Safety & Efficacy of ICL670 vs. Deferoxamine in Beta-thalassemia Patients With Iron Overload Due to Blood Transfusions
A Randomized, Comparative, Open Label Phase III Trial on Efficacy & Safety of Long-term Treatment With ICL670 Compared to Deferoxamine in Beta-thalassemia Patients With Transfusional Hemosiderosis
1 other identifier
interventional
595
1 country
7
Brief Summary
The purpose of this study is to deterimine if the new orally active iron chelator, ICL670, is as effective and as safe as deferoxamine in preventing accumulation of iron in the body while a patient is undergoing repeated blood transfusions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_3
7 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
May 1, 2003
CompletedFirst Submitted
Initial submission to the registry
June 3, 2003
CompletedFirst Posted
Study publicly available on registry
June 4, 2003
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2004
CompletedApril 19, 2012
April 1, 2012
1.5 years
June 3, 2003
April 18, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Demonstrate non-inferiority to deferoxamine in its effects on liver iron content (LIC)
Secondary Outcomes (4)
Evaluate tolerability profile
Estimate absolute and relative change of LIC and Total body iron excretion
Evaluation relationship between LIC and potential surrogate markers
Evaluate the relationship between pharmacokinetics, pharmacodynamics and safety variable
Study Arms (2)
ICL670
EXPERIMENTALDeferoxamine
ACTIVE COMPARATORInterventions
Eligibility Criteria
You may qualify if:
- Beta-thalassemia patients already treated with or suitable for treatment with deferoxamine 20 to 40 mg/kg/day
- Liver iron content greater than 2 mg iron/g dw as measured by liver biopsy
- Need for regular transfusions 8 or more times per year
You may not qualify if:
- Non-transfusional iron overload or transfusion-dependent anemias other than beta-thalassemia.
- Documented toxicity to deferoxamine
- Elevated liver enzymes in the year preceeding enrollment
- Active hepatitis B or hepatitis C
- HIV seropositivity
- Elevated serum creatinine or significant proteinuria
- History of nephrotic syndrome
- Uncontrolled systemic hypertension
- Fever and other signs/symptoms of infection within 10 days prior to start of the study
- Presence of clinically relevant cataract or previous history of clinically relevant ocular toxicity related to iron chelation
- Second or third degree AV block, clinically relevant Q-T interval prolongation, or patients requiring digoxin or other drugs that prolong the Q-T interval
- Diseases (cardiovascular, renal, hepatic, etc.)that would prevent the patient from undergoing any of the treatment options
- Psychiatric or additive disorders that would prevent the patient from giving informed consent
- History of drug or alcohol abuse within the 12 months prior to the study
- Pregnant or breast feeding patients
- +6 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (7)
Children's Hospital of Los Angeles
Los Angeles, California, 90027-6062, United States
Children's Hospital Oakland
Oakland, California, 94609, United States
Stanford Hospital
Stanford, California, 94305-5208, United States
Children's Memorial Hospital
Chicago, Illinois, 60614-3394, United States
Children's Hospital Boston
Boston, Massachusetts, 02115, United States
Weill Medical College of Cornell University
New York, New York, 10021, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104-4318, United States
Related Publications (2)
Padhani ZA, Gangwani MK, Sadaf A, Hasan B, Colan S, Alvi N, Das JK. Calcium channel blockers for preventing cardiomyopathy due to iron overload in people with transfusion-dependent beta thalassaemia. Cochrane Database Syst Rev. 2023 Nov 17;11(11):CD011626. doi: 10.1002/14651858.CD011626.pub3.
PMID: 37975597DERIVEDCohen AR, Glimm E, Porter JB. Effect of transfusional iron intake on response to chelation therapy in beta-thalassemia major. Blood. 2008 Jan 15;111(2):583-7. doi: 10.1182/blood-2007-08-109306. Epub 2007 Oct 19.
PMID: 17951527DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmaceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
June 3, 2003
First Posted
June 4, 2003
Study Start
May 1, 2003
Primary Completion
November 1, 2004
Last Updated
April 19, 2012
Record last verified: 2012-04