Symptomatic sickle cell disease is worldwide the most frequent cause for hereditary hemolytic anemia with recurrent pain crisis. Hemolysis, vaso- occlusive and pain crises are hallmarks of this disease and are causative for an important socio-economic burden worldwide, especially in Africa. Aside from allogenic stem cell transplantation, which is rarely available and very expensive, at present there is no curative treatment for patients with sickle cell disease (SCD). The current standard of care includes treatment with hydroxycarbamide and symptomatic care such as transfusions, antibiotic/analgesic treatment. This study has the aim to study the safety and tolerability of Memantin in patients with sickle cell disease.
During the study participants will be asked if medical occurrences (AEs) happened and laboratory analysis (haematology, coagulation, chemistry) and urine samples will be taken. In addition at each visit a physical examination and measurement of vital signs will be performed. In addition the number of hospital days and emergency consultations, the impact on working ability (the number of days with inability to work, changes in iv%), the amount and type of analgesic medication, the amount of RBC transfusions, the number of days that antibiotics prescribed and haematology (at local and external laboratory) and chemistry laboratory parameters will be assessed. For the impact on work and social life a questionnaire of quality of life will be filled out monthly by the patient. At screening and at the end of the study SCD specific assessments will be performed, which include cardiologic examination (ECG, ECHO), abdominal sonography, ophthalmological examination, lung function testing and neuroangiologic examination.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
9
Memantin Mepha® Lactabs (memantinehydrochlorid) will be provided as 5 mg, 10 mg, 15 mg and 20 mg tablets, packed in blister. The study drug will be taken once a day per os, during 12 month.
University Hospital Zürich
Zurich, Switzerland
Number of participants with treatment related adverse events as assessed by CTCAE version 4.0
Time frame: 14 month
Haemoglobin in g/l
2 years before screening until end of study.
Time frame: 38 month
Erythrocytes in T/l
2 years before screening until end of study.
Time frame: 38 month
Reticulocytes in G/l
2 years before screening until end of study.
Time frame: 38 month
Haptoglobin in g/l
2 years before screening until end of study.
Time frame: 38 month
Billirubin in micmol/l
2 years before screening until end of study.
Time frame: 38 month
LDH (Lactat dehydrogenase) in U/l
2 years before screening until end of study.
Time frame: 38 month
Ferritin in micg/l
2 years before screening until end of study.
Time frame: 38 month
Transferrin saturation in %
2 years before screening until end of study.
Time frame: 38 month
Number of days in hospital
2 years before screening until end of study.
Time frame: 38 month
Number of days with inability to work
2 years before screening until end of study.
Time frame: 38 month
Number of transfusions
2 years before screening until end of study.
Time frame: 38 month
Number of days taken antibiotics
2 years before screening until end of study.
Time frame: 38 month
Amount of pain medication in mg or ml
2 years before screening until end of study.
Time frame: 38 month
Pain scale
Scores range from 0 (no pain) to 10 (worst possible pain).
Time frame: 38 month
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