Evaluating the Efficacy of Deferasirox in Transfusion Dependent Chronic Anaemias (Myelodysplastic Syndrome, Beta-thalassaemia Patients) With Chronic Iron Overload
Inclusion Criteria
Inclusion criteria:
- In- or outpatients with myelodysplasia / with risk of low or intermedier-1 according
to the International Prognostic Scoring System (IPSS) confirmed by bone marrow
evaluation within 3 month/ or beta thalassaemia major patients, who have chronic iron
overload, as a consequence of frequent blood transfusion
- Serum ferritin> 1800 µg/L
- Age: 18-80 years
- men and women
- Chronic iron overload caused by at least 30 units and maximum 100 units of blood of
packed red blood cells
- Deferoxamin therapy is contraindicated or inadequate or unable to use in the
recommended dose due to intolerability or other reason
- Eastern Cooperative Oncology Group (ECOG) performance status score between 0-2
- written informed consent
Exclusion criteria:
- beta thalassaemia minor,
- haemosiderosis caused by other than chronic transfusional iron overload,
- patients with impaired renal function (Creatinin clearance< 60 ml/ min),
- pregnancy,
- lactation,
- patient of childbearing potential unwilling to use contraceptive precautions
- known hypersensitivity to deferasirox or any ingredients,
- impaired hepatic function (SGOT,SGPT 5x above UNL).
- Patients severely ill due to underlying disease progression or other severe
concomitant disease.
- Patients with poor prognosis of karyotype
- patients with malabsorption caused by inflammatory bowel disease, gastrectomy,
pancreatitis or other medical condition
- History of nephrotic syndrome
- Significant proteinuria
- Patients with a previous history of clinically relevant ocular toxicity related to
iron chelation
- Patients with positive test to HIV
Other protocol-defined inclusion/exclusion criteria may apply