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Deferasirox in patients with iron overload secondary to hereditary hemochromatosis: results of a 1-yr Phase 2 study.
Cançado, Rodolfo; Melo, Murilo R; de Moraes Bastos, Roberto; Santos, Paulo C J L; Guerra-Shinohara, Elivira M; Chiattone, Carlos; Ballas, Samir K.
Afiliación
  • Cançado R; Department of Hematology/Oncology, Santa Casa Medical School, Sao Paulo, Brazil.
  • Melo MR; Molecular Medicine Laboratory, Santa Casa Medical School, Sao Paolo, Brazil.
  • de Moraes Bastos R; Radiology Department, Santa Casa Medical School, Sao Paolo, Brazil.
  • Santos PC; Laboratory of Genetics and Molecular Cardiology, Heart Institute (InC0r), University of Sao Paolo Medical School, Sao Paolo, Brazil.
  • Guerra-Shinohara EM; Department of Clinical Chemistry and Toxicology, Pharmaceutical Sciences School, University of Sao Paolo, Sao Paolo, Brazil.
  • Chiattone C; Department of Hematology/Oncology, Santa Casa Medical School, Sao Paulo, Brazil.
  • Ballas SK; Cardeza Foundation for Hematological Research Jefferson Medical College, Thomas Jefferson University Philadelphia, Philadelphia, PA, USA.
Eur J Haematol ; 95(6): 545-50, 2015 Dec.
Article en En | MEDLINE | ID: mdl-25684349
This open-label, prospective, phase 2 study evaluated the safety and efficacy of deferasirox (10 ± 5 mg/kg/d) in patients with hereditary hemochromatosis (HH) and iron overload refractory to or intolerant of phlebotomy. Ten patients were enrolled and all completed the 12-month treatment period. There were significant decreases from baseline to end of study (i.e., 12 months) in median serum ferritin (P < 0.001), mean transferrin saturation (P < 0.05), median liver iron concentration (P < 0.001), and mean alanine aminotransferase (P < 0.05). The median time to achieve serum ferritin reduction ≥50% compared to baseline was 7.53 months. The most common adverse events were mild, transient diarrhea (n = 5) and nausea (n = 2). No patient experienced an increase in serum creatinine that exceeded the upper limit of normal. These data confirm that deferasirox was well tolerated and effective in reducing iron burden in patients with hereditary hemochromatosis and could be a safe alternative to phlebotomy in selected patients.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Triazoles / Benzoatos / Quelantes del Hierro / Sobrecarga de Hierro / Hemocromatosis Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Triazoles / Benzoatos / Quelantes del Hierro / Sobrecarga de Hierro / Hemocromatosis Tipo de estudio: Diagnostic_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Haematol Asunto de la revista: HEMATOLOGIA Año: 2015 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido