E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Chronic iron overload from blood transfusions in patients with congenital disorders of red blood cells |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
Provide expanded access of EXJADE to patients with congenital disorders of red blood cells and chronic iron overload from blood transfusions who cannot be treated with other locally approved iron chelators due to documented non-compliance, contraindications, unacceptable toxicities and/or documented poor response. Further evaluate the safety profile of EXJADE based upon drug administration and reporting of serious adverse events. |
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E.2.2 | Secondary objectives of the trial |
Evaluate the effect of treatment with Exjade on changes in serum ferritin |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
•Male or female patients greater than or equal to 2 years of age. •Documented congenital disorder of red blood cells (e.g., β-thalassemia major, sickle cell anemia, diamond-blackfan anemia) requiring ongoing blood transfusions •Patients that cannot be adequately treated with a locally approved iron chelator due to one of the following reasons: •Documented non-compliance, defined as having taken less than 50% of the prescribed chelation therapy doses in the 12 months prior to study entry •Contraindications, unacceptable toxicities and/or documented poor response to locally approved iron chelators, despite proper compliance •History of at least 20 blood transfusions (equivalent to 100 mL/kg of PRBC) •Serum ferritin value greater than or equal to 1000 µg/L at screening •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 patients consent of the patient’s legal guardian. The definition of the term ‘pediatric’ for enrollment and study conduct will be in accordance with local legislation. Parents or the legal guardians will be fully informed by the investigator as to the requirements of the study. Pediatric patients themselves will be informed according to their capabilities in a language and in terms that they are able to understand. Written informed consent will be obtained from their legal guardian on the patient’s behalf in accordance with national legislation. If capable, all pediatric patients should also personally sign their written informed assent.
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E.4 | Principal exclusion criteria |
•Ongoing treatment with another iron chelator (any other iron chelation therapy must be discontinued at least 24 hours prior to study entry) •Patients who meet the eligibility criteria for any other ongoing Novartis sponsored clinical study protocol with Exjade and who have geographic access to these sites •Patients unable to tolerate (or who have unacceptable toxicities to) prior treatment with Exjade •Serum creatinine above the upper limit of normal at screening •Patients with ALT ≥500 U/L at screening •Evidence of chelation-related cataracts or hearing loss within 4 weeks prior to baseline •Pregnancy (as indicated by serum β-HCG pregnancy test at screening for all female patients with the potential to become pregnant) and patients who are breastfeeding •Patients treated with systemic investigational drug within 4 weeks prior to or with topical investigational drug within 7 days prior to the baseline visit •Patients who are found to be ineligible after screening procedures will have this documented in a screening log CRF. These patients will not need to complete the end of study assessments.
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E.5 End points |
E.5.1 | Primary end point(s) |
Safety (based on adverse event monitoring, monitoring and recording all serious adverse events, the regular monitoring of hematology and blood chemistry, and the regular monitoring of body weight, ocular and auditory conditions.) |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | No |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | No |
E.7.3 | Therapeutic confirmatory (Phase III) | Yes |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Information not present in EudraCT |
E.8.1.3 | Single blind | Information not present in EudraCT |
E.8.1.4 | Double blind | Information not present in EudraCT |
E.8.1.5 | Parallel group | Information not present in EudraCT |
E.8.1.6 | Cross over | Information not present in EudraCT |
E.8.1.7 | Other | Information not present in EudraCT |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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The last visit of the last subject undergoing the trial |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 3 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 3 |
E.8.9.2 | In all countries concerned by the trial months | 0 |