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Expanded Access of Deferasirox to Patients With Congenital Disorders of Red Blood Cells and Chronic Iron Overload
This study has been completed.
First Received: October 6, 2005   Last Updated: November 18, 2009   History of Changes
Sponsor: Novartis Pharmaceuticals
Information provided by: Novartis
ClinicalTrials.gov Identifier: NCT00235391
  Purpose

This is an open-label, non-randomized, six month, multi-center trial designed to provide expanded access of deferasirox to patients with congenital disorders of red blood cells and chronic iron overload from blood transfusions who cannot adequately be treated with locally approved iron chelators due to documented non-compliance, contraindications, unacceptable toxicities and/or documented poor response.


Condition Intervention Phase
Thalassemia
Sickle Cell Disease
Diamond Blackfan Anemia
Myelofibrosis
Drug: Deferasirox
Phase III

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Safety Study
Official Title: Expanded Access of Deferasirox to Patients With Congenital Disorders of Red Blood Cells and Chronic Iron Overload

Resource links provided by NLM:


Further study details as provided by Novartis:

Primary Outcome Measures:
  • Provide expanded access of deferasirox to patients with congenital disorders of red blood cells and chronic iron overload from blood transfusions who cannot be treated with other locally approved iron chelators. [ Time Frame: 36 months ] [ Designated as safety issue: No ]
  • Evaluation of safety profile of deferasirox based upon drug administration and reporting of serious adverse events. [ Time Frame: 36 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Serum ferritin was also analyzed. The change over time in serum ferritin values obtained from baseline through completion of the study was evaluated as a measure of efficacy of deferasirox therapy. [ Time Frame: 36 months ] [ Designated as safety issue: No ]

Enrollment: 1688
Study Start Date: October 2005
Primary Completion Date: October 2008 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Deferasirox: Experimental Drug: Deferasirox

  Eligibility

Ages Eligible for Study:   2 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Male or female patients greater than or equal to 2 years of age
  • Documented congenital disorder of red blood cells (e.g., β-thalassemia major, sickle cell anemia, diamond-blackfan anemia) requiring ongoing blood transfusions
  • Cannot be adequately treated with a locally approved iron chelator due to one of the following reasons:

    • Documented non-compliance, defined as having taken less than 50% of the prescribed chelation therapy doses in the 12 months prior to study entry
    • Contraindications, unacceptable toxicities and/or documented poor response to locally approved iron chelators despite proper compliance
  • History of at least 20 blood transfusions (equivalent to 100 mL/kg of packed red blood cells (PRBC])
  • Serum ferritin value greater than or equal to 1000 µg/L
  • Ability to comply with all study-related procedures, medications, and evaluations

Exclusion Criteria:

  • Ongoing treatment with another iron chelator (Any other iron chelation therapy must be discontinued at least 24 hours prior to study entry.)
  • Patients who meet the eligibility criteria for any other ongoing Novartis sponsored clinical study protocol with deferasirox and who have geographic access to these sites
  • Patients unable to tolerate (or who have unacceptable toxicities to) prior treatment with deferasirox
  • Serum creatinine above the upper limit of normal within one week prior to baseline
  • Patients with ALT ≥ 500 U/L within one week prior to baseline
  • Evidence of chelation-related cataracts or hearing loss within 4 weeks prior to baseline
  • Pregnancy (as indicated by serum β-HCG pregnancy test within 7 days of baseline for all female patients with the potential to become pregnant) and patients who are breastfeeding
  • Patients treated with systemic investigational drug within 4 weeks prior to or with topical investigational drug within 7 days prior to the baseline visit

Other protocol-defined inclusion/exclusion criteria may apply.

  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00235391

  Hide Study Locations
Locations
United States, Arkansas
Arkansas Children's Hospital, UAMS College of Medicine
Little Rock, Arkansas, United States, 72202
United States, California
Alta Bates Comprehensive Cancer Center
Berkeley, California, United States, 94704
Children's Hospital of Orange County
Orange, California, United States, 92868
Stanford University
Stanford, California, United States, 94305
Children's Hospital and Health Center of San Diego
San Diego, California, United States, 92123
United States, Delaware
Alfred I. Dupong Hospital for Children
Wilmington, Delaware, United States, 19803
United States, Florida
Hematalogy Oncology Associates
Pensacola, Florida, United States, 32501
Osler Medical, Inc.
Melbourne, Florida, United States, 32901
Tampa Children's Hospital at St. Joseph's Hospital
Tampa, Florida, United States, 33607
James A. Haley Veterans Hospital
Tampa, Florida, United States, 33612
United States, Georgia
Backus Children's Hospital, Memorial Health University Medical Center
Savannah, Georgia, United States, 31403
United States, Louisiana
Hematalogy Oncology Clinic
Baton Rouge, Louisiana, United States, 70808
United States, Michigan
Borgess Hospital
Kalamazoo, Michigan, United States, 49048
United States, Minnesota
Children's Hospitals and Clinics of Minnesota
Minneapolis, Minnesota, United States, 55405
United States, Mississippi
University of Mississippi Medical Center
Jackson, Mississippi, United States, 39762
United States, Missouri
Children's Mercy Hospital
Kansas City, Missouri, United States, 64108
United States, New Jersey
The Cancer Institute of New Jersey
New Brunswick, New Jersey, United States, 08903
United States, New York
Schneider Children's Hospital
New Hyde Park, New York, United States, 11040
United States, Ohio
PCTI
Columbus, Ohio, United States, 43205
The Children's Medical Center of Dayton
Dayton, Ohio, United States, 45404
United States, Oregon
Oregon Health & Science University
Portland, Oregon, United States, 97239
United States, Pennsylvania
Children's Hospitals of Pittsburgh
Pittsburgh, Pennsylvania, United States, 15213
Hershey Medical Center
Hershey, Pennsylvania, United States, 17033-0850
United States, Texas
Texas Children's Hospital
Houston, Texas, United States, 77030
United States, Virginia
Children's Hospital of the Kings Daughters
Norfolk, Virginia, United States, 23507
VCU Pediatric Hematology/Oncology
Richmond, Virginia, United States, 23219
United States, Washington
University of Washington Seattle Cancer Care Alliance
Seattle, Washington, United States, 98195
Belgium
CHR de la Citadelle
Liege, Belgium
Centre Hospitalier Notre Dame et Reine
Charleroi, Belgium
Centre Hospitalier Chretien-Clinique Saint-Joseph
Montegnee, Belgium
Ziekenhuisnetwerk Antwerpen-AZ Middelheim
Antwerpen, Belgium
Canada
Burrard Medical Building
Vancouver, Canada
University of Alberta
Edmonton, Canada
CHUM-Hopital-Notre-Dame
Montreal, Canada
Toronto General Hospital-Hemoglobinopathy
Toronto, Canada
MUHC- Royal Victoria Hospital
Montreal, Canada
The Hospital for Sick Children,
Toronto, Canada
MUHC- Montreal Children's Hospital
Montreal, Canada
Hopital de l'Enfant-Jesus
Quebec, Canada
Canada, Ontario
The Ottawa Hospital-General Campus
Ottawa, Ontario, Canada
Germany
Universitatskrankenhaus Hamburg-Eppendorf
Hamburg, Germany
Johann Wolfgang von Goethe Universitat
Frankfurt Am Main, Germany
Klinikum Stuttgart Bismarckstrasse 8
Stuttgart, Germany
Universitatsklinikum Ulm
Ulm, Germany
Medizinische Hochschule Hannover
Hannover, Germany
Charite-Universitatsmedizin Berlin
Berlin, Germany
Georg-August-Universitat Gottingen
Gottingen, Germany
Universitatsklinikum Koln
Köln, Germany
Universitaetsklinik Dusseldorf
Duesseldorf, Germany
Greece
General Hospital Thessalonikis Hippokratio
Thessaloniki, Greece
General Hospital of Athens
Athens, Greece
University Hospital of Ioannina
Ioannina, Greece
General State Hospital of Nikaia St. Panteleimon
Nikaia, Greece
General Hospital of Mytilini Vostaneio
Mytilini, Greece
University Hospital of Patras
Patra, Greece
General Hospital of Larisa Tsakalof 1
Larisa, Greece
Agia Sofia Hospital of Athens
Karditsa, Greece
Ippokration Hospital of Athens
Athens, Greece
Agia Sofia Hospital of Athens
Athens, Greece
General Hospital of Karditsa
Karditsa, Greece
General Hospital of Volos
Volos, Greece
General Hospital of Heraklion Benizeleio-Pananeio
Heraklion, Greece
General Hospital of Athens
Kerkyra, Greece
General Hospital of Korinthos
Korinthos, Greece
General Hospital of Xanthi
Xanthi, Greece
General Hospital of Thessaloniki Agios Pavlos
Thessaloniki, Greece
General Hospital of Kalamata
Kalamata, Greece
Italy
Fondazione Ospedale
Milano, Italy
Ospedale Civile dell'Annunziata
Cosenza, Italy
Ospedale Umberto I
Talassemie, Italy
Presidio Ospedaliero Giovanni di Cristina
Palermo, Italy
Ospedale S. Eugenio
Roma, Italy
Presidio Ospedaliero di Sassari-Ospedale SS
Sassari, Italy
Azienda Ospedaliera Bianchi-Melacrino-Morelli
Reggio Calabria, Italy
Azienda Ospedaliera Universitaria di Ferrara
Ferrara, Italy
AORN A. Cardarelli
Napoli, Italy
E.O. Ospedali Galliera
Genova, Italy
Ospedale Regionale Microcitemie
Itala, Italy
Ospedale San Giuseppe
Empoli, Italy
Azienda Ospedaliera Universitaria Federico II
Napoli, Italy
IRCCS Policlinico San Matteo
Pavia, Italy
Presidio Ospedaliero S. Bambino
Catania, Italy
Azienda Ospedaliera V. Cervello
Palermo, Italy
PresidioOspedaliero S. Luigi Curro
Catania, Italy
Azienda Ospedaliera Villa Sofia-CTO
Palermo, Italy
Presidio Ospedale Muscatello
Augusta, Italy
Az. Ospedaliera Universitaria Policlinico G. Martino
Messina, Italy
Ospedale Regionale Microcitemie
Cagliari, Italy
Ospedale Infantile Regina Margherita
Torino, Italy
Presidio Ospedaliero Antonio Perrino
Brindisi, Italy
Presidio Ospedaliero Centrale
Taranto, Italy
Azienda Ospedaliero-Universitaria di Modena
Modena, Italy
Azienda Ospedaliera Civile- Maria Paterno
Ragusa, Italy
Azienda Ospedaliera A. Meyer
Firenze, Italy
Azienda Ospedaliera San Salvatore
Pesaro, Italy
A.O. Ospedale Policlinico Consorziale di Bari
Bari, Italy
Azienda Ospedaliero Universitaria Pisana
Pisa, Italy
Azienda Ospedaliera Ospedali Civili Riuniti di Sciacca
Sciacca, Italy
Azienda Ospedaliera Pugliese Cicaccio
Catanzaro, Italy
Ospedale nostra Signora di Bonaria
San Gavino Monreale- Ca, Italy
Ospedale Di Venere
Carbonara Di Bari, Italy
Azienda Ospedali Vittorio Emanuele, Ferrarotto e San Bambino
Catania, Italy
Ospedale Madonna delle Grazie
Matera, Italy
Netherlands
AMC
Amsterdam, Netherlands
Erasmus MC
Rotterdam, Netherlands
Haga Ziekenhuis
Den Haag, Netherlands
Erasmus Medisch Centrum, locatie Sophia
Rotterdam, Netherlands
Catharina-ziekenhuis
Eindhoven, Netherlands
Spain
Hospital Cruces
Baracaldo, Spain
Hospital Virgen de la Salud
Toledo, Spain
Hospital Xeral de Vigo
Vigo, Spain
Althaia : Xarxa Assistencial de Manresa
Manresa, Spain
Hospital Infanta Cristina
Badajoz, Spain
Hospital Universitario Marques de Valdecilla
Santander, Spain
Hospital De Gran Canaria
Canara, Spain
Hospital Universitario La Fe
Valencia, Spain
Hospital Puerta del Mar
Cadiz, Spain
Hospital de Torrecardenas
Almeria, Spain
Hospital Universitario La Paz
Madrid, Spain
Taiwan
Tao-yuan General Hospital
Tau-Yuan County, Taiwan
National Taiwan University Hospital
Taipei, Taiwan
Mackay Memorial Hospital
Taipei, Taiwan
Chang Gung Children's Hospital
Taoyuan, Taiwan
Kaohsiung Medical University Hospital
Kaohsiung, Taiwan
Thailand
Srinagarind Hospital
Khon Kaen, Thailand
Phramongkutklao Hospital
Bangkok, Thailand
Ramathibodi Hospital
Bangkok, Thailand
Songklanagarind Hospital
Bangkok, Thailand
Turkey
Cukurova Universitesi
Adana, Turkey
Erciyes Universitesi
Kayseri, Turkey
Ege Universitesi Tip Fakultesi
Izmir, Turkey
Suleyman Demirel
Isparta, Turkey
Istanbul Universitesi
Istanbul, Turkey
Akdeniz Universitesi
Antalya, Turkey
Gaziantep Universitesi
Gaziantep, Turkey
Hacettepe Universitesi
Ankara, Turkey
United Kingdom
Whittington Hospital
London, United Kingdom
Evelina Hospital St. Thomas' Hospital
London, United Kingdom
The Royal Hospital London
London, United Kingdom
North Middlesex University Hospital
London, United Kingdom
St. George's Hospital
Tooting, United Kingdom
Sponsors and Collaborators
Novartis Pharmaceuticals
Investigators
Study Director: Novartis Pharmaceuticals Novartis Pharmaceuticals
  More Information

Additional Information:
No publications provided

Responsible Party: Novartis Pharmaceuticals ( External Affairs )
Study ID Numbers: CICL670A2203
Study First Received: October 6, 2005
Last Updated: November 18, 2009
ClinicalTrials.gov Identifier: NCT00235391     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Novartis:
Deferasirox
Congenital Anemias
Anemias
Red Blood Cell Disorders
Chronic Iron Overload
Transfusional Iron Overload
Iron Chelators
Oral Iron Chelators
Thalassemia
Sickle Cell Disease
Diamond Blackfan Anemia
Myelofibrosis
ICL670A

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Iron Metabolism Disorders
Red-Cell Aplasia, Pure
Anemia, Diamond-Blackfan
Anemia, Aplastic
Anemia, Sickle Cell
Myelofibrosis
Metabolic Diseases
Hematologic Diseases
Deferasirox
Myeloproliferative Disorders
Anemia
Iron Chelating Agents
Anemia, Hemolytic
Thalassemia
Pharmacologic Actions
Myeloid Metaplasia
Anemia, Hemolytic, Congenital
Lymphatic Diseases
Anemia, Hypoplastic, Congenital
Genetic Diseases, Inborn
Hemoglobinopathies
Iron Overload
Chelating Agents
Bone Marrow Diseases
Splenic Diseases

ClinicalTrials.gov processed this record on November 30, 2009