Amlodipine in the Prevention and Treatment of Iron Overload in Patients With Thalassemia Major

NCT ID: NCT01395199

Last Updated: 2015-09-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

62 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2015-02-28

Brief Summary

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This study aims to investigate the use of amlodipine, a drug that blocks the uptake of calcium into cells, in the prevention and treatment of iron overload in patients with thalassemia major. Since iron uses the same calcium channels to enter the heart, pancreas and other organs, blocking these channels might help to prevent the accumulation of iron in these tissues. The study will follow 60 patients with thalassemia major: 30 will receive amlodipine and 30 will serve as controls receiving placebo in a randomized double-blind fashion. Patients will be monitored through one year. Monitoring will occur through the measurement of blood ferritin as well as live and heart T2\* by MRI initially, at 6 and 12 months.

Detailed Description

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Conditions

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Thalassemia Iron Overload

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Starch pill

Placebo

Group Type PLACEBO_COMPARATOR

Amlodipine

Intervention Type DRUG

5mg PO initially; may be reduced to 2.5mg PO if side effects

Amlodipine

Amlodipine 5mg QD

Group Type EXPERIMENTAL

Amlodipine

Intervention Type DRUG

5mg PO initially; may be reduced to 2.5mg PO if side effects

Interventions

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Amlodipine

5mg PO initially; may be reduced to 2.5mg PO if side effects

Intervention Type DRUG

Other Intervention Names

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norvasc

Eligibility Criteria

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Inclusion Criteria

1. Patients with thalassemia major with at least 6 years of age undergoing iron chelation therapy.
2. No anticipated changes in chelation regimen for the next 12 months
3. Completed and signed Informed Consent

Exclusion Criteria

1. Pregnancy
2. Advanced class III/IV heart failure or LVEF \< 0.35% (by MRI)
3. Formal contra-indications to MRI (pacemakers, cerebral aneurysm metal clips, etc).
4. Advanced heart AV block
Minimum Eligible Age

6 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fundação de Amparo à Pesquisa do Estado de São Paulo

OTHER_GOV

Sponsor Role collaborator

University of Campinas, Brazil

OTHER

Sponsor Role lead

Responsible Party

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Juliano de Lara Fernandes

Physician Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Juliano L Fernandes, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Campinas, Brazil

Locations

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Universidade Estadual de Campinas

Campinas, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Padhani ZA, Gangwani MK, Sadaf A, Hasan B, Colan S, Alvi N, Das JK. Calcium channel blockers for preventing cardiomyopathy due to iron overload in people with transfusion-dependent beta thalassaemia. Cochrane Database Syst Rev. 2023 Nov 17;11(11):CD011626. doi: 10.1002/14651858.CD011626.pub3.

Reference Type DERIVED
PMID: 37975597 (View on PubMed)

Fernandes JL, Loggetto SR, Verissimo MP, Fertrin KY, Baldanzi GR, Fioravante LA, Tan DM, Higa T, Mashima DA, Piga A, Coelho OR, Costa FF, Saad ST. A randomized trial of amlodipine in addition to standard chelation therapy in patients with thalassemia major. Blood. 2016 Sep 22;128(12):1555-61. doi: 10.1182/blood-2016-06-721183. Epub 2016 Jul 13.

Reference Type DERIVED
PMID: 27412888 (View on PubMed)

Related Links

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http://www.abrasta.org.br/

Brazilian Thalassemia Association

Other Identifiers

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AmloThal RCT

Identifier Type: -

Identifier Source: org_study_id

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