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| Name | Class |
|---|---|
| Fundação de Amparo à Pesquisa do Estado de São Paulo | OTHER_GOV |
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This study aims to investigate the use of amlodipine, a drug that blocks the uptake of calcium into cells, in the prevention and treatment of iron overload in patients with thalassemia major. Since iron uses the same calcium channels to enter the heart, pancreas and other organs, blocking these channels might help to prevent the accumulation of iron in these tissues. The study will follow 10 patients with thalassemia major: 5 will openly receive amlodipine and 5 will serve as controls, not receiving any additional drugs. Patients will be monitored through one year with an additional year of follow up after the group using amlodipine stops its use. Monitoring will occur through the measurement of blood ferritin as well as live and heart T2* by MRI.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Amlodipine | Experimental | amlodipine 5mg qd |
|
| Controls | Placebo Comparator | placebo |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Amlodipine | Drug | 5mg po for 12 months |
|
| Measure | Description | Time Frame |
|---|---|---|
| Myocardium T2* | Heart T2* by MRI at 12 months | 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Liver T2* | Liver T2* by MRI every 6 months for 2 years. First year with active treatment; second year with withdrawal. | 24 months |
| Heart volumes | Diastolic and systolic volumes by MRI every 6 months for 2 years. First year with active treatment; second year with withdrawal. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Juliano L Fernandes, MD | University of Campinas, Brazil | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Campinas | Campinas | São Paulo | 13100 | Brazil |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 37975597 | Derived | Padhani ZA, Gangwani MK, Sadaf A, Hasan B, Colan S, Alvi N, Das JK. Calcium channel blockers for preventing cardiomyopathy due to iron overload in people with transfusion-dependent beta thalassaemia. Cochrane Database Syst Rev. 2023 Nov 17;11(11):CD011626. doi: 10.1002/14651858.CD011626.pub3. |
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| ID | Term |
|---|---|
| D017086 | beta-Thalassemia |
| ID | Term |
|---|---|
| D013789 | Thalassemia |
| D000745 | Anemia, Hemolytic, Congenital |
| D000743 | Anemia, Hemolytic |
| D000740 | Anemia |
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| ID | Term |
|---|---|
| D017311 | Amlodipine |
| ID | Term |
|---|---|
| D004095 | Dihydropyridines |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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| 24 months |
| Left ventricle ejection fraction | LVEF by MRI every 6 months for 2 years. First year with active treatment; second year with withdrawal. | 24 months |
| Serum ferritin | Serum ferritin every 6 months for 2 years. First year with active treatment; second year with withdrawal. | 24 months |
| Myocardium T2* | Heart T2* by MRI every 6 months until 24 months | 6-18-24 months |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D006453 | Hemoglobinopathies |
| D030342 | Genetic Diseases, Inborn |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |