Pharmacogenetic Study in Patients Received Iron Chelating Agent
Study Details
Study Description
Brief Summary
To investigate effect of genetic variations on the toxicities and find optimal target population, the investigators planned to analyze the genetic polymorphisms of UDP-glucuronosyltransferase.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
Transfusion-associated iron overload induces systemic toxicity. Recently, deferasirox, a convenient long acting oral agent, has been introduced in clinical practice with promising efficacy. However, some patients experience drug-related toxicities and cannot tolerate it. To investigate effect of genetic variations on the toxicities and find optimal target population, we planned to analyze the genetic polymorphisms of UDP-glucuronosyltransferase 1A (UGT1A) subfamily, multi-drug resistance-associated protein 2 (MRP2) and breast cancer resistance protein (BCRP) among pediatric patients received deferasirox.
Study Design
Outcome Measures
Primary Outcome Measures
- Genetic polymorphism associated with side effects of deferasirox [up to 1 year]
Genetic polymorphism associated with side effects of deferasirox - Side effects: Increased AST or ALT > 5 x ULN or increased bilirubin > 3 x ULN which was thought to be caused by deferasirox Serum creatinine level increase > 50% above the baseline value. Biospecimen Retention: Samples With DNA Candidate genes exhibit polymorphisms and encodes proteins that are involved in the pharmacokinetics and pharmacodynamics of deferasirox. Candidate genes : MRP2, BCRP, UGT1A subfamily
Eligibility Criteria
Criteria
Inclusion Criteria:
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Patients who received deferasirox because of transfusion associated iron overload (Transfusion associated iron overload was defined as ferritin ≥ 1,000 ng/mL in patients who needed over 8 units of RBC transfusions per a year).
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Patients with written informed consents
Exclusion Criteria:
Patients or parents refusal
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Seoul National University Hospital | Seoul | Chongno-gu | Korea, Republic of |
Sponsors and Collaborators
- Seoul National University Hospital
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SNUCH-R-0701