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The Efficacy of Combined Thalidomide and Hydroxyurea Therapy in Transfusion Dependent β-thalassemia (TDBT), Phase II Trial

Status: Recruiting
Location: See all (9) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 2
SUMMARY

Beta thalassemia Major (BTM) is the most common hemoglobinopathy caused by mutations in the beta-globin gene . Worldwide, approximately 80 million people carry thalassemia gene mutation. Around 23,000 babies are affected by BTM each year, of which around 90% belong to low- or middle-income nations. In Pakistan, the carrier prevalence of thalassemia is 5-7% resulting in a significant population of approximately 10 million carriers in the general population. There are 50,000 thalassemia patients registered in treatment facilities around the country, one of the highest global prevalence rates for transfusion dependent BTM. The average life expectancy of BTM patients in Pakistan is around 10 years of age, while life expectancy in developed countries is around 50 to 60 years. This difference is due to poor transfusion support, transfusion-transmitted infections (TTIs) and inadequate iron chelation leading to hepatotoxicity and cardiac failure. The standard of care for BTM remains bone marrow transplantation or lifelong blood transfusions followed by iron chelation therapies. While standard care involves, challenges such as limited resources, lack of access to transplant services, and transfusion-related complications persist, particularly in low-and-middle-income countries.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 2
Maximum Age: 12
Healthy Volunteers: f
View:

• • Patients suffering from Transfusion Dependent β-thalassemia (TDBT) more than two years of age of either sex will be included in the study.

Locations
Other Locations
Pakistan
Armed Forces Bone Marrow Transplant Center
RECRUITING
Islamabad
AFBMTC (Clinical Trial and Research Cell)
RECRUITING
Rawalpindi
AFBMTC (CT&RC), CMH Medical Complex
RECRUITING
Rawalpindi
AFBMTC (CT&RC), Medical Complex
RECRUITING
Rawalpindi
AFBMTC, CMH Medical Complex
RECRUITING
Rawalpindi
Armed Forces Bone Marrow Transplant Center
RECRUITING
Rawalpindi
Armed Forces Bone Marrow Transplant Center
RECRUITING
Rawalpindi
Armed Forces Bone Marrow Transplant Center Rawalpindi Pakistan
RECRUITING
Rawalpindi
Armed Forces Bone Marrow Transplant Center Rawalpindi Pakistan
RECRUITING
Rawalpindi
Contact Information
Primary
Tariq Ghafoor, FCPS,FRCP
drtariqghafoor@gmail.com
+923008519006
Backup
Tariq Khattak, FCPS
drtariqazamktk2629@gmail.com
+923215196104
Time Frame
Start Date: 2024-01-01
Estimated Completion Date: 2025-12-30
Participants
Target number of participants: 150
Treatments
Experimental: A combination of thalidomide and hydroxyurea is added to patients diagnosed with TDT
* The trial include Hydroxyurea (HU) and Thalidomide in combination. The starting dose of Hydroxyurea will be 20 mg/kg once daily and of thalidomide will be 2.5-3 mg/kg once a day adjusted to nearest multiple of 10, at bedtime. Among those with partial response (PR) or no response (NR) after two months, the dose of thalidomide will be escalated in increments of 1 mg/kg/day at four weeks interval to a maximum of 5 mg/kg/day (maximum dose 100 mg/day).~* To prevent thrombosis, aspirin (2-4 mg/kg per day) will be used. All patients will receive Folic acid 2 to 5 mg once daily.
Sponsors
Leads: Pakistan Blood and Marrow Transplant (PBMT) Group

This content was sourced from clinicaltrials.gov