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Efficacy and Safety of Low Dose Thalidomide in Transfusion Dependent Thalassemia

Phase 2
Completed
Conditions
Thalassemia
Interventions
Registration Number
NCT03651102
Lead Sponsor
Blood Diseases Clinic
Brief Summary

Thalidomide is known to have hypnosedative, immuno-modulatory and anti-angiogenic effects. The drug is widely used in several neoplastic disorders (e.g. multiple myeloma and malignant melanoma), inflammatory conditions (e.g. Crohn's disease) and skin disorders (e.g. leprosy). Thalidomide has been successfully used in adult thalassemia patients. The current study explores its role in transfusion-dependent thalassemia patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
654
Inclusion Criteria
  • Transfusion dependent thalassemia patients refractory to Hydroxyurea
Exclusion Criteria
  • Those with active systemic comorbidity, with past personal or family history of thrombophilia, recent fracture or recent major surgery

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Thalidomide in combination with hydroxyureaThalidomide and HydroxyureaAll the study patients refractory to hydroxyurea will be given thalidomide at an average dose of 2mg/kg/day (range 1-4mg/kg/day). Participants will also be continued on hydroxyurea at a dose of 10-20 mg/kg/day.
Primary Outcome Measures
NameTimeMethod
Adverse Effects6-24 months
Haemoglobin Level6-24 months

mg/dL

Response Rate (Excellent, Good, Partial and No response)6-24 months
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Blood Diseases Clinic

🇵🇰

Peshawar, Khyber Pakhtukhwa, Pakistan

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