Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients
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Purpose
The purpose of this study is to determine the efficacy of antioxidant cocktails on the alleviation of oxidative stress and iron overload in beta-thalassemia/Hb E patients.
| Condition | Intervention |
|---|---|
|
Thalassemia |
Drug: curcuminoids, N-acetylcysteine, deferiprone and vitamin E Drug: Curcuminoids and alpha-tocopherol |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients |
- Malonyldiadehyde (MDA) [ Time Frame: 1 year after treatment with antioxidant cocktail. ] [ Designated as safety issue: Yes ]Lipid peroxidation will be assayed by measuring the formation of malonyldialdehyde (MDA). The formation of MDA on red blood cell will be exposed by hydrogen peroxide. Then, MDA will be extracted by trichloroacetic acid (TCA) and will be reacted with thiobarbituric acid (TBA) in boiling condition to MDA-TBAR complex. This complex will be given pink color and measuring at 532 and 600 nm
| Enrollment: | 60 |
| Study Start Date: | June 2009 |
| Study Completion Date: | June 2011 |
| Primary Completion Date: | June 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Curcuminoids
The administrate curcuminoids is intervention for 30 patients
|
Drug: curcuminoids, N-acetylcysteine, deferiprone and vitamin E
receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day deferiprone 50 mg/kg/day and vitamin E 400 IU/day
Other Names:
Drug: Curcuminoids and alpha-tocopherol
group 1: receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day group 2: receiving vitamin E 400 IU/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day
|
|
Experimental: Vitamin E
The vitamin E is intervention for 30 patients
|
Drug: curcuminoids, N-acetylcysteine, deferiprone and vitamin E
receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day deferiprone 50 mg/kg/day and vitamin E 400 IU/day
Other Names:
Drug: Curcuminoids and alpha-tocopherol
group 1: receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day group 2: receiving vitamin E 400 IU/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day
|
Detailed Description:
60 cases of beta-thalassemia/Hb E patients. All patients will be diagnosed with hemoglobin typing of beta-thalassemia/Hb E disease and not receive blood transfusion or any treatment at least 3 months prior study. The study will be randomized controlled trial that designed before and after treatment with antioxidant cocktail. The antioxidant cocktail consists of vitamin E 400 IU/day, curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day. All patients will receive antioxidant cocktail daily for 12 months. The patients will be regularly followed up and analyzed biochemical parameters every two months during treatment and after withdrawal for 3 months.
Eligibility| Ages Eligible for Study: | 18 Years to 50 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- age between 18-50 years
- hemoglobin level between 6-9 g/dL during screen visit
- WHO performance status grade 0-2
- signed in informed consents prior to the study entry.
Exclusion Criteria:
- receiving iron chelator and blood transfusion.
- pregnancy or breastfeeding
- receiving other drugs except folic acid at least 30 days before study.
Contacts and Locations| Thailand | |
| Department of Biochemistry , Faculty of Medicine Siriraj Hospital, Mahidol university | |
| Bangkoknoi, Bangkok, Thailand, 10700 | |
| Study Chair: | Ruchaneekorn Kalpravidh, Assoc. Prof. Dr. | Mahidol University |
More Information
No publications provided
| Responsible Party: | Mahidol University |
| ClinicalTrials.gov Identifier: | NCT01597765 History of Changes |
| Other Study ID Numbers: | Si 063/2009 |
| Study First Received: | May 10, 2012 |
| Last Updated: | May 13, 2012 |
| Health Authority: | Thailand: Ethical Committee |
Keywords provided by Mahidol University:
|
Thalassemia Oxidative stress antioxidant cocktail |
Additional relevant MeSH terms:
|
Beta-Thalassemia Thalassemia Anemia, Hemolytic, Congenital Anemia, Hemolytic Anemia Hematologic Diseases Hemoglobinopathies Genetic Diseases, Inborn Acetylcysteine N-monoacetylcystine Antioxidants Vitamin E Alpha-Tocopherol Tocopherols Tocotrienols |
Vitamins Deferiprone Antiviral Agents Anti-Infective Agents Therapeutic Uses Pharmacologic Actions Expectorants Respiratory System Agents Free Radical Scavengers Molecular Mechanisms of Pharmacological Action Protective Agents Physiological Effects of Drugs Antidotes Micronutrients Growth Substances |
ClinicalTrials.gov processed this record on May 21, 2013