Haematologica (Jan 2011)

Continued improvement in myocardial T2* over two years of deferasirox therapy in β-thalassemia major patients with cardiac iron overload

  • Dudley J. Pennell,
  • John B. Porter,
  • Maria Domenica Cappellini,
  • Lee Lee Chan,
  • Amal El-Beshlawy,
  • Yesim Aydinok,
  • Hishamshah Ibrahim,
  • Chi-Kong Li,
  • Vip Viprakasit,
  • Mohsen Saleh Elalfy,
  • Antonis Kattamis,
  • Gillian Smith,
  • Dany Habr,
  • Gabor Domokos,
  • Bernard Roubert,
  • Ali Taher

DOI
https://doi.org/10.3324/haematol.2010.031468
Journal volume & issue
Vol. 96, no. 1

Abstract

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Background The efficacy of cardiac iron chelation in transfusion-dependent patients has been demonstrated in one-year prospective trials. Since normalization of cardiac T2* takes several years, the efficacy and safety of deferasirox was assessed for two years in patients with β-thalassemia major in the cardiac sub-study of the EPIC trial.Design and Methods Eligible patients with myocardial T2* greater than 5 to less than 20 ms received deferasirox, with the primary endpoint being the change in T2* from baseline to two years.Results Baseline myocardial T2* was severe (>5 to