About this trial
This study tests whether early heart screening and treatment for iron overload in subjects with sickle cell disease can prevent heart problems and reduce hospitalizations.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
At least 18 years of age
Diagnosis of sickle cell disease (any genotype)
Serum ferritin levels ≥ 400 ng/mL (up to 80 patients), or less than 400 ng/mL in those who have cardiac symptoms including shortness of breath and lower extremity edema (up to 20 patients)
Willingness to undergo regular imaging (echocardiograms, ECG, cardiac MRI)
Disqualifiers
Unable to schedule and required follow-up visits
Known heart failure
Unstable angina
Uncontrolled dysrhythmias
Trial design
Single group
Treatments tested in this trial
Deferoxamine
DrugDeferoxamine is used to reduce excess iron accumulation after monitoring iron levels. Adjustment to therapy will be based on iron burden assessments throughout the study duration.
Deferasirox
DrugDeferasirox is used for iron chelation therapy based on iron burden assessment throughout the study.
Deferiprone
DrugDeferiprone is used for iron chelation therapy used throughout the study.
Echocardiography
DeviceThis device uses ultrasound waves to create images of heart to help evaluate the heart's structure and function. This allows the detection of abnormalities of heart due to iron overload through out the study.
Electrocardiogram (ECG)
DeviceThe Electrocardiogram (ECG) device records the electrical activity of the heart. It is crucial for identifying arrhythmias and conduction abnormalities, which can be exacerbated by iron accumulation in the heart.
Treatment groups
Trial outcomes
Primary outcomes
Incidence of Hospitalization for Sickle Cell Disease Related Complications
Total number of participants hospitalized for SCD related complications including vaso-occlusive crises, acute chest syndrome and infection detect the impact of early intervention of cardiac iron overload in patients with Sickle Cell Disease
Length of Stay for SCD-Related Complications
The total number of days spent in the hospital per admission for complications related to SCD.
Secondary outcomes
Incidence of Left and/or Right Heart Failure
Total number of participants who develop left and/or right heart failure is estimated using descriptive statistics with 95% confidence intervals.
Incidence of Atrial or Ventricular Arrhythmia or Conduction Abnormalities
The number of participants with conditions such as atrial fibrillation, ventricular tachycardia, or conduction system disease. Reported with 95% confidence intervals.
Sponsors and contacts
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