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A phase 2 multicenter, open-labeled study of efficacy and safety of Deferasirox GPO in thalassemia patients with iron overload

Phase 2
Recruiting
Conditions
transfusion dependent thalassemia (TDT) and non-transfusion dependent thalassemia (NTDT) patients who have iron overload
thalassemia, iron overload
Registration Number
TCTR20240601004
Lead Sponsor
The Government Pharmaceutical Organization (GPO)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
160
Inclusion Criteria

1. Thai patient, Aged more than 2 years old
2. Have a documented diagnosis of TDT or NTDT; TDT patients are those who received blood transfusion at least 6 units (or episodes for children) within 24 weeks period and had no transfusion-free period of more than 45 days
3. Have a confirmed diagnosis of TDT or NTDT
4. Have an iron overload as indicated by LIC value during screening period; LIC > 7 mgFe/gDW for TDT and LIC >5 for NTDT, for those under 10 years old using ferritin > 1,000 and >800 ng/mL for TDT and NTDT, respectively

Exclusion Criteria

1. Have a clinically significant GI disease that could interrupt the absorption of deferasirox or history of surgically removal of intestine
2. Have an active hepatitis B or hepatitis C (ALT > 3x upper limit normal)
3. Have a HIV infection
4. Have a clinically significant psychiatric disorder that could interfere the study protocol
5. Have a history of recent malignancy within 5 years, except for limited stage basal cell carcinoma
6. Currently participate in a clinical study
7. Have a history of hypersensitivity or serious side effect from deferasirox
8. Have an uncontrolled underlying disease that investigator believes that it would affect this study
9. serum creatinine > 1.5x upper limit normal
10. AST or ALT > 3x upper limit normal
11. Total bilirubin > 5x upper limit normal
12 Urinary protein/creatinine ratio (UPCR) > 0.5 mg/mg
13 Absolute neutrophil < 1,000 cells/uL
14. For female participant, be currently pregnancy or have a plan for pregnancy during clinical study or currently breastfeeding
15. For those of reproductive potential, be abstinent or agree to use 2 effective forms of contraception during the study period
16. Cannot perform MRI study

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
iver iron concentration (LIC) reduction during 48 weeks at 48 weeks after end of the intervention Magnetic resonance imaging (MRI) for LIC
Secondary Outcome Measures
NameTimeMethod
Safety profile 48 weeks treatment period any abnormal laboratory or clinical symptoms that related to the intervention,Serum ferritin reduction at 24 and 48 weeks after end of the intervention Serum ferritin,Pharmacokinetics during 48 weeks treatment period plasma DFX level,LIC reduction during 24 weeks at 24 weeks after end of the intervention MRI for LIC,Cardiac T2* change at 48 weeks after end of the intervention MRI for cardiac T2*
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