Clinical trial

Comparison Of Efficacy And Safety Of Thalidomide Vs Hydroxyurea In Thalassemia Patients: A Single-Centre Pilot Study.

Name
NIBD/IRB-236/21-2021.
Description
The goal of this study is to compare the effectiveness and safety of two hemoglobin F inducer. This is single centered interventional pilot study is to compare the efficacy and safety parameters in beta thalassemia patients. As this is a pilot study, the investigator took a small number of patients. The Sample size was calculated by the World health organization sample size calculator. After screening 39 patients and 24 patients were eligible for enrollment in this study. The main objective was to evaluate safety of both drugs in genetic disorder like thalassemia. for safety evaluation, hematological parameters were evaluated that includes total bilirubin , indirect bilirubin, Serum Glutamate Pyruvate Transaminase, serum glutamic-oxaloacetic transaminase, urea, creatinine and lactate dehydrogenase were monitored . Moreover to evaluate the efficacy of drug, hematological parameters that includes hemoglobin, red blood cells , nucleated red blood cells , reticulocytes count, Red blood cells indices ( mean corpuscular hemoglobin, mean corpuscular volume and mean corpuscular hemoglobin concentration) , white blood cells and platelets were done. Another important parameters to evaluate the efficacy of hemoglobin F inducer is transfusion frequency. Test were done at baseline and after completion of study means after 06 months.
Trial arms
Trial start
2021-09-01
Estimated PCD
2021-12-01
Trial end
2022-03-03
Status
Completed
Phase
Early phase I
Treatment
Thalidomide 100mg
Thalidomide is available in capsulated form in the strength of 100 mg and 50 mg. It was given according to the weight of the patient. Due to somnolence, it was advised to give at night only.
Arms:
hydroxyurea
Other names:
thalido
Hydroxyurea
Hydroxyurea is available in capsulated form under the brand of hydrea. Its available strength is 500 mg . Dosing depends upon weight of patient, that is 15mg/kg/day. so patients unable to take full capsule due to low weight, was advised to take hydroxyurea syrup.
Arms:
Thalidomide
Other names:
Hydrea
Size
24
Primary endpoint
comparison of hemoglobin
06 months
comparison of red blood cells
06 months
comparison of Mean corpuscular volume
06 months
comparison of Mean Corpuscular Hemoglobin
06 months
comparison of Mean Corpuscular Hemoglobin concentration
06 months
comparison of Indirect bilirubin
06 months
comparison of Total Bilirubin
06 months
comparison of Serum glutamic pyruvic transaminase
06 months
comparison of glutamic-oxaloacetic transaminase
06 months
comparison of white blood cells
06 months
comparison of platelets
06 months
comparison of urea
06 months
comparison of creatinine
06 months
comparison of Lactate dehydrogenase baseline and after the completion of study.
06 months
comparison of tranfusion frequency baseline and after the completion of study.
06 months
Eligibility criteria
Inclusion Criteria: * Know case of beta thalassemia age between 10-30 years Exclusion Criteria: * Patients on any other haemoglobin F inducer or erythropoietin. * Patients with co-morbidities like cardiopulmonary and neurological disease * Pregnant, lactating women. * Patient did not willing to take contraceptive measures. * Participants with history of thrombosis.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'PARALLEL', 'interventionModelDescription': 'Patients were divided into 2 groups, one received hydroxyurea second group received thalidomide.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 24, 'type': 'ACTUAL'}}
Updated at
2024-03-12

1 organization

1 product

1 drug

1 indication