Magnetic Resonance Imaging (MRI) Assessments of the Heart and Liver Iron Load in Patients With Transfusion Induced Iron Overload
A Study of Magnetic Resonance Imaging Assessment of Cardiac and Liver Iron Load in Patients With Haemoglobinopathies, Myelodysplastic Syndromes (MDS) or Other Anaemias Treated With Exjade® (Deferasirox) (The MILE Study)
1 other identifier
interventional
118
1 country
4
Brief Summary
This study will evaluate the change in cardiac iron load over a 53 week period measured by MRI in 2 cohorts of patients
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_4
Started Nov 2007
Longer than P75 for phase_4
4 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
November 1, 2007
CompletedFirst Submitted
Initial submission to the registry
May 5, 2008
CompletedFirst Posted
Study publicly available on registry
May 7, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2011
CompletedFebruary 23, 2017
February 1, 2017
3.8 years
May 5, 2008
February 20, 2017
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in cardiac iron load and cardiac ejection fraction by MRI recorded at baseline and after 53 weeks.
12 months
Secondary Outcomes (7)
Change in ventricular ejection fraction values, ventricular volumes and masses from baseline values after 53 weeks.
12 months
Change in cardiac T2* from baseline to 53 weeks in the MDS and other anaemias subgroup, compared to the thalassaemia subgroup.
12 months
Changes in serum ferritin from baseline values to 53 weeks.
12 months
Changes in Liver Iron Content (LIC) by MRI from baseline values to 53 weeks
12 months
The relationship between the dosing regimen of Exjade® and changes in cardiac T2* and LIC R2 MRI
12 months
- +2 more secondary outcomes
Study Arms (1)
Deferasirox
EXPERIMENTALInterventions
Deferasirox up to 40mg/kg/day, PO, Dispersible tablets, taken once daily
Eligibility Criteria
You may qualify if:
- Male or female WITH haemoglobinopathy, Myelodysplastic Syndromes or other inherited or acquired anaemia (e.g. MPD, Diamond-blackfan anaemia and other rare anaemias) patients ≥ 18 years and weighing \>40kg.
- Lifetime minimum of \> 20 units of packed red blood cell transfusions
- Normal or minimally abnormal cardiac function
You may not qualify if:
- Contraindication to MRI scans
- High risk myelodysplastic syndromes patients and patients with other haematological and non-haematological malignancies who are not expected to benefit from chelation therapy due to the rapid progression of their disease
- Patients with uncontrolled high blood pressure
- An organ transplant less than 3 months previously
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Novartislead
Study Sites (4)
Novarts Investigative Site
Adelaide, Australia
Novarts Investigative Site
Brisbane, Australia
Novarts Investigative Site
Melbourne, Australia
Novarts Investigative Site
Sydney, Australia
Related Publications (1)
Ho PJ, Tay L, Teo J, Marlton P, Grigg A, St Pierre T, Brown G, Badcock CA, Traficante R, Gervasio OL, Bowden DK. Cardiac iron load and function in transfused patients treated with deferasirox (the MILE study). Eur J Haematol. 2017 Feb;98(2):97-105. doi: 10.1111/ejh.12793. Epub 2016 Sep 20.
PMID: 27537786DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Novartis Pharmaceuticals
Novartis Pharmeceuticals
Study Design
- Study Type
- interventional
- Phase
- phase 4
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
May 5, 2008
First Posted
May 7, 2008
Study Start
November 1, 2007
Primary Completion
September 1, 2011
Study Completion
September 1, 2011
Last Updated
February 23, 2017
Record last verified: 2017-02