion criteria may apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
DesferasiroxDesferasirox-
Primary Outcome Measures
NameTimeMethod
Change in serum ferritin from baseline to 52 weeks with desferasirox treatment in Chinese patients with AA presenting with transfusional hemosiderosis and pre-existing serum ferritin levels of ≥ 1000 ng/mL.Every 4 Weeks for 52 weeks of treatment

Difference in serum ferritin from baseline vs. 52 weeks of treatment.

Secondary Outcome Measures
NameTimeMethod
Correlation between serum ferritin (SF) and transferrin saturation (TFS)Every 4 Weeks for 52 weeks of treatment

Study will compare SF with TFS level to find degree of relationship measured by correlation.

Number of dispensed, used, partially used or unused packages of study medication to assess drug usage complianceEvery 4 Weeks for 52 weeks of treatment
Correlation between dose adjustment (increase or decrease) regimens and transfusional burdenEvery 3 months for 52 Weeks of treatment

Evaluation of the relationship between dose adjustment regimens (as dictated by both efficacy and safety parameters) and transfusional burden will be undertaken.

Number of patients with adverse events, serious adverse events and deathEvery 4 weeks for 52 Weeks of treatment

Trial Locations

Locations (1)

Novartis Investigative Site

🇨🇳

Tianjin, China

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