The purpose of this study is to deterimine if the new orally active iron chelator, ICL670, is as effective and as safe as deferoxamine in preventing accumulation of iron in the body while a patient is undergoing repeated blood transfusions.
Patients who require repeated blood transfusions to live accumulate iron in the body as blood cells contain iron and there is no natural body mechanism to eliminate it. After a while the iron levels get high enough to be toxic to the body. The current therapy of choice is deferoxamine, which does a good job of removing excess iron, but is difficult to administer. Deferoxamine requires subcutaneous (under the skin) infusions over 4 to 8 hours nightly 3 to 7 nights per week. In addition to the need to wear an infusion pump nightly, adverse reactions around the site of the injection are frequent.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
595
Children's Hospital of Los Angeles
Los Angeles, California, United States
Children's Hospital Oakland
Oakland, California, United States
Stanford Hospital
Stanford, California, United States
Children's Memorial Hospital
Chicago, Illinois, United States
Demonstrate non-inferiority to deferoxamine in its effects on liver iron content (LIC)
Evaluate tolerability profile
Estimate absolute and relative change of LIC and Total body iron excretion
Evaluation relationship between LIC and potential surrogate markers
Evaluate the relationship between pharmacokinetics, pharmacodynamics and safety variable
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Children's Hospital Boston
Boston, Massachusetts, United States
Weill Medical College of Cornell University
New York, New York, United States
Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, United States