Evaluating the Effect of N-Acetyl Cysteine and Alpha Lipoic Acid in Patients With Beta Thalassemia

NCT ID: NCT07157722

Last Updated: 2025-09-05

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

NOT_YET_RECRUITING

Clinical Phase

PHASE3

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-08-30

Study Completion Date

2026-01-30

Brief Summary

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The current study is to investigate the potential roles of N-acetyl cysteine and Alpha-lipoic acid in patients with beta-thalassemia.

Detailed Description

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Beta-thalassemia (β-thalassemia) is a hereditary blood disorder, which is characterized by a genetic disorder in the production of β-globin chains. β-thalassemia is inherited mainly by an autosomal recessive manner resulting in reduced synthesis or absence of β-globin chains, leading to ineffective erythropoiesis and chronic hemolytic anemia. It is classified according to the severity into major, intermedia and minor.

This is a randomized, parallel, clinical study that will be conducted on sixty-six patients with beta-thalassemia. The study duration will be 12 weeks. Patients will be divided into three groups as follows:

Group I (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) only.

Group II (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus NAC (600 mg orally once daily) for three months.

Group III (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus ALA (600 mg orally once daily) for three months.

The study will be approved by the Research Ethical Committee at Faculty of Pharmacy, Tanta University. All participants will be informed about benefits and risks of the study. The privacy of all participants will be respected and the data of enrolled participants will be confidential. All participants will sign their written informed consent.

Conditions

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Beta Thalassemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

This is a randomized, parallel, clinical study that will be conducted on 66 patients with beta-thalassemia who fulfill the selection criteria and will be classified randomly into 3 groups as follows:

Group I (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) only.

Group II (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus NAC (600 mg orally once daily) for three months.

Group III (n = 22):

This group will include twenty-two patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus ALA (600 mg orally once daily) for three months.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Group 1: (Iron chelating agent group)

Patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) only.

Group Type ACTIVE_COMPARATOR

Iron chelating intervention

Intervention Type DRUG

JADENU is indicated for the treatment of chronic iron overload due to blood transfusions.

Group 2: (Iron chelating agent + NAC group)

Patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus NAC (600 mg orally once daily) for 12 weeks.

Group Type ACTIVE_COMPARATOR

Iron chelating intervention

Intervention Type DRUG

JADENU is indicated for the treatment of chronic iron overload due to blood transfusions.

N Acetyl cysteine 600mg

Intervention Type DRUG

N-acetyl cysteine (NAC) 600 mg will be administered orally once daily for 12 weeks.

Group 3: (Iron chelating agent + ALA group)

Patients with beta-thalassemia who will receive conventional thalassemia management (iron chelating agent) plus ALA (600 mg orally once daily) for 12 weeks.

Group Type ACTIVE_COMPARATOR

Iron chelating intervention

Intervention Type DRUG

JADENU is indicated for the treatment of chronic iron overload due to blood transfusions.

Alpha Lipoic Acid 600 MG Oral Tablets

Intervention Type DRUG

Alpha lipoic acid (ALA) 600 mg will be administered orally once daily for 12 weeks.

Interventions

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Iron chelating intervention

JADENU is indicated for the treatment of chronic iron overload due to blood transfusions.

Intervention Type DRUG

N Acetyl cysteine 600mg

N-acetyl cysteine (NAC) 600 mg will be administered orally once daily for 12 weeks.

Intervention Type DRUG

Alpha Lipoic Acid 600 MG Oral Tablets

Alpha lipoic acid (ALA) 600 mg will be administered orally once daily for 12 weeks.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Patients with beta-thalassemia who will receive conventional thalassemia management.
* Both genders.
* Age ≥ 18 years old.

Exclusion Criteria

* Patients with familial hypercholesterolemia or history of premature atherosclerosis.
* Patients with a prior history of significant cardiovascular diseases, such as coronary artery disease, myocardial infarction, or stroke.
* Patients with severe renal dysfunction.
* Patients with severe hepatic dysfunction.
* Patients with diabetes.
* Patients who will be non-compliant with the prescribed therapy.
* Patients with other hemoglobinopathies.
* Pregnant women.
* Obese patients.
* Patients who will receive antioxidant or anti-inflammatory medications.
* Patients with inflammatory diseases, such as Systemic lupus erythematous, rheumatoid arthritis and inflammatory bowel disease.
* Patients with oxidative stress related diseases, such as Alzheimer, Parkinson, COPD and cancer.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Tanta University

OTHER

Sponsor Role lead

Responsible Party

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Mahmoud Mohamed Elkholy

Teaching Assistant

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sahar M El-Haggar, Professor

Role: STUDY_DIRECTOR

Tanta University

Tarek M Mostafa, Professor

Role: STUDY_DIRECTOR

Tanta University

Basma A Mansour, Lecturer

Role: STUDY_DIRECTOR

Faculty of Medicine - Mansoura University

Mohammed A El hawary, Assistant Professor

Role: PRINCIPAL_INVESTIGATOR

Faculty of Medicine - Mansoura University

Mahmoud M Elkholy, Teaching Assistant

Role: PRINCIPAL_INVESTIGATOR

Tanta University

Locations

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Faculty of Pharmacy - Tanta University

Tanta, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Mahmoud M Elkholy, Master

Role: CONTACT

01023997742

Basma A Mansour, PhD

Role: CONTACT

01224445455

Facility Contacts

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Mahmoud M Elkholy, Teaching Assistant

Role: primary

0020102397742 ext. 002

Other Identifiers

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9250572

Identifier Type: -

Identifier Source: org_study_id

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