Study of Deferasirox Relative to Subcutaneous Deferoxamine in Sickle Cell Disease Patients

Sponsor
Novartis Pharmaceuticals (Industry)
Overall Status
Completed
CT.gov ID
NCT00110617
Collaborator
(none)
212
59
2
35
3.6
0.1

Study Details

Study Description

Brief Summary

This study will examine the long-term safety and efficacy of Deferasirox in patients with sickle cell disease and iron overload from repeated blood transfusions.

Condition or Disease Intervention/Treatment Phase
  • Drug: Deferasirox (ICL670)
  • Drug: Deferoxamine (DFO)
Phase 2

Study Design

Study Type:
Interventional
Actual Enrollment :
212 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
A Randomized, Open-label, Multi-center, Phase II Study to Evaluate the Safety and Efficacy of Deferasirox (ICL670) 20 mg/kg/Day Relative to Subcutaneous Deferoxamine in Sickle Cell Disease Patients With Iron Overload From Repeated Blood Transfusions
Study Start Date :
May 1, 2005
Actual Primary Completion Date :
Apr 1, 2008
Actual Study Completion Date :
Apr 1, 2008

Arms and Interventions

Arm Intervention/Treatment
Experimental: Deferasirox (ICL670)

Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks.

Drug: Deferasirox (ICL670)
Deferasirox was provided in 125 mg, 250 mg, and 500 mg dispersible tablets and was administered orally at an initial dose of 20 mg/kg/day.

Experimental: Deferoxamine (DFO) then ICL670

Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy.

Drug: Deferasirox (ICL670)
Deferasirox was provided in 125 mg, 250 mg, and 500 mg dispersible tablets and was administered orally at an initial dose of 20 mg/kg/day.

Drug: Deferoxamine (DFO)
Deferoxamine was supplied in vials of 500 mg and 2000 mg administered subcutaneously for a weekly dose of 175 mg/kg.

Outcome Measures

Primary Outcome Measures

  1. The Number of Participants With Adverse Events (AEs) in the First 24 Weeks of Treatment [24 Weeks]

    The number of participants with Adverse Events (AEs) overall and according to Medical Dictionary for Regulatory Activities (MedDRA) preferred term greater than or equal to 5% participants in any group by treatment in the first 24 weeks.

Secondary Outcome Measures

  1. Absolute Change in Serum Ferritin From Baseline to Week 24 [Baseline, 24 Weeks]

    Absolute change from baseline serum ferritin after 24 weeks of treatment with Deferasirox (ICL670) and absolute change from baseline serum ferritin after 24 weeks of treatment with Deferoxamine. Means were adjusted for the amount of transfused blood.

  2. Absolute Change in Serum Ferritin After Start of Treatment With Deferasirox (ICL670) to Week 24 and to Week 52 [Start of Deferasirox (ICL670) treatment, 24 Weeks, 52 Weeks]

    Absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 24 and the absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 52 for the Deferasirox treatment group and the Deferoxamine then Deferasirox treatment group. Means were adjusted for the amount of transfused blood.

  3. Absolute Change in Serum Ferritin After Start of Treatment With Deferasirox (ICL670) to Week 104 [Start of Deferasirox (ICL670) treatment, 104 Weeks]

    Absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 104 for the Deferasirox treatment group. Means were adjusted for the amount of transfused blood.

Eligibility Criteria

Criteria

Ages Eligible for Study:
2 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Age greater than or equal to 2 years

  • Male or female patients with sickle cell disease (SS, SC, SD, Sβo or Sβ+ thalassemia)

  • Iron overload from repeated blood transfusion, as defined by one of the following:

  1. For patients > 16 years old receiving simple transfusions: lifetime history of receipt of at least 120 ml/kg or 30 adult units of packed red blood cells, OR

  2. For patients ≤ 16 years old receiving simple transfusions: lifetime history of receipt of at least 120 ml/kg of packed red blood cells, OR

  3. For all patients receiving exchange transfusions in the absence of a previous attempt to achieve negative iron balance: lifetime performance of at least 20 procedures, OR

  4. For all patients: liver iron content ≥ 7 mg Fe/g dry weight as measured by biopsy, Magnetic Resonance Imaging (MRI), or magnetic susceptibility performed within 3 months prior to entry into screening

  • For entry into the screening period: serum ferritin of ≥ 1000 µg/mL on at least two occasions during the prior year obtained in the absence of concomitant infection.

  • Body weight > 10 kg

  • No known allergy or contraindication to the administration of deferoxamine

  • Ability to comply with all study-related procedures, medications, and evaluations

  • Sexually active pre-menopausal female patients must use double-barrier contraception, oral contraceptive plus barrier contraceptive, or must have undergone clinically documented total hysterectomy and/or oophorectomy, tubal ligation or be postmenopausal defined by amenorrhea for at least 12 months.

  • Written informed consent by the patient or for pediatric patient's consent of the patient's legal guardian. The definition of the term 'pediatric' for enrollment and study conduct will be in accordance with the local legislation.

Exclusion Criteria:
  • Serum creatinine above the upper limit of normal

  • Significant proteinuria

  • History of nephrotic syndrome

  • Alanine aminotransferase (ALT) ≥ 250 U/L at screening

  • Clinical evidence of active hepatitis B or hepatitis C

  • History of HIV

  • Fever or other signs/symptoms of infection within 10 days prior to the screening visit

  • Uncontrolled systemic hypertension

  • History of Myocardial Infarction, Congestive Heart Failure or unstable cardiac disease not controlled by standard medical therapy

  • Clinically relevant cataract or a previous history of clinically relevant ocular toxicity related to iron chelation

  • Presence of a surgical or medical condition that might significantly alter the absorption, distribution, metabolism or excretion of any study drug

  • History of drug or alcohol abuse within the 12 months prior to enrollment

  • Pregnant or breast feeding patients

  • Patients treated with systemic investigational drug within 4 weeks prior or with topical investigational drug 7 days prior to the screening visit

  • Randomization in a previous clinical trial involving ICL670

Other protocol-related inclusion / exclusion criteria may apply.

Contacts and Locations

Locations

Site City State Country Postal Code
1 University of Alabama Pediatric Hematology/Oncology Birmingham Alabama United States 35233
2 University of Alabama Medical center Birmingham Alabama United States 35294
3 University of South Alabama Medical Center Mobile Alabama United States 36604
4 University of South Alabama Mobile Alabama United States 36617
5 Loma Linda University Medical Center Loma Linda California United States 92354
6 Children's Hospital Oakland Oakland California United States 94609
7 Center for Cancer and Blood Disorders Washington District of Columbia United States 20010-2970
8 Children's National Medical Center Washington District of Columbia United States 20010
9 Howard University Hospital Washington District of Columbia United States 20059
10 Miami Children's Hospital Miami Florida United States 33155
11 Tampa Children's Hospital at St Joseph's Tampa Florida United States 33607-6387
12 Tampa Children's Hospital at St. Joseph's Tampa Florida United States 33607-6387
13 H. Lee Muffit Cancer Center and Research Institute/James A. Haley Veterans Hospital Tampa Florida United States 33612
14 Emory University School of Medicine Atlanta Georgia United States 30303
15 Children's Healthcare of Atlanta at Scottish Rite Atlanta Georgia United States 30342
16 Adult Sickle Cell Clinic Augusta Georgia United States 30912-3128
17 Backus Children's Hospital Savannah Georgia United States 31403
18 University of Illinois at Chicago Chicago Illinois United States 60612
19 Children's Memorial Hospital Chicago Illinois United States 60614-3394
20 Pediatric Sickle Cell Program/James Whitcomb Riley Hospital for Children Indianapolis Indiana United States 46202
21 St. Jude Children's Hospital Affiliate Baton Rouge Louisiana United States 70808
22 Tulane University Sickle Cell Center New Orleans Louisiana United States 70112
23 Children's Hospital New Orleans Louisiana United States 70118
24 LSU Health Sciences Center/Carroll W. Feist Professor of Cancer Research Shreveport Louisiana United States 71130
25 Brigham and Woman's Hospital/Harvard Medical School Boston Massachusetts United States 02115
26 Children's Hospital Boston Boston Massachusetts United States 02115
27 Children's Hospital Boston Massachusetts United States 02115
28 University of Michigan Ann Arbor Michigan United States 48109-0238
29 Karmanos Cancer Institute Detroit Michigan United States 48201
30 Washington University School of Medicine St. Louis Missouri United States 63110
31 Sickle Cell Center, Montefiore Hospital Bronx New York United States 10467-2490
32 SUNY Downstate Medical Center Brooklyn New York United States 11203
33 New York Methodist Hospital Brooklyn New York United States 11215
34 Weill Medical College of Cornell University New York New York United States 10021
35 Columbia University New York New York United States 10032
36 Carolinas Medical Transplant Center Charlotte North Carolina United States 28232
37 University of Cincinnati Cincinnati Ohio United States 45219
38 Children's Hospital Medical Center Cincinnati Ohio United States 72764
39 The University of Oklahoma Oklahoma City Oklahoma United States 73104
40 Children's Hospital of Philadelphia Philadelphia Pennsylvania United States 19104-4399
41 Pennsylvania Oncology/Hematology Philadelphia Pennsylvania United States 19106
42 Jefferson University Philadelphia Pennsylvania United States 19107
43 Drexel University College of Medicine Philadelphia Pennsylvania United States 19134-1095
44 Children's Hospital of Pittsburgh Pittsburgh Pennsylvania United States 15213
45 Hillman Cancer Center Pittsburgh Pennsylvania United States 15232
46 Liberty Hematology Oncology Center Columbia South Carolina United States 29203
47 Palmetto Health Clinical Trials Columbia South Carolina United States 29203
48 Santee Hematology/Oncology Sumter South Carolina United States 29150
49 St Jude's Children's Research Hospital Memphis Tennessee United States 38105-2794
50 St. Jude's Children Research Hospital Memphis Tennessee United States 38105
51 Cooks Children's Hospital Fort Worth Texas United States 76104-2724
52 Texas Children's Hospital/Baylor College of Medicine Houston Texas United States 77030-2399
53 Scott and White Memorial Hospital & Clinics Temple Texas United States 76508
54 Children's Hospital of the King's Daughter Norfolk Virginia United States 23507
55 Medical College of Virginia Richmond Virginia United States 23298-0306
56 Virginia Commonwealth University Richmond Virginia United States 23298-0646
57 University of Alberta Edmonton Alberta Canada T6G 2H7
58 The Ottawa Hospital Ottawa Ontario Canada K1H 8L6
59 Hopital Ste-Justine Montreal Quebec Canada H3T 1C5

Sponsors and Collaborators

  • Novartis Pharmaceuticals

Investigators

  • Study Director: Novartis Pharmaceuticals, Novartis Pharmaceuticals

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00110617
Other Study ID Numbers:
  • CICL670A2201
First Posted:
May 11, 2005
Last Update Posted:
May 26, 2011
Last Verified:
May 1, 2011

Study Results

Participant Flow

Recruitment Details
Pre-assignment Detail 212 participants were enrolled in the study; however, 9 participants from Site 512 were excluded due to severe Good Clinical Practice (GCP) violations. 203 participants are included in the Full Analysis Set 1.
Arm/Group Title Deferasirox (ICL670) Deferoxamine (DFO) Then ICL670
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks. Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy.
Period Title: Overall Study
STARTED 135 68
Safety Set 1; Received Study Drug 135 56
Full Analysis 2; Received ICL670 135 53
On Going at Week 24 126 53
COMPLETED 96 39
NOT COMPLETED 39 29

Baseline Characteristics

Arm/Group Title Deferasirox (ICL670) Deferoxamine (DFO) Then ICL670 Total
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks. Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy. Total of all reporting groups
Overall Participants 135 68 203
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
16.4
(10.31)
16.2
(10.15)
16.3
(10.23)
Age, Customized (participants) [Number]
2- < 6 Years
6
4.4%
4
5.9%
10
4.9%
6- <12 Years
42
31.1%
21
30.9%
63
31%
12- <16 Years
35
25.9%
18
26.5%
53
26.1%
16- < 50 Years
50
37%
24
35.3%
74
36.5%
50- <65 Years
2
1.5%
1
1.5%
3
1.5%
= 65 Years
0
0%
0
0%
0
0%
Sex: Female, Male (Count of Participants)
Female
56
41.5%
33
48.5%
89
43.8%
Male
79
58.5%
35
51.5%
114
56.2%
Race/Ethnicity, Customized (Number) [Number]
Caucasian
2
1.5%
0
0%
2
1%
Black
130
96.3%
65
95.6%
195
96.1%
Oriental
0
0%
0
0%
0
0%
Other
3
2.2%
3
4.4%
6
3%
Weight Group (Number) [Number]
<15 kg
0
0%
0
0%
0
0%
15- <35 kg
39
28.9%
23
33.8%
62
30.5%
35- < 55 kg
43
31.9%
18
26.5%
61
30%
55- <75 kg
42
31.1%
22
32.4%
64
31.5%
=75 kg
10
7.4%
3
4.4%
13
6.4%
Missing
1
0.7%
2
2.9%
3
1.5%

Outcome Measures

1. Secondary Outcome
Title Absolute Change in Serum Ferritin From Baseline to Week 24
Description Absolute change from baseline serum ferritin after 24 weeks of treatment with Deferasirox (ICL670) and absolute change from baseline serum ferritin after 24 weeks of treatment with Deferoxamine. Means were adjusted for the amount of transfused blood.
Time Frame Baseline, 24 Weeks

Outcome Measure Data

Analysis Population Description
Per protocol- 1 defined as all participants who had study drug and had an assessment of serum ferritin at Baseline and at Week 24.
Arm/Group Title Deferasirox (ICL670) Deferoxamine (DFO) Then ICL670
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks. Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy.
Measure Participants 117 50
Least Squares Mean (95% Confidence Interval) [mg/mL]
-173.2
-868.7
2. Secondary Outcome
Title Absolute Change in Serum Ferritin After Start of Treatment With Deferasirox (ICL670) to Week 24 and to Week 52
Description Absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 24 and the absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 52 for the Deferasirox treatment group and the Deferoxamine then Deferasirox treatment group. Means were adjusted for the amount of transfused blood.
Time Frame Start of Deferasirox (ICL670) treatment, 24 Weeks, 52 Weeks

Outcome Measure Data

Analysis Population Description
Per Protocol- 2 set defined as all participants who received study drug and had an assessment of serum ferritin at Start of ICL670 treatment and at 24 weeks or 52 weeks.
Arm/Group Title Deferasirox (ICL670) Deferoxamine (DFO) Then ICL670
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks. Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy.
Measure Participants 113 49
24 weeks from ICL670 treatment start (n=111,47)
-146.7
-204.7
52 weeks from ICL670 treatment start (n=113,40)
-487.3
-545.7
3. Primary Outcome
Title The Number of Participants With Adverse Events (AEs) in the First 24 Weeks of Treatment
Description The number of participants with Adverse Events (AEs) overall and according to Medical Dictionary for Regulatory Activities (MedDRA) preferred term greater than or equal to 5% participants in any group by treatment in the first 24 weeks.
Time Frame 24 Weeks

Outcome Measure Data

Analysis Population Description
Safety-1 set: All participants, except participants enrolled in Center 512, who received at least one dose of study medication during the first 24 weeks.
Arm/Group Title Deferasirox (ICL670) Deferoxamine (DFO) Then ICL670
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks. Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg for 24 weeks then crossed over to receive Deferasirox (ICL670) orally 20 mg/kg for a total of 104 weeks on therapy.
Measure Participants 135 56
Headache
30
22.2%
17
25%
Sickle cell anaemia with crisis
30
22.2%
8
11.8%
Diarrhoea
30
22.2%
5
7.4%
Vomiting
21
15.6%
9
13.2%
Pyrexia
19
14.1%
9
13.2%
Nausea
20
14.8%
4
5.9%
Abdominal pain
16
11.9%
6
8.8%
Upper respiratory tract infection
10
7.4%
9
13.2%
Rash
14
10.4%
3
4.4%
Cough
10
7.4%
7
10.3%
Constipation
11
8.1%
2
2.9%
Pain in Extremity
10
7.4%
3
4.4%
Back Pain
8
5.9%
4
5.9%
Chest Pain
7
5.2%
5
7.4%
Oropharyngeal pain
7
5.2%
5
7.4%
Pruritus
7
5.2%
5
7.4%
Abdominal pain upper
8
5.9%
3
4.4%
Nasal congestion
6
4.4%
4
5.9%
Urinary tract infection
9
6.7%
0
0%
Arthralgia
7
5.2%
1
1.5%
Nasopharyngitis
4
3%
3
4.4%
Insomnia
3
2.2%
3
4.4%
Dizziness
2
1.5%
3
4.4%
Injection site pain
0
0%
3
4.4%
4. Secondary Outcome
Title Absolute Change in Serum Ferritin After Start of Treatment With Deferasirox (ICL670) to Week 104
Description Absolute change in serum ferritin after start of treatment with Deferasirox (ICL670) to week 104 for the Deferasirox treatment group. Means were adjusted for the amount of transfused blood.
Time Frame Start of Deferasirox (ICL670) treatment, 104 Weeks

Outcome Measure Data

Analysis Population Description
Per Protocol- 2 set defined as all participants who received study drug and had assessment of serum ferritin at Start of ICL670 treatment and at 104 weeks.
Arm/Group Title Deferasirox (ICL670)
Arm/Group Description Deferasirox (ICL670) 20 mg/kg orally once daily for 104 weeks.
Measure Participants 87
Least Squares Mean (95% Confidence Interval) [mg/mL]
-682.6

Adverse Events

Time Frame
Adverse Event Reporting Description
Arm/Group Title Period 1 Deferasirox (ICL670) Period 1 Deferoxamine (DFO) Period 2 Deferasirox (ICL670) Period 2 Deferoxamine (DFO) Then ICL670
Arm/Group Description Period 1 (first 24 weeks) Deferasirox (ICL670) 20 mg/kg orally once daily. Period 1 (first 24 weeks) Deferoxamine (DFO) subcutaneously for a weekly dose of 175 mg/kg. Period 2 (after 24 weeks) Deferasirox (ICL670) 20 mg/kg orally once daily. Period 2 (After 24 weeks) DFO group cross over to Deferasirox (ICL670) orally 20 mg/kg completing 52 weeks on therapy and then entering an extension period.
All Cause Mortality
Period 1 Deferasirox (ICL670) Period 1 Deferoxamine (DFO) Period 2 Deferasirox (ICL670) Period 2 Deferoxamine (DFO) Then ICL670
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN) / (NaN) / (NaN)
Serious Adverse Events
Period 1 Deferasirox (ICL670) Period 1 Deferoxamine (DFO) Period 2 Deferasirox (ICL670) Period 2 Deferoxamine (DFO) Then ICL670
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 40/135 (29.6%) 20/56 (35.7%) 78/135 (57.8%) 22/53 (41.5%)
Blood and lymphatic system disorders
Acute chest syndrome 0/135 (0%) 2/56 (3.6%) 2/135 (1.5%) 1/53 (1.9%)
Leukocytosis 1/135 (0.7%) 0/56 (0%) 3/135 (2.2%) 1/53 (1.9%)
Cardiac disorders
Cardio-respiratory arrest 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Conduction disorder 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Intracardiac thrombus 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Congenital, familial and genetic disorders
Sickle cell anaemia 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Sickle cell anaemia with crisis 27/135 (20%) 6/56 (10.7%) 38/135 (28.1%) 11/53 (20.8%)
Endocrine disorders
Adrenocortical insufficiency acute 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Eye disorders
Photophobia 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Gastrointestinal disorders
Abdominal pain 2/135 (1.5%) 0/56 (0%) 6/135 (4.4%) 1/53 (1.9%)
Abdominal pain upper 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Diarrhoea 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 1/53 (1.9%)
Inguinal hernia 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Nausea 5/135 (3.7%) 0/56 (0%) 6/135 (4.4%) 0/53 (0%)
Small intestinal obstruction 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Vomiting 4/135 (3%) 0/56 (0%) 7/135 (5.2%) 1/53 (1.9%)
General disorders
Asthenia 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Catheter site pain 0/135 (0%) 1/56 (1.8%) 1/135 (0.7%) 0/53 (0%)
Chest pain 1/135 (0.7%) 0/56 (0%) 7/135 (5.2%) 4/53 (7.5%)
Chills 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 1/53 (1.9%)
Device breakage 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Device malfunction 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 1/53 (1.9%)
Implant site reaction 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Oedema peripheral 1/135 (0.7%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Pain 2/135 (1.5%) 0/56 (0%) 3/135 (2.2%) 1/53 (1.9%)
Pyrexia 6/135 (4.4%) 3/56 (5.4%) 17/135 (12.6%) 6/53 (11.3%)
Hepatobiliary disorders
Cholelithiasis 0/135 (0%) 1/56 (1.8%) 3/135 (2.2%) 1/53 (1.9%)
Infections and infestations
Bacteraemia 0/135 (0%) 0/56 (0%) 0/135 (0%) 2/53 (3.8%)
Bacterial infection 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Bronchitis 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Catheter site infection 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 1/53 (1.9%)
Cellulitis 0/135 (0%) 2/56 (3.6%) 0/135 (0%) 0/53 (0%)
Device related infection 1/135 (0.7%) 0/56 (0%) 3/135 (2.2%) 0/53 (0%)
Gastroenteritis 1/135 (0.7%) 0/56 (0%) 3/135 (2.2%) 1/53 (1.9%)
Gastroenteritis viral 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Infected skin ulcer 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Lobar pneumonia 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Mycoplasma infection 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Parvovirus infection 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Pharyngitis 0/135 (0%) 0/56 (0%) 3/135 (2.2%) 0/53 (0%)
Pharyngitis streptococcal 1/135 (0.7%) 1/56 (1.8%) 2/135 (1.5%) 0/53 (0%)
Pneumonia 4/135 (3%) 0/56 (0%) 9/135 (6.7%) 4/53 (7.5%)
Pneumonia klebsiella 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Pneumonia streptococcal 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Pyelonephritis 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Rotavirus infection 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Sepsis 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Septic shock 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Sinusitis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Staphylococcal bacteraemia 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Streptococcal infection 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Tooth abscess 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Upper respiratory tract infection 0/135 (0%) 2/56 (3.6%) 4/135 (3%) 1/53 (1.9%)
Urinary tract infection 2/135 (1.5%) 0/56 (0%) 4/135 (3%) 1/53 (1.9%)
Viral infection 1/135 (0.7%) 1/56 (1.8%) 2/135 (1.5%) 0/53 (0%)
Injury, poisoning and procedural complications
Clavicle fracture 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Fall 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Fibula fracture 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Humerus fracture 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Injury 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Patella fracture 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Procedural pain 1/135 (0.7%) 1/56 (1.8%) 1/135 (0.7%) 0/53 (0%)
Road traffic accident 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Investigations
Alanine aminotransferase increased 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Aspartate aminotransferase increased 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Blood culture positive 2/135 (1.5%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Blood pressure diastolic decreased 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Culture throat positive 1/135 (0.7%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Haemoglobin decreased 0/135 (0%) 1/56 (1.8%) 1/135 (0.7%) 0/53 (0%)
Heart rate increased 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Hepatic enzyme increased 2/135 (1.5%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Liver function test abnormal 2/135 (1.5%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Oxygen saturation decreased 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Serum ferritin increased 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Urine protein/creatinine ratio increased 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
White blood cells urine positive 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Metabolism and nutrition disorders
Dehydration 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Diabetes mellitus inadequate control 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Haemosiderosis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Hyperglycaemic hyperosmolar nonketotic syndrome 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Hyperkalaemia 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Type 2 diabetes mellitus 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Musculoskeletal and connective tissue disorders
Arthralgia 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Arthropathy 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Back pain 1/135 (0.7%) 1/56 (1.8%) 2/135 (1.5%) 1/53 (1.9%)
Musculoskeletal pain 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Neck pain 1/135 (0.7%) 1/56 (1.8%) 1/135 (0.7%) 0/53 (0%)
Osteonecrosis 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Pain in extremity 2/135 (1.5%) 0/56 (0%) 5/135 (3.7%) 0/53 (0%)
Nervous system disorders
Altered state of consciousness 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Ataxia 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Balance disorder 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Carotid artery occlusion 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Cerebral ischaemia 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Cerebrovascular accident 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Convulsion 1/135 (0.7%) 0/56 (0%) 4/135 (3%) 0/53 (0%)
Dysarthria 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Headache 2/135 (1.5%) 2/56 (3.6%) 5/135 (3.7%) 1/53 (1.9%)
Hypokinesia 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Loss of consciousness 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Migraine 2/135 (1.5%) 0/56 (0%) 2/135 (1.5%) 0/53 (0%)
Moyamoya disease 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Nervous system disorder 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Syncope 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 1/53 (1.9%)
Transient ischaemic attack 2/135 (1.5%) 0/56 (0%) 2/135 (1.5%) 1/53 (1.9%)
Pregnancy, puerperium and perinatal conditions
Pregnancy 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Psychiatric disorders
Confusional state 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Delirium 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Mental status changes 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Renal and urinary disorders
Haematuria 1/135 (0.7%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Nephrolithiasis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Renal failure acute 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Renal papillary necrosis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Respiratory, thoracic and mediastinal disorders
Asthma 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Bronchospasm 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Cough 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 2/53 (3.8%)
Dyspnoea 0/135 (0%) 0/56 (0%) 3/135 (2.2%) 0/53 (0%)
Epistaxis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Hypoxia 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 1/53 (1.9%)
Lung infiltration 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Oropharyngeal pain 1/135 (0.7%) 0/56 (0%) 3/135 (2.2%) 0/53 (0%)
Pharyngeal inflammation 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Pneumonia aspiration 0/135 (0%) 1/56 (1.8%) 0/135 (0%) 0/53 (0%)
Pulmonary embolism 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 2/53 (3.8%)
Pulmonary oedema 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Wheezing 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Skin and subcutaneous tissue disorders
Rash 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Skin ulcer 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 0/53 (0%)
Vascular disorders
Poor peripheral circulation 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Superior vena caval occlusion 0/135 (0%) 0/56 (0%) 0/135 (0%) 1/53 (1.9%)
Other (Not Including Serious) Adverse Events
Period 1 Deferasirox (ICL670) Period 1 Deferoxamine (DFO) Period 2 Deferasirox (ICL670) Period 2 Deferoxamine (DFO) Then ICL670
Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 91/135 (67.4%) 39/56 (69.6%) 118/135 (87.4%) 44/53 (83%)
Congenital, familial and genetic disorders
Sickle cell anaemia with crisis 7/135 (5.2%) 4/56 (7.1%) 17/135 (12.6%) 7/53 (13.2%)
Gastrointestinal disorders
Abdominal discomfort 0/135 (0%) 0/56 (0%) 4/135 (3%) 4/53 (7.5%)
Abdominal pain 14/135 (10.4%) 6/56 (10.7%) 30/135 (22.2%) 8/53 (15.1%)
Abdominal pain upper 7/135 (5.2%) 3/56 (5.4%) 13/135 (9.6%) 5/53 (9.4%)
Constipation 11/135 (8.1%) 2/56 (3.6%) 24/135 (17.8%) 4/53 (7.5%)
Diarrhoea 30/135 (22.2%) 5/56 (8.9%) 36/135 (26.7%) 9/53 (17%)
Nausea 16/135 (11.9%) 4/56 (7.1%) 33/135 (24.4%) 10/53 (18.9%)
Vomiting 18/135 (13.3%) 9/56 (16.1%) 30/135 (22.2%) 11/53 (20.8%)
General disorders
Chest pain 6/135 (4.4%) 5/56 (8.9%) 16/135 (11.9%) 9/53 (17%)
Injection site pain 0/135 (0%) 3/56 (5.4%) 0/135 (0%) 0/53 (0%)
Oedema peripheral 0/135 (0%) 0/56 (0%) 7/135 (5.2%) 1/53 (1.9%)
Pain 0/135 (0%) 0/56 (0%) 11/135 (8.1%) 1/53 (1.9%)
Pyrexia 14/135 (10.4%) 7/56 (12.5%) 34/135 (25.2%) 15/53 (28.3%)
Immune system disorders
Hypersensitivity 0/135 (0%) 0/56 (0%) 7/135 (5.2%) 3/53 (5.7%)
Infections and infestations
Gastroenteritis 0/135 (0%) 0/56 (0%) 1/135 (0.7%) 4/53 (7.5%)
Influenza 0/135 (0%) 0/56 (0%) 4/135 (3%) 3/53 (5.7%)
Nasopharyngitis 4/135 (3%) 3/56 (5.4%) 18/135 (13.3%) 6/53 (11.3%)
Otitis media 0/135 (0%) 0/56 (0%) 4/135 (3%) 3/53 (5.7%)
Pharyngitis streptococcal 0/135 (0%) 0/56 (0%) 6/135 (4.4%) 5/53 (9.4%)
Pneumonia 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 4/53 (7.5%)
Sinusitis 0/135 (0%) 0/56 (0%) 9/135 (6.7%) 2/53 (3.8%)
Upper respiratory tract infection 10/135 (7.4%) 7/56 (12.5%) 25/135 (18.5%) 7/53 (13.2%)
Urinary tract infection 7/135 (5.2%) 0/56 (0%) 17/135 (12.6%) 6/53 (11.3%)
Injury, poisoning and procedural complications
Transfusion reaction 0/135 (0%) 0/56 (0%) 2/135 (1.5%) 3/53 (5.7%)
Investigations
Alanine aminotransferase increased 0/135 (0%) 0/56 (0%) 7/135 (5.2%) 1/53 (1.9%)
Blood pressure diastolic increased 0/135 (0%) 0/56 (0%) 8/135 (5.9%) 1/53 (1.9%)
Musculoskeletal and connective tissue disorders
Arthralgia 7/135 (5.2%) 1/56 (1.8%) 20/135 (14.8%) 5/53 (9.4%)
Back pain 7/135 (5.2%) 3/56 (5.4%) 20/135 (14.8%) 11/53 (20.8%)
Musculoskeletal pain 0/135 (0%) 0/56 (0%) 9/135 (6.7%) 1/53 (1.9%)
Pain in extremity 10/135 (7.4%) 3/56 (5.4%) 31/135 (23%) 9/53 (17%)
Nervous system disorders
Dizziness 2/135 (1.5%) 3/56 (5.4%) 8/135 (5.9%) 0/53 (0%)
Headache 28/135 (20.7%) 15/56 (26.8%) 47/135 (34.8%) 13/53 (24.5%)
Psychiatric disorders
Insomnia 3/135 (2.2%) 3/56 (5.4%) 7/135 (5.2%) 1/53 (1.9%)
Renal and urinary disorders
Dysuria 0/135 (0%) 0/56 (0%) 7/135 (5.2%) 2/53 (3.8%)
Respiratory, thoracic and mediastinal disorders
Cough 10/135 (7.4%) 7/56 (12.5%) 29/135 (21.5%) 14/53 (26.4%)
Dyspnoea 0/135 (0%) 0/56 (0%) 7/135 (5.2%) 2/53 (3.8%)
Epistaxis 0/135 (0%) 0/56 (0%) 8/135 (5.9%) 1/53 (1.9%)
Nasal congestion 6/135 (4.4%) 4/56 (7.1%) 20/135 (14.8%) 7/53 (13.2%)
Oropharyngeal pain 6/135 (4.4%) 5/56 (8.9%) 24/135 (17.8%) 5/53 (9.4%)
Rhinorrhoea 0/135 (0%) 0/56 (0%) 9/135 (6.7%) 2/53 (3.8%)
Wheezing 0/135 (0%) 0/56 (0%) 3/135 (2.2%) 3/53 (5.7%)
Skin and subcutaneous tissue disorders
Pruritus 7/135 (5.2%) 5/56 (8.9%) 13/135 (9.6%) 2/53 (3.8%)
Rash 14/135 (10.4%) 3/56 (5.4%) 21/135 (15.6%) 4/53 (7.5%)

Limitations/Caveats

Due to severe good clinical practice violations, data from 9 participants recruited for Center 512 was excluded from the main analysis of the study.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The terms and conditions of Novartis' agreements with its investigators may vary. However, Novartis does not prohibit any investigator from publishing. Any publications from a single-site are postponed until the publication of the pooled data (i.e., data from all sites) in the clinical trial.

Results Point of Contact

Name/Title Study Director
Organization Novartis Pharmaceuticals
Phone 862-778-8300
Email
Responsible Party:
, ,
ClinicalTrials.gov Identifier:
NCT00110617
Other Study ID Numbers:
  • CICL670A2201
First Posted:
May 11, 2005
Last Update Posted:
May 26, 2011
Last Verified:
May 1, 2011