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Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients

Primary Purpose

Thalassemia

Status
Completed
Phase
Not Applicable
Locations
Thailand
Study Type
Interventional
Intervention
curcuminoids, N-acetylcysteine, deferiprone and vitamin E
Curcuminoids and alpha-tocopherol
Sponsored by
Mahidol University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Thalassemia focused on measuring Thalassemia, Oxidative stress, antioxidant cocktail

Eligibility Criteria

18 Years - 50 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. age between 18-50 years
  2. hemoglobin level between 6-9 g/dL during screen visit
  3. WHO performance status grade 0-2
  4. signed in informed consents prior to the study entry.

Exclusion Criteria:

  1. receiving iron chelator and blood transfusion.
  2. pregnancy or breastfeeding
  3. receiving other drugs except folic acid at least 30 days before study.

Sites / Locations

  • Department of Biochemistry , Faculty of Medicine Siriraj Hospital, Mahidol university

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Curcuminoids

Vitamin E

Arm Description

The administrate curcuminoids is intervention for 30 patients

The vitamin E is intervention for 30 patients

Outcomes

Primary Outcome Measures

Malonyldiadehyde (MDA)
Lipid peroxidation will be assayed by measuring the formation of malonyldialdehyde (MDA). The formation of MDA on red blood cell will be exposed by hydrogen peroxide. Then, MDA will be extracted by trichloroacetic acid (TCA) and will be reacted with thiobarbituric acid (TBA) in boiling condition to MDA-TBAR complex. This complex will be given pink color and measuring at 532 and 600 nm

Secondary Outcome Measures

Full Information

First Posted
May 10, 2012
Last Updated
May 13, 2012
Sponsor
Mahidol University
Collaborators
ChaingMai University
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1. Study Identification

Unique Protocol Identification Number
NCT01597765
Brief Title
Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients
Official Title
Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients
Study Type
Interventional

2. Study Status

Record Verification Date
May 2012
Overall Recruitment Status
Completed
Study Start Date
June 2009 (undefined)
Primary Completion Date
June 2011 (Actual)
Study Completion Date
June 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Mahidol University
Collaborators
ChaingMai University

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to determine the efficacy of antioxidant cocktails on the alleviation of oxidative stress and iron overload in beta-thalassemia/Hb E patients.
Detailed Description
60 cases of beta-thalassemia/Hb E patients. All patients will be diagnosed with hemoglobin typing of beta-thalassemia/Hb E disease and not receive blood transfusion or any treatment at least 3 months prior study. The study will be randomized controlled trial that designed before and after treatment with antioxidant cocktail. The antioxidant cocktail consists of vitamin E 400 IU/day, curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day. All patients will receive antioxidant cocktail daily for 12 months. The patients will be regularly followed up and analyzed biochemical parameters every two months during treatment and after withdrawal for 3 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Thalassemia
Keywords
Thalassemia, Oxidative stress, antioxidant cocktail

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Care ProviderInvestigator
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Curcuminoids
Arm Type
Experimental
Arm Description
The administrate curcuminoids is intervention for 30 patients
Arm Title
Vitamin E
Arm Type
Experimental
Arm Description
The vitamin E is intervention for 30 patients
Intervention Type
Drug
Intervention Name(s)
curcuminoids, N-acetylcysteine, deferiprone and vitamin E
Other Intervention Name(s)
curcuminoids 500 mg brand name Anti-Ox, N-acetylcysteine 200 mg brand name Mysoven, deferiprone 50 mg/kg/day brand name GPO-L-ONE, vitamin E 400 IU/day brand name Natural
Intervention Description
receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day deferiprone 50 mg/kg/day and vitamin E 400 IU/day
Intervention Type
Drug
Intervention Name(s)
Curcuminoids and alpha-tocopherol
Intervention Description
group 1: receiving curcuminoids 500 mg/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day group 2: receiving vitamin E 400 IU/day, N-acetylcysteine 200 mg/day and deferiprone 50 mg/kg/day
Primary Outcome Measure Information:
Title
Malonyldiadehyde (MDA)
Description
Lipid peroxidation will be assayed by measuring the formation of malonyldialdehyde (MDA). The formation of MDA on red blood cell will be exposed by hydrogen peroxide. Then, MDA will be extracted by trichloroacetic acid (TCA) and will be reacted with thiobarbituric acid (TBA) in boiling condition to MDA-TBAR complex. This complex will be given pink color and measuring at 532 and 600 nm
Time Frame
1 year after treatment with antioxidant cocktail.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: age between 18-50 years hemoglobin level between 6-9 g/dL during screen visit WHO performance status grade 0-2 signed in informed consents prior to the study entry. Exclusion Criteria: receiving iron chelator and blood transfusion. pregnancy or breastfeeding receiving other drugs except folic acid at least 30 days before study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ruchaneekorn Kalpravidh, Assoc. Prof. Dr.
Organizational Affiliation
Mahidol University
Official's Role
Study Chair
Facility Information:
Facility Name
Department of Biochemistry , Faculty of Medicine Siriraj Hospital, Mahidol university
City
Bangkoknoi
State/Province
Bangkok
ZIP/Postal Code
10700
Country
Thailand

12. IPD Sharing Statement

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Effect of Antioxidant Cocktail in Beta-thalassemia/Hb E Patients

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