Evidence map›Paper›PMID 21393329›Full record

Trial reportHaematologica2011

Relationship between labile plasma iron, liver iron concentration and cardiac response in a deferasirox monotherapy trial.

John C Wood, Tara Glynos, Alexis Thompson, Patricia Giardina, Paul Harmatz, Barinder P Kang, Carole Paley, Thomas D Coates

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haematologica, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00447694 (An Open Label Trial Evaluating Cardiac T2* in Beta-thalassemia Patients on Deferasirox), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00447694 phase2completednot on this map

An Open Label Trial Evaluating Cardiac T2* in Beta-thalassemia Patients on Deferasirox (ICL670) Treatment for 18 Months

TypeinterventionalSponsorNovartisRan2006 to 2009Enrolled30ConditionsBeta-thalassemia, Iron OverloadArmsDeferasirox
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Deferasirox: Over a Decade of Experience in Thalassemia.Mediterranean journal of hematology and infectious diseases · 2018
    Review
  11. Article
  12. Article
  13. A Review on Iron Chelators in Treatment of Iron Overload Syndromes.International journal of hematology-oncology and stem cell research · 2016
    Review
  14. Article
  15. Article
  16. Review
  17. Use of magnetic resonance imaging to monitor iron overload.Hematology/oncology clinics of North America · 2014
    Review
  18. Article
  19. On improvement in ejection fraction with iron chelation in thalassemia major and the risk of future heart failure.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2011
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

John C WoodChildren's Hospital of Los Angeles, Los Angeles CA 90027, USA. JWood@chla.usc.edu
Tara Glynos
Alexis Thompson
Patricia Giardina
Paul Harmatz
Barinder P Kang
Carole Paley
Thomas D Coates
Novartis (United States) · USChildren's Hospital of Los Angeles · USCornell University · USLurie Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The US04 trial was a multicenter, open-label, single arm trial of deferasirox monotherapy (30-40 mg/kg/day) for 18 months. Cardiac iron response was bimodal with improvements observed in patients with mild to moderate initial somatic iron stores; relationship of cardiac response to labile plasma iron is now presented. Labile plasma iron was measured at baseline, six months, and 12 months. In patients having a favorable cardiac response at 18 months, initial labile plasma iron was elevated in only 31% of patients at baseline and no patient at six or 12 months. Cardiac non-responders had elevated labile plasma iron in 50% of patients at baseline, 50% patients at six months, and 38% of patients at 12 months. Risk of abnormal labile plasma iron and cardiac response increased with initial liver iron concentration. Persistently increased labile plasma iron predicts cardiac non-response to deferasirox but labile plasma iron suppression does not guarantee favorable cardiac outcome. Study registered at www.clinicaltrials.gov (NCT00447694).

Indexed as

BenzoatesIron Chelating AgentsTriazolesbeta-ThalassemiaDeferasiroxFerritinsHeartHumansIronIron OverloadLiverMyocardiumPrognosisTreatment OutcomeBenzoatesDeferasiroxFerritinsIronIron Chelating AgentsTriazoles

Identifiers

PMID21393329
PMCPMC3128226
OpenAlexW2147635158

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.