Evidence map›Paper›PMID 24385534›Full record

Trial reportBlood2014

A 1-year randomized controlled trial of deferasirox vs deferoxamine for myocardial iron removal in β-thalassemia major (CORDELIA).

Dudley J Pennell, John B Porter, Antonio Piga, Yongrong Lai, Amal El-Beshlawy, Khawla M Belhoul, Mohsen Elalfy, Akif Yesilipek, Yurdanur Kilinç, Tomasz Lawniczek and 5 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00600938 (A Multicenter, Randomized, Open-label Phase II Trial Evaluating Deferasirox Compared With Deferoxamine in Patients With Cardiac Iron Overload Due to Chronic Blood Transfusions), which is not on this map. Cited by 49 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 6 pooled it
9.4field-weighted citation impact, top 1% 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.

NCT00600938 phase2completednot on this map

A Multicenter, Randomized, Open-label Phase II Trial Evaluating Deferasirox Compared With Deferoxamine in Patients With Cardiac Iron Overload Due to Chronic Blood Transfusions

TypeinterventionalSponsorNovartis PharmaceuticalsRan2007 to 2013Enrolled197ConditionsTransfusional Iron Overload, Transfusional HemosiderosisArmsCore Study: Deferasirox, Core Study: Deferoxamine, Extension: deferoxamine to deferasirox, Extension: deferasirox to deferoxamine, Deferasirox
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 6 syntheses or guidelines pooled it, 118 citations in OpenAlex.

  1. [Guidelines for iron chelation therapy in thalassemia in China (2025)].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2025
    Guideline
  2. Pooled it
  3. Pooled it
  4. Deferasirox for managing iron overload in people with thalassaemia.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Iron overload cardiomyopathy.Heart failure reviews · 2026
    Review
  9. Thalassaemia.Nature reviews. Disease primers · 2026
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Article
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 9 countries.

Dudley J PennellRoyal Brompton Hospital, London, United Kingdom;
John B Porter
Antonio Piga
Yongrong Lai
Amal El-Beshlawy
Khawla M Belhoul
Mohsen Elalfy
Akif Yesilipek
Yurdanur Kilinç
Tomasz Lawniczek
Dany Habr
Marianne Weisskopf
Yiyun Zhang
Yesim Aydinok
CORDELIA study investigators
Novartis (Switzerland) · CHNovartis (United States) · USAin Shams University Hospital · EGAkdeniz University · TRCairo University · EGCancer Institute (WIA) · INCukurova University · TREge University · TRFirst Affiliated Hospital of GuangXi Medical University · CNLatifa Hospital · AERoyal Brompton Hospital · GBUniversity of Turin · IT

Funding

British Heart Foundation PG/09/074/27961
6 · The paper itself

Abstract

Randomized comparison data on the efficacy and safety of deferasirox for myocardial iron removal in transfusion dependent patients are lacking. CORDELIA was a prospective, randomized comparison of deferasirox (target dose 40 mg/kg per day) vs subcutaneous deferoxamine (50-60 mg/kg per day for 5-7 days/week) for myocardial iron removal in 197 β-thalassemia major patients with myocardial siderosis (T2* 6-20 milliseconds) and no signs of cardiac dysfunction (mean age, 19.8 years). Primary objective was to demonstrate noninferiority of deferasirox for myocardial iron removal, assessed by changes in myocardial T2* after 1 year using a per-protocol analysis. Geometric mean (Gmean) myocardial T2* improved with deferasirox from 11.2 milliseconds at baseline to 12.6 milliseconds at 1 year (Gmeans ratio, 1.12) and with deferoxamine (11.6 milliseconds to 12.3 milliseconds; Gmeans ratio, 1.07). The between-arm Gmeans ratio was 1.056 (95% confidence interval [CI], 0.998, 1.133). The lower 95% CI boundary was greater than the prespecified margin of 0.9, establishing noninferiority of deferasirox vs deferoxamine (P = .057 for superiority of deferasirox). Left ventricular ejection fraction remained stable in both arms. Frequency of drug-related adverse events was comparable between deferasirox (35.4%) and deferoxamine (30.8%). CORDELIA demonstrated the noninferiority of deferasirox compared with deferoxamine for myocardial iron removal. This trial is registered at www.clinicaltrials.gov as #NCT00600938.

Indexed as

AdolescentAdultBenzoatesbeta-ThalassemiaChildDeferasiroxDeferoxamineFemaleFerritinsHeartHumansIronIron Chelating AgentsIron OverloadMaleMedication AdherenceBenzoatesDeferasiroxDeferoxamineFerritinsIronIron Chelating AgentsTriazolesTroponin T

Identifiers

PMID24385534
PMCPMC3945858
OpenAlexW2147627859

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.