Sickle Cell Anemia Clinical Trial
Official title:
A PHASE III, PROSPECTIVE, RANDOMIZED, DOUBLE-BLIND, PLACEBO-CONTROLLED, PARALLEL-GROUP, MULTICENTER STUDY OF L GLUTAMINE THERAPY FOR SICKLE CELL ANEMIA AND SICKLE ß0-THALASSEMIA
The purpose of this research is to evaluate the effects of L-glutamine as a therapy for Sickle Cell Anemia or Sickle ß0 Thalassemia as evaluated by the number of occurrences of sickle cell crises.
Primary objective:
To evaluate the efficacy of oral L-glutamine as a therapy for sickle cell anemia and sickle
ß0-thalassemia as evaluated by the number of occurrences of sickle cell crises.
Secondary objectives:
To assess the effect of oral L-glutamine on: (a) frequency of hospitalizations for sickle
cell pain; (b) frequency of emergency room/medical facility visits for sickle cell pain; and
(c) hematological parameters (hemoglobin, hematocrit, and reticulocyte count); and to assess
the safety of L-glutamine as a therapy for sickle cell anemia as evaluated by adverse events,
laboratory parameters, and vital signs.
Methodology:
This was a 2:1 randomized, double-blind, placebo-controlled, parallel-group, multicenter
study in patients with sickle cell anemia and sickle ß0-thalassemia who were at least 5 years
old. Informed consent was obtained up to four weeks prior to Week 0 (Baseline). Screening
procedures were performed anytime between the date of consent and Week 0, as long as all
eligibility criteria had been confirmed prior to Week 0. At Week 0, patients were randomized
(to L-glutamine or placebo) and underwent 48 weeks of treatment (orally BID), with dose
calculated according to patient weight. Patient clinic visits occurred every 4 weeks, and
phone calls took place between visits to monitor compliance. After 48 weeks of treatment, the
dose was tapered to 0 within 3 weeks. A final evaluation visit occurred 2 weeks after last
dose for a total of 53 weeks on study.
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