GDF 15 in Sickle Cell Disease and Hereditary Spherocytosis
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Purpose
Patients with thalassemia intermedia, congenital dyserythropoietic anemia type I , and sideroblastic anemia were found to express very high levels of serum GDF15, and this contributed to the inappropriate suppression of hepcidin with subsequent secondary iron overload.The aim of our present study is to asses the levels of GDF15 and hepcidin in patients with Sickle cell disease and hereditary spherocytosis
| Condition |
|---|
|
Patients With Thalassemia Intermedia, Congenital Dyserythropoietic Anemia Type I |
| Study Type: | Observational |
| Study Design: | Time Perspective: Prospective |
| Official Title: | The Impact of Growth Differentiating Factor (GDF) 15 in Sickle Cell Disease and Hereditary Spherocytosis |
- GDF 15 [ Time Frame: year ] [ Designated as safety issue: No ]
- Hepcidine [ Time Frame: year ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 80 |
| Study Start Date: | September 2010 |
| Estimated Study Completion Date: | September 2011 |
| Estimated Primary Completion Date: | September 2011 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
| Sickle cell disease |
| hereditary spherocytosis. |
Detailed Description:
The identification of the ferroportin/hepcidin axis has allowed the effect of erythroid activity on iron balance to be studied and has created the basis for better defining the erythroid regulators.
In iron-loading anemias, ineffective erythropoiesis suppresses hepcidin production, which result in dysregulating iron homeostasis. Miller and co-workers showed that release of cytokines like growth differentiation factor 15 (GDF15) during the process of ineffective erythropoiesis inhibits hepcidin production, thus defining a molecular link between ineffective erythropoiesis, suppression of hepcidin production and parenchymal iron loading.
Eligibility| Ages Eligible for Study: | 5 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
The study will contain 40 patients with Sickle cell disease and 40 patients with hereditary spherocytosis.
After ICF (Informed Consent Form) has been signed by the patients the following laboratory tests will be taken once during the study:
- GDF 15( 3ml of serum) (at the laboratory of hematology at Wolfson Medical Center/Israel)
- Hepcidine (3ml of serum) (at the laboratory of Prof. T. Ganz, USA). The blood samples should be taken at least one week apart from blood transfusion.
In case of infection or acute inflammation , blood samples should be taken only one week after resolution of these conditions.
Inclusion Criteria:
- non
Exclusion Criteria:
- non
Contacts and Locations| Contact: Ghoti Hossam, doctor | 035028110 | drghoti123@yahoo.com |
| Principal Investigator: | GHOTI HOSSAM, doctor | HEMATOLOGY DEPARTMENT ON WOLFSSON MEDICAL CENTER |
More Information
No publications provided
| Responsible Party: | Dr' Ghoti Hossam, hematology department on Wolfsson Medical Center |
| ClinicalTrials.gov Identifier: | NCT01201135 History of Changes |
| Other Study ID Numbers: | GDF-15CTIL |
| Study First Received: | September 12, 2010 |
| Last Updated: | September 12, 2010 |
| Health Authority: | United States: Institutional Review Board |
Additional relevant MeSH terms:
|
Anemia Beta-Thalassemia Anemia, Dyserythropoietic, Congenital Anemia, Sickle Cell Spherocytosis, Hereditary Thalassemia |
Hematologic Diseases Anemia, Hemolytic, Congenital Anemia, Hemolytic Hemoglobinopathies Genetic Diseases, Inborn |
ClinicalTrials.gov processed this record on May 22, 2013