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MRI Evaluation of Iron Overload in the Heart, Liver and Pancreas in Patients Receiving Multiple Blood Transfusions.
This study is currently recruiting participants.
Verified by Sheba Medical Center, February 2008
Sponsored by: Sheba Medical Center
Information provided by: Sheba Medical Center
ClinicalTrials.gov Identifier: NCT00629291
  Purpose

Sickle cell anemia and Sickle cell β thalassemia patients require multiple transfusions in order to avoid chronic anemia sequel. This regimen entails intrinsic deleterious effects, the majority of which are related to iron deposition in the reticuloendothelial system. Thus, iron is deposited in hepatic, myocardial and endocrine glands tissues. Tools available for iron load evaluation include serum ferrtin levels, liver biopsy and echocardiography, all are non specific.

The purpose of this work is to compare iron overload in the liver, heart and pancreas in Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.


Condition
Iron Overload

Genetics Home Reference related topics: beta thalassemia sickle cell disease
MedlinePlus related topics: Anemia Blood Transfusion and Donation Sickle Cell Anemia Thalassemia
Drug Information available for: Pancrelipase Ultrase
U.S. FDA Resources
Study Type: Observational
Study Design: Case Control, Prospective
Official Title: Evaluation of Iron Overload in the Heart, Liver and Pancreas: Patients With Sickle β Thalassemia and Sickle Cell Anemia.

Further study details as provided by Sheba Medical Center:

Primary Outcome Measures:
  • outcome measure: iron overload on T2* MRI in the heart , liver and pancreas. [ Time Frame: 1 year ] [ Designated as safety issue: No ]

Biospecimen Retention:   None Retained

Biospecimen Description:

No biosepcimens retained


Estimated Enrollment: 60
Study Start Date: January 2008
Estimated Study Completion Date: February 2008
Groups/Cohorts
1
Sickle cell anemia patients
2
Sickle cell β thalassemia

Detailed Description:

Sickle cell anemia and Sickle cell β thalassemia patients recieving multiple transfusions are exposed to the effects of iron deposition in the reticuloendothelial system, including cardiac muscle, liver and pancreas. Tools available for iron load evaluation include serum ferrtin levels, liver biopsy and echocardiography, all are non specific.

The purpose of this work is to compare iron overload in the liver, heart and pancreas in Sickle cell anemia and Sickle cell β thalassemia patients using T2* MRI sequences.

Patients and Methods: 27 Sickle cell anemia and 28 Sickle cell β thalassemia will undergo transthoracic echocardiography, cardiac MRI using T2* sequences and clinical and laboratory evaluation for iron overload including ferritin levels and oral glucose tolerance test

.

  Eligibility

Ages Eligible for Study:   18 Years to 35 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population

Sickle cell anemia and Sickle cell β thalassemia patients from dedicated outpatient hospital clinic.

Criteria

Inclusion Criteria:

  • clinical diagnosis of Sickle cell anemia or Sickle cell β thalassemia having received multiple blood transfusions.

Exclusion Criteria:

  • contraindication to MRI
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00629291

Locations
Israel
Sheba Medical Center , Imaging Dept Recruiting
Tel Hashomer, Israel, 52621
Contact: Orly Goitein, MD     972-52-6666681     orly.goitein@sheba.health.gov.il    
Contact: Shimrit Skop     972-3-530-2530     shimrit.skop@sheba.health.gov.il    
Principal Investigator: Orly Goitein, MD            
Sponsors and Collaborators
Sheba Medical Center
Investigators
Principal Investigator: Orly Goitein, MD Sheba Medical Center
  More Information

Responsible Party: Sheba medical center ( Orly Goitein MD )
Study ID Numbers: SHEBA-07-4859-OG-CTIL
Study First Received: February 25, 2008
Last Updated: February 25, 2008
ClinicalTrials.gov Identifier: NCT00629291  
Health Authority: Israel: Israeli Health Ministry Pharmaceutical Administration

Keywords provided by Sheba Medical Center:
iron overload
Thalassemia
Anemia, Sickle Cell
Magnetic Resonance Imaging

Study placed in the following topic categories:
Metabolic Diseases
Anemia
Iron Metabolism Disorders
Iron Overload
Metabolic disorder
Pancrelipase
Iron
Thalassemia
Anemia, Sickle Cell
Sickle cell anemia

ClinicalTrials.gov processed this record on January 16, 2009