Diamond Blackfan Anemia Clinical Trial
— LeucineDBAOfficial title:
The Use of Novel Therapies to Reconstitute Blood Cell Production and Promote Organ Performance Using Bone Marrow Failure as a Model: a Pilot, Phase I/II Study of the Amino Acid Leucine in the Treatment of Patients With Transfusion-Dependent Diamond Blackfan Anemia
Verified date | November 2022 |
Source | Northwell Health |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This study will determine the safety and possibility of giving the amino acid, leucine, in patients with Diamond Blackfan anemia(DBA)who are on dependent on red blood cell transfusions. The leucine is expected to produce a response in patients with DBA to the point where red blood cell production is increased. Red cell transfusions can then be less frequent or possibly discontinued. The investigators will study the side effects, if any, of giving leucine to DBA patients. Leucine levels of leucine will be obtained at baseline and during the study. The drug leucine will be provided in capsule form and taken 3 times a day for a total of 9 months.
Status | Completed |
Enrollment | 55 |
Est. completion date | November 30, 2020 |
Est. primary completion date | June 30, 2018 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 2 Years and older |
Eligibility | Inclusion Criteria: - diagnosed with Diamond Blackfan anemia as published in British Journal of Hematology - transfusion dependent - age 2 years and older - adequate renal function - adequate liver function - negative B-HCG if patient is a menstruating female and documentation of adequate contraception - signed informed consent Exclusion Criteria: - Known hypersensitivity to branched chain amino acids - Diagnosis of an inborn error of amino acid metabolism disorder - Prior hematopoietic stem cell transplantation - Pregnancy, or plans to become pregnant during duration of trial |
Country | Name | City | State |
---|---|---|---|
United States | University of Michigan C.S. Mott Children's Hospital | Ann Arbor | Michigan |
United States | Boston Children's Hospital | Boston | Massachusetts |
United States | University of Missouri-Columbia Women's and Children's Hospital | Columbia | Missouri |
United States | UT Southwestern Medical Center | Dallas | Texas |
United States | Riley Hospital for Children | Indianapolis | Indiana |
United States | Children's Specialty Center of Nevada | Las Vegas | Nevada |
United States | University of Louisville | Louisville | Kentucky |
United States | Cohen Children's Medical Center of New York | New Hyde Park | New York |
United States | Stanford University Medical Center | Palo Alto | California |
United States | Children's Hospital of Philadelphia | Philadelphia | Pennsylvania |
United States | Phoenix Children's Hospital | Phoenix | Arizona |
Lead Sponsor | Collaborator |
---|---|
Northwell Health |
United States,
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* Note: There are 56 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia | The primary outcome is the type of response observed at 9 months. Response to treatment can be one of the following:
Complete response (CR): Hb > 9 gm/dL and transfusion-independence as defined in DBA Partial response (PR): Hb < 9 gm/dL and increased reticulocyte count to greater than baseline. No response (NR): no change in transfusion requirements and no significant change reticulocyte count from baseline Progression: worsening of disease as defined by the need for more frequent transfusions |
9 Months | |
Secondary | Severe Adverse Events Attributable to Leucine | Adverse events occurring while participants were on Leucine | 9 months |
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