Evidence map›Paper›PMID 21744485›Full record

Trial reportPediatric blood & cancer2012

Massive accidental overdose of hydroxyurea in a young child with sickle cell anemia.

Scott T Miller, Kathy Rey, Jin He, Jonathan Flanagan, Billie J Fish, Zora R Rogers, Winfred C Wang, Russell E Ware, BABY HUG Investigators

Registry-linked trialOpen access · greenAbstract readCase ReportsClinical Trial
In one paragraph

Trial report in Pediatric blood & cancer, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00006400 (Pediatric Hydroxyurea Phase III Clinical Trial), which is not on this map. Cited by 6 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 4 pooled it
0.6field-weighted citation impact, top 30% 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.

NCT00006400 phase3completednot on this map

Pediatric Hydroxyurea Phase III Clinical Trial (BABY HUG)

TypeinterventionalSponsorNational Heart, Lung, and Blood Institute (NHLBI)Ran2000 to 2009Enrolled193ConditionsHematologic Diseases, Anemia, Sickle CellArmsHydroxyurea, Placebo
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 4 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Interventions for chronic kidney disease in people with sickle cell disease.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Hydroxyurea (hydroxycarbamide) for sickle cell disease.The Cochrane database of systematic reviews · 2022
    Pooled it
  3. Interventions for chronic kidney disease in people with sickle cell disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  4. Hydroxyurea (hydroxycarbamide) for sickle cell disease.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Article
  6. 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

9 authors at 5 institutions in 1 country.

Scott T MillerDivision of Hematology/Oncology, SUNY-Downstate Medical Center/Kings County Hospital Center, Brooklyn, New York 11203, USA. scott.miller@downstate.edu
Kathy Rey
Jin He
Jonathan Flanagan
Billie J Fish
Zora R Rogers
Winfred C Wang
Russell E Ware
BABY HUG Investigators
St. Jude Children's Research Hospital · USBaylor College of Medicine · USKings County Hospital Center · USSUNY Downstate Health Sciences University · USThe University of Texas Southwestern Medical Center · US

Funding

PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIAL - MCC-N01HB7160N01HB007160 · HB · CLINICAL TRIALS AND SURVEYS CORPORATION · PI THOMPSON, BRUCE WILLIAM · 2000 to 2006
$638k
PEDIATRIC HYDROXYUERA PHASE III CLINICAL TRIALN01HB007153 · HB · JOHNS HOPKINS UNIVERSITY · PI CASELLA, JAMES F · 2000 to 2000
$116k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007157 · HB · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI PEGELOW, CHARLES H · 2000 to 2000
$114k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007158 · HB · UNIVERSITY OF MISSISSIPPI MEDICAL CENTER · PI IYER, RATHI V · 2000 to 2000
$112k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007151 · HB · DUKE UNIVERSITY · PI WARE, RUSSELL E · 2000 to 2000
$105k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007152 · HB · HOWARD UNIVERSITY · PI RANA, SOHAIL · 2000 to 2000
$99k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007156 · HB · SUNY DOWNSTATE MEDICAL CENTER · PI MILLER, SCOTT T · 2000 to 2000
$97k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007159 · HB · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI ROGERS, ZORA · 2000 to 2000
$85k
PEDRIATRIC HYDROXYUREA PHASE III CLINICAL TRIAL CLINICALN01HB007155 · HB · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI WANG, WINFRED C · 2000 to 2001
$82k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007154 · HB · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI ABBOUD, MIGUEL R · 2000 to 2000
$80k
PEDIATRIC HYDROXYUREA PHASE III CLINICAL TRIALN01HB007150 · HB · CHILDREN'S RESEARCH INSTITUTE · PI DRISCOLL, CATHERINE M · 2000 to 2000
$79k
NHLBI NIH HHS N01 HB007150NHLBI NIH HHS N01 HB007151NHLBI NIH HHS N01 HB007152NHLBI NIH HHS N01 HB007153NHLBI NIH HHS N01 HB007154NHLBI NIH HHS N01 HB007155NHLBI NIH HHS N01 HB007156NHLBI NIH HHS N01 HB007157NHLBI NIH HHS N01 HB007158NHLBI NIH HHS N01 HB007159NHLBI NIH HHS N01 HB007160NHLBI NIH HHS N01-HB-07150NHLBI NIH HHS N01-HB-07151NHLBI NIH HHS N01-HB-07152NHLBI NIH HHS N01-HB-07153NHLBI NIH HHS N01-HB-07154NHLBI NIH HHS N01-HB-07155NHLBI NIH HHS N01-HB-07156NHLBI NIH HHS N01-HB-07157NHLBI NIH HHS N01-HB-07158NHLBI NIH HHS N01-HB-07159NHLBI NIH HHS N01-HB-07160
6 · The paper itself

Abstract

The Pediatric Hydroxyurea Phase III Clinical Trial (BABY HUG) confirmed safety and efficacy of hydroxyurea therapy for infants with sickle cell anemia. Treatment was associated with reduction in rates of pain, acute chest syndrome, hospitalizations, and blood transfusions; improved hematologic values; and, perhaps, preservation of organ function. During the study, a 2-year-old ingested at one time an entire 35-day supply of hydroxyurea (612 mg/kg body weight). Despite a serum level of 7,756 µM 4 hours post-ingestion, the only toxicity was transient mild myelosuppression. With wider usage of hydroxyurea anticipated, conservative management of future overdoses seems reasonable (ClinicalTrials.gov NCT00006400).

Indexed as

Antisickling AgentsHydroxyureaAnemia, Sickle CellChild, PreschoolDrug OverdoseFemaleHumansInfantAntisickling AgentsHydroxyurea

Identifiers

PMID21744485
PMCPMC3193862
OpenAlexW2064304412

What OpenQuestion holds

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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.