Page last updated: 2024-10-25

deferiprone and Hallervorden-Spatz Disease

deferiprone has been researched along with Hallervorden-Spatz Disease in 5 studies

Deferiprone: A pyridone derivative and iron chelator that is used in the treatment of IRON OVERLOAD in patients with THALASSEMIA.
deferiprone : A member of the class of 4-pyridones that is pyridin-4(1H)-one substituted at positions 1 and 2 by methyl groups and at position 3 by a hydroxy group. A lipid-soluble iron-chelator used for treatment of thalassaemia.

Research Excerpts

ExcerptRelevanceReference
"Deferiprone was well tolerated and adverse events were similar between the treatment groups, except for anaemia, which was seen in 12 (21%) of 58 patients in the deferiprone group, but was not seen in any patients in the placebo group."6.90Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study. ( Aguilar, C; Basu, A; Blamire, AM; Büchner, B; Chinnery, PF; Dušek, P; Fradette, C; Hayflick, SJ; Hogarth, P; Horvath, R; Kálmán, B; Karin, I; Klopstock, T; Kmieć, T; Küpper, C; Nardocci, N; Neuhofer, C; Neumayr, L; Spino, M; Steele, HE; Tricta, F; Vichinsky, E; Wilson, I; Yapici, Z; Zhao, F; Zibordi, F; Zorzi, G, 2019)
"Deferiprone was well tolerated and adverse events were similar between the treatment groups, except for anaemia, which was seen in 12 (21%) of 58 patients in the deferiprone group, but was not seen in any patients in the placebo group."2.90Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study. ( Aguilar, C; Basu, A; Blamire, AM; Büchner, B; Chinnery, PF; Dušek, P; Fradette, C; Hayflick, SJ; Hogarth, P; Horvath, R; Kálmán, B; Karin, I; Klopstock, T; Kmieć, T; Küpper, C; Nardocci, N; Neuhofer, C; Neumayr, L; Spino, M; Steele, HE; Tricta, F; Vichinsky, E; Wilson, I; Yapici, Z; Zhao, F; Zibordi, F; Zorzi, G, 2019)

Research

Studies (5)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (100.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Ayton, S1
Bush, AI1
Klopstock, T1
Tricta, F1
Neumayr, L1
Karin, I1
Zorzi, G1
Fradette, C1
Kmieć, T1
Büchner, B1
Steele, HE1
Horvath, R1
Chinnery, PF1
Basu, A1
Küpper, C1
Neuhofer, C1
Kálmán, B1
Dušek, P1
Yapici, Z1
Wilson, I1
Zhao, F1
Zibordi, F1
Nardocci, N1
Aguilar, C1
Hayflick, SJ1
Spino, M1
Blamire, AM1
Hogarth, P1
Vichinsky, E2
Lemprière, S1
Cossu, G1
Abbruzzese, G1
Matta, G1
Murgia, D1
Melis, M1
Ricchi, V1
Galanello, R1
Barella, S1
Origa, R1
Balocco, M1
Pelosin, E1
Marchese, R1
Ruffinengo, U1
Forni, GL1
Pratini, NR1
Sweeters, N1
Neufeld, JA1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
TIRCON International NBIA (Neurodegeneration Associated With Brain Iron Accumulation) Patient Registry and Natural History Study[NCT05522374]2,000 participants (Anticipated)Observational [Patient Registry]2012-06-14Recruiting
A Randomized, Double-blind, Placebo-controlled Trial of Deferiprone in Patients With Pantothenate Kinase-associated Neurodegeneration (PKAN)[NCT01741532]Phase 389 participants (Actual)Interventional2012-12-13Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Level of Brain Iron

Neurodegeneration in patients with PKAN is associated with localized brain iron accumulation, with the highest amount of accumulation seen in the globus pallidus, one of the main areas for motor control. MRI R2* scans of this region were performed at baseline and Month 18 in a subset of patients who did not have a deep brain stimulation (DBS) device implanted, and for whom the use of anesthesia, if required, was deemed acceptable by the investigator. (NCT01741532)
Timeframe: Baseline to 18 Months

InterventionHz (Least Squares Mean)
Deferiprone-36.1
Placebo-0.50

Change in Score on Barry-Albright Dystonia Scale

The Barry-Albright Dystonia (BAD) scale rates severity of dystonia (sustained muscle contractions causing twisting and repetitive movements or abnormal postures) in 8 body regions. The individual scores are summed to provide a total score ranging from 0 to 32, with higher scores indicating greater severity. The co-primary endpoint in this study was the change from baseline to Month 18 in BAD total score. (NCT01741532)
Timeframe: Baseline to 18 Months

Interventionscore on a scale (Least Squares Mean)
Deferiprone2.48
Placebo3.99

Change in Score on Functional Independence Measure

The Functional Independence Measure (FIM) scale is used to assess physical and cognitive disability in three areas of daily living: self-care, mobility, and cognition. Within each area, items are scored according to the level of assistance required to perform that activity of daily living. A score of 1-2 indicates that the patient is completely dependent on a helper to perform the task, a score of 3-5 indicates that the patient is moderately dependent, and a score of 6-7 indicates that no help is required. The individual scores are summed to provide a global score from 18 (worst) to 126 (best). (NCT01741532)
Timeframe: Baseline to 18 Months

Interventionscore on a scale (Least Squares Mean)
Deferiprone5.40
Placebo0.69

Change in Score on Pittsburgh Sleep Quality Index

"The Pittsburgh Sleep Quality Index (PSQI) is a self-rated questionnaire that assesses sleep quality and disturbances over a 1-month time interval. A total of 19 individual items are used to generate 7 component scores: subjective sleep quality, sleep latency, sleep duration, habitual sleep efficiency, sleep disturbances, use of sleeping medication, and daytime dysfunction, and a score is generated that ranges from 0 (best) to 21 (worst)." (NCT01741532)
Timeframe: Baseline to 18 Months

Interventionscore on a scale (Least Squares Mean)
Deferiprone0.48
Placebo0.14

Change in Score on WeeFIM

The WeeFIM is the pediatric version of the Functional Independence Measure scale, and is used to assess physical and cognitive disability in three areas of daily living: self-care, mobility, and cognition. Within each area, items are scored according to the level of assistance required to perform that activity of daily living. A score of 1-2 indicates that the patient is completely dependent on a helper to perform the task, a score of 3-5 indicates that the patient is moderately dependent, and a score of 6-7 indicates that no help is required. The individual scores are summed to provide a global score from 18 (worst) to 126 (best). (NCT01741532)
Timeframe: Baseline to 18 Months

Interventionscore on a scale (Least Squares Mean)
Deferiprone4.91
Placebo-2.40

Score on Patient Global Impression of Improvement at End of Study

The Patient Global Impression of Improvement (PGI-I) is a global index that assesses the response of a condition to a therapy by asking patients to rate their current state relative to their state at baseline. It consists of a 7-point rating scale, where 1=very much improved, 2= much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse, 6 = much worse, and 7 = very much worse. (NCT01741532)
Timeframe: Month 18

Interventionscore on a scale (Least Squares Mean)
Deferiprone4.55
Placebo4.66

Change in Score on Pediatric Quality of Life

The Pediatric Quality of Life (PedsQL) questionnaire is used to measure functional health and well-being from the patient's point of view. Separate versions of the questionnaire are available for children, young adults aged 18-25 years, and adults older than 25 years. Patients are asked to indicate how they have felt over the past month, and the scores of the 23 questions are used to generate an overall score that ranges from 0 (worst) to 100 (best). (NCT01741532)
Timeframe: Baseline to 18 Months

,
Interventionscore on a scale (Least Squares Mean)
Patient self-report, total scoreParent proxy-report, total score
Deferiprone1.21-4.90
Placebo1.34-2.37

Change in Score on Unified Parkinson's Disease Rating Scale

The Unified Parkinson's Disease Rating Scale (UPDRS) is the major rating scale used to assess severity of symptoms of Parkinson's disease, some of which are similar to those of PKAN. The UPDRS subscales used in this study were Part I: Mentation, Behavior and Mood, scored from 0 (best) to 16 (worst); Part II: Activities of Daily Living, scored from 0 (best) to 52 (worst); Part III: Motor Examination, scored from 0 (best) to 108 (worst); and Part VI: Schwab and England Activities of Daily Living Scale, scored from 0% (worst) to 100% (best). (NCT01741532)
Timeframe: Baseline to 18 Months

,
Interventionscore on a scale (Least Squares Mean)
UPDRS Part IUPDRS Part IIUPDRS Part IIIUPDRS Part VI
Deferiprone-0.251.095.38-2.17
Placebo-0.072.362.06-7.66

Trials

1 trial available for deferiprone and Hallervorden-Spatz Disease

ArticleYear
Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study.
    The Lancet. Neurology, 2019, Volume: 18, Issue:7

    Topics: Adolescent; Adult; Child; Child, Preschool; Deferiprone; Disease Progression; Double-Blind Method; F

2019
Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study.
    The Lancet. Neurology, 2019, Volume: 18, Issue:7

    Topics: Adolescent; Adult; Child; Child, Preschool; Deferiprone; Disease Progression; Double-Blind Method; F

2019
Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study.
    The Lancet. Neurology, 2019, Volume: 18, Issue:7

    Topics: Adolescent; Adult; Child; Child, Preschool; Deferiprone; Disease Progression; Double-Blind Method; F

2019
Safety and efficacy of deferiprone for pantothenate kinase-associated neurodegeneration: a randomised, double-blind, controlled trial and an open-label extension study.
    The Lancet. Neurology, 2019, Volume: 18, Issue:7

    Topics: Adolescent; Adult; Child; Child, Preschool; Deferiprone; Disease Progression; Double-Blind Method; F

2019

Other Studies

4 other studies available for deferiprone and Hallervorden-Spatz Disease

ArticleYear
Decreasing iron neurotoxicity in pantothenate kinase-associated neurodegeneration.
    The Lancet. Neurology, 2019, Volume: 18, Issue:7

    Topics: Brain; Deferiprone; Double-Blind Method; Humans; Iron; Pantothenate Kinase-Associated Neurodegenerat

2019
Drug reduces excess iron in ultra-rare neurodegenerative disease.
    Nature reviews. Neurology, 2019, Volume: 15, Issue:9

    Topics: Deferiprone; Double-Blind Method; Humans; Iron; Neurodegenerative Diseases; Pantothenate Kinase-Asso

2019
Efficacy and safety of deferiprone for the treatment of pantothenate kinase-associated neurodegeneration (PKAN) and neurodegeneration with brain iron accumulation (NBIA): results from a four years follow-up.
    Parkinsonism & related disorders, 2014, Volume: 20, Issue:6

    Topics: Adult; Deferiprone; Female; Humans; Iron Chelating Agents; Iron Metabolism Disorders; Longitudinal S

2014
Treatment of classic pantothenate kinase-associated neurodegeneration with deferiprone and intrathecal baclofen.
    American journal of physical medicine & rehabilitation, 2013, Volume: 92, Issue:8

    Topics: Administration, Oral; Adolescent; Baclofen; Deferiprone; Drug Therapy, Combination; Humans; Injectio

2013