Effect of Deferasirox on Patients With Cardiac MRI T2* < 20 Msec
Multicenter, Open Label, Prospective Study to Evaluate the Efficacy and Safety of Deferasirox 30 mg/kg/Day for 52 Weeks, in Transfusion-dependent Beta-thalassemic Patients With Cardiac MRI T2* < 20 Msec
2 other identifiers
interventional
20
1 country
2
Brief Summary
This study will assess the safety and efficacy of deferasirox in patients with cardiac MRI T2\* \< 20 msec.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for phase_2
2 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
February 1, 2009
CompletedFirst Submitted
Initial submission to the registry
April 8, 2009
CompletedFirst Posted
Study publicly available on registry
April 9, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2011
CompletedDecember 12, 2016
November 1, 2011
2.2 years
April 8, 2009
December 8, 2016
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline in cardiac T2* value
Unsatisfactory response is a monthly MRI T2\* improvement lower than 3% versus baseline.
52 weeks
Secondary Outcomes (2)
Change from baseline in cardiac functions parameters (LVEF, LVESV and LVEDV)
52 weeks
Change from baseline liver T2* value
52 weeks
Study Arms (1)
Deferasirox
EXPERIMENTAL30 mg/kg/day. The daily dose can be increased to 40 mg/kg in case of unsatisfactory response after 12 weeks of treatment.
Interventions
Dispersible tables of 125, 250 and 500 mg at the dose of 30 mg/kg/day, oral administration.
Eligibility Criteria
You may qualify if:
- β-thalassemic patients receiving regular transfusions with an history of at least 20 transfusional events
- Patients naïve for deferasirox
- Serum ferritin levels ≥1000ng/ml (average of the last 6 months assays);
- Cardiac MRI T2\* \>5 and \<20 msec.
- LVEF at MRI ≥56%
You may not qualify if:
- Patients that have already started deferasirox therapy
- Existing contraindications to the performance of MRI procedure, including presence of metallic prostheses not compatible with the MRI procedure other than those approved as safe for use in MRI scanners (e.g., some types of aneurysm clips, shrapnel in proximity to vital organs such as the retina), pacemaker, intractable claustrophobia and incapability to follow the instruction for the correct performance of the MRI (e.g. to maintain a supine position, to hold breath, etc.)
- Clinical conditions requiring intensive chelating therapy on the basis of Investigator's judgment
- Stable average ALT levels \>300 U/L in the preceding 12 months
- Uncontrolled systemic hypertension
- Estimated creatinine clearance \<60 ml/min
- History of nephrotic syndrome
- History of clinically significant ocular toxicity related to the chelating therapy
- Psychiatric disorders or drug dependence that might impair the capability of the patient to provide their Informed Consent or to be administered the study treatment
- Known sensitivity to study drug(s) or class of study drug(s)
- Patients with severe medical condition(s) that in the view of the investigator prohibits participation in the study
- Use of any other investigational agent in the last 30 days.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Novartis Investigative Site
Cagliari, Italy
Novartis Investigative Site
Orbassano, Italy
Related Publications (1)
Piga A, Longo F, Origa R, Roggero S, Pinna F, Zappu A, Castiglioni C, Cappellini MD. Deferasirox for cardiac siderosis in beta-thalassaemia major: a multicentre, open label, prospective study. Br J Haematol. 2014 Nov;167(3):423-6. doi: 10.1111/bjh.12987. Epub 2014 Jun 30. No abstract available.
PMID: 24976388RESULT
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 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2009
First Posted
April 9, 2009
Study Start
February 1, 2009
Primary Completion
May 1, 2011
Last Updated
December 12, 2016
Record last verified: 2011-11