Phase II Study to Investigate the Benefits of an Improved Deferasirox Formulation (Film-coated Tablet)
A Randomized, Open-label, Multicenter, Two Arm, Phase II Study to Investigate the Benefits of an Improved Deferasirox Formulation (Film-coated Tablet)
Panoramica dello studio
Stato
Stato
Condizioni
Condizioni
Intervento / Trattamento
Intervento / Trattamento
Tipo di studio
Tipo di studio
Iscrizione (Effettivo)
Iscrizione
Fase
Fase
- Fase 2
Contatti e Sedi
Luoghi di studio
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Dammam, Arabia Saudita, 15215
- Novartis Investigative Site
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Dammam, Arabia Saudita, 40145
- Novartis Investigative Site
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Jeddah, Arabia Saudita, 21589
- Novartis Investigative Site
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Riyadh, Arabia Saudita, 11472
- Novartis Investigative Site
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Buenos aires, Argentina, C1221ADC
- Novartis Investigative Site
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Linz, Austria, A-4010
- Novartis Investigative Site
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Wien, Austria, 1140
- Novartis Investigative Site
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Al Ain - Abu Dhabi, Emirati Arabi Uniti
- Novartis Investigative Site
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Dubai, Emirati Arabi Uniti, 9115
- Novartis Investigative Site
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Russia
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Moskow, Russia, Federazione Russa, 117198
- Novartis Investigative Site
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Lille cedex, Francia, 59020
- Novartis Investigative Site
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Paris, Francia, 75010
- Novartis Investigative Site
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Berlin, Germania, 13353
- Novartis Investigative Site
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Dresden, Germania, 01307
- Novartis Investigative Site
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Goslar, Germania, 38642
- Novartis Investigative Site
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Hannover, Germania, 30170
- Novartis Investigative Site
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Leipzig, Germania, 04103
- Novartis Investigative Site
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Potsdam, Germania, 14467
- Novartis Investigative Site
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Baden-Württemberg
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Mannheim, Baden-Württemberg, Germania, 68305
- Novartis Investigative Site
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GR
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Athens, GR, Grecia, GR-115 27
- Novartis Investigative Site
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Patra - RIO, GR, Grecia, 265 04
- Novartis Investigative Site
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Thessaloniki, GR, Grecia, 546 42
- Novartis Investigative Site
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Napoli, Italia, 80138
- Novartis Investigative Site
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BR
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Brindisi, BR, Italia, 72100
- Novartis Investigative Site
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CT
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Catania, CT, Italia, 95125
- Novartis Investigative Site
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FE
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Cona, FE, Italia, 44100
- Novartis Investigative Site
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GE
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Genova, GE, Italia, 16132
- Novartis Investigative Site
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Genova, GE, Italia, 16128
- Novartis Investigative Site
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ITA
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Cagliari, ITA, Italia, 09121
- Novartis Investigative Site
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LE
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Lecce, LE, Italia, 73100
- Novartis Investigative Site
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MI
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Milano, MI, Italia, 20162
- Novartis Investigative Site
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Milano, MI, Italia, 20122
- Novartis Investigative Site
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PA
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Palermo, PA, Italia, 90127
- Novartis Investigative Site
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Palermo, PA, Italia, 90146
- Novartis Investigative Site
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RC
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Reggio Calabria, RC, Italia, 89100
- Novartis Investigative Site
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VR
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Verona, VR, Italia, 37126
- Novartis Investigative Site
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Beirut
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Hazmiyeh, Beirut, Libano, PO BOX 213
- Novartis Investigative Site
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Kuala Lumpur, Malaysia, 50589
- Novartis Investigative Site
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Pulau Pinang, Malaysia, 10990
- Novartis Investigative Site
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Distrito Federal
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Mexico, Distrito Federal, Messico, 06726
- Novartis Investigative Site
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London, Regno Unito, N19 5NF
- Novartis Investigative Site
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London, Regno Unito, NW1 2PJ
- Novartis Investigative Site
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Barcelona, Spagna, 08041
- Novartis Investigative Site
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Madrid, Spagna, 28033
- Novartis Investigative Site
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California
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Orange, California, Stati Uniti, 92868-3874
- Children's Hospital of Orange County Onc Dept
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Illinois
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Chicago, Illinois, Stati Uniti, 60611
- Lurie Children's Hospital of Chicago Onc Dept
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Massachusetts
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Boston, Massachusetts, Stati Uniti, 02115
- Children's Hospital Boston Department of Hematology
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New York
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New York, New York, Stati Uniti, 10021
- Weill Cornell Medical College-Cornell University Onc Dept
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Pennsylvania
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Philadelphia, Pennsylvania, Stati Uniti, 19104-4399
- Children's Hospital of Philadelphia Onc. Dept
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Bangkok, Tailandia, 10700
- Novartis Investigative Site
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Bangkok, Tailandia, 10400
- Novartis Investigative Site
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Criteri di partecipazione
Criteri di ammissibilità
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
Key Inclusion Criteria:
- Male and female patients aged ≥ 10 years
- Patients with transfusion-dependent thalassemia and iron overload, requiring deferasirox DT at doses of ≥ 30 mg/kg/day as per the investigator's decision OR Patients with very low, low or intermediate (int) risk myelodysplastic syndrome (MDS) and iron overload, requiring deferasirox DT at doses of ≥ 20 mg/kg/day as per the investigator's decision.
- History of transfusion of at least 20 PRBC units and anticipated to be transfused with at least 8 units of PRBCs annually during the study
- Serum ferritin > 1000 ng/mL, measured at screening Visit 1 and screening Visit 2 (the mean value will be used for eligibility criteria).
Key Exclusion Criteria:
- Creatinine clearance below the contraindication limit in the locally approved prescribing information. Creatinine clearance will be estimated from serum creatinine at screening Visit 1 and screening Visit 2 and the mean value will be used for eligibility criteria.
- Serum creatinine > 1.5 xULN at screening measured at screening Visit 1 and screening Visit 2 (the mean value will be used for eligibility criteria).
- ALT (SGPT) > 5xULN, unless LIC confirmed as >10 mg Fe/dw within 6 months prior to screening visit 1.
- Significant proteinuria as indicated by a urinary protein/creatinine ratio > 0.5 mg/mg in a non-first void urine sample at screening Visit 1 or screening Visit 2.
- Patients with significant impaired gastrointestinal (GI) function or GI disease that may significantly alter the absorption of oral deferasirox (e.g. ulcerative diseases, uncontrolled nausea, vomiting, diarrhea, malabsorption syndrome, or small bowel resection).
- Liver disease with severity of Child-Pugh Class B or C
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Nessuno (etichetta aperta)
Numero di armi
Armi e interventi
Gruppo di partecipanti / ArmGruppo di partecipanti / Arm |
Intervento / TrattamentoIntervento / Trattamento |
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Comparatore attivo: Deferasirox dispersible tablet (DFX-DT)
Iron chelation naïve participants received DFX-DT 20 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 5 to 10 mg/kg/day, with a maximum dose of 40 mg/kg/day.
Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose.
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Deferasirox DT was provided as 125 mg, 250 mg and 500 mg dispersible tablets for oral use.
Altri nomi:
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Sperimentale: Deferasirox film-coated tablet (DFX-FCT)
Participants received DFX-FCT 14 mg/kg/day once daily orally from weeks 1 - 4. After week 4, the dose could be adjusted by +/- 3.5 to 7 mg/kg/day, with a maximum dose of 28 mg/kg/day.
Iron chelation pre-treated participants were supposed to start on a dose that was equivalent to their pre-washout dose
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Deferasirox FCT was provided as 90 mg, 180 mg and 360 mg film-coated tablets for oral use.
Altri nomi:
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Cosa sta misurando lo studio?
Misure di risultato primarie
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Overall Safety as Measured by Frequency of Adverse Events
Lasso di tempo: 28 weeks
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The percentage of participants with adverse events, serious adverse events and deaths was assessed.
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28 weeks
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Overall Safety as Measured by Changes in Laboratory Values From Baseline
Lasso di tempo: baseline (BL), 30 weeks
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The percentage of participants with post-baseline laboratory values meeting specified criteria for notable/extended range was assessed.
The following laboratory parameters were measured: platelet count, absolute neutrophils, serum creatinine , creatinine clearance, urinary protein/urinary creatinine ratio, alanine aminotransferase (ALT) and aspartate aminotransferase (AST).
Note that within data categories, creat = creatinine, cons = consecutive, ULN = upper limit of normal and urin = urinary.
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baseline (BL), 30 weeks
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Misure di risultato secondarie
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
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Frequency of Selected Gastro-intestinal (GI) Adverse Events
Lasso di tempo: 28 weeks
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The percentage of participants with any GI adverse event, diarrhea, constipation, nausea, vomiting, abdominal pain was assessed.
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28 weeks
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Mean Domain Scores of the Modified Satisfaction With Iron Chelation Therapy (Modified SICT)
Lasso di tempo: weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
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The modified SICT consisted of 13 items that represent 3 domains: adherence, satisfaction and concerns.
The adherence domain consisted of 7 items, 6 which were measured using a 5-point response scale and was calculated by summing the 6 items.
The score range from 6 to 30 and higher scores indicated worse adherence.
The satisfaction domain consisted of 3 items, 2 which were measured using a 5-point response scale and was calculated by summing the 2 items.
The score range from 2 to 10 and higher scores indicated worse satisfaction.
The concerns domain consisted of 3 items to address any concerns or worries with his/her medication.
All 3 items were measured on a 5-point response scale and were calculated by summing the 3 items.
The score range from 3 to 15 and higher scores indicated fewer concerns.
For all three domains, the meaningful difference between two treatment arms was determined to be 1 point.
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weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
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Palatability Questionnaire Score
Lasso di tempo: weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
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The palatability questionnaire consisted of 4 items.
The first item measured the taste and aftertaste of the medication and were scored a on a 5-point response scale.
The second item offered an additional response option of "no aftertaste".
The last 2 items referred to whether the medication was taken, i.e. swallowed or vomited, and how the participant perceived the amount of medication to be taken.
The palatability summary score was calculated using a scoring matrix from items 1, 3 and 4 scores and the score ranges from 0 - 11. Higher scores indicated the best palatability.
A meaningful difference between two treatment arms was determined to be 1 point.
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weeks 2, 3, 13 and 24 (end of treatment or within 7 days of last dose)
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Weekly Average of Daily Scores of the Gastrointestinal (GI) Symptom Diary
Lasso di tempo: weeks -1, 4, 8, 12, 16, 20, 24
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The GI symptom diary consisted of 6 items, five which were scored using a 0 - 10 rating scale with item appropriate anchors to rate the symptom, for example, Pain in your belly: 0 = no pain and 10 = worst pain.
The GI diary summary score was created using the 10 point response scale for the 5 items.
The GI symptom daily diary had a minimum score of 0 and a maximum score of 50.
The weekly average score for the 7 days was calculated for each individual item and the GI summary score was created from these weekly averages.
Higher scores indicated worse symptoms.
A meaningful difference between two treatment arms was determined to be 0.3 point.
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weeks -1, 4, 8, 12, 16, 20, 24
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Number of Participants With Weekly Average Compliance of Medication Consumption
Lasso di tempo: Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
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A compliance questionnaire assessed whether the medication was taken.
Weekly average compliance was calculated when there were at least four non-missing daily responses.
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Weeks 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24
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Weekly Dose Violation Rate
Lasso di tempo: weeks 1, 4, 8, 12, 16, 20, 24
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The dose violation is defined as a dose either missed completely or not taken in accordance with the timing instruction (no later than 12:00 pm.
The rate was calculated as [number of dose violations/drug exposure (days)] x 100.
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weeks 1, 4, 8, 12, 16, 20, 24
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Area Under the Plasma Concentration-time Curve From Time Zero to the Last Quantifiable Concentration (AUClast)
Lasso di tempo: week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Blood samples were collected to assess AUClast.
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week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Observed Maximum Plasma Concentration Following Drug Administration (Cmax)
Lasso di tempo: week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Blood samples were collected to assess Cmax.
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week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Time to Reach the Maximum Plasma Concentration After Drug Administration (Tmax)
Lasso di tempo: week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Blood samples were collected to assess Tmax.
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week 1, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose; week 3, day 1: pre-dose (0 hour) and 1, 2, 3, 4, 8 and 24 hours post dose
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Dererasirox Plasma Concentration
Lasso di tempo: Week 3, day 1, pre-dose (0 hour (h)) and 2 h post-dose; week 13, day 1, pre-dose (0 hour (h)) and 2 h post-dose; and week 21, day 1, pre-dose (0 hour (h)) and 2 h post-dose
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Blood samples were collected to assess deferasirox concentration.
Dose-adjusted calculations are presented: (concentration/actual dose)*20 for participants on DFX-DT and (concentration/actual dose)*14 for participants on DFX-FCT.
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Week 3, day 1, pre-dose (0 hour (h)) and 2 h post-dose; week 13, day 1, pre-dose (0 hour (h)) and 2 h post-dose; and week 21, day 1, pre-dose (0 hour (h)) and 2 h post-dose
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Collaboratori e investigatori
Sponsor
Sponsor
Pubblicazioni e link utili
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Inizio studio (Effettivo)
Inizio studio
Completamento primario (Effettivo)
Completamento primario
Completamento dello studio (Effettivo)
Completamento dello studio
Date di iscrizione allo studio
Primo inviato
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Primo Inserito
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento pubblicato
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Ultimo verificato
Maggiori informazioni
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Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
Altri numeri di identificazione dello studio
- CICL670F2201
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