Page last updated: 2024-10-25

deferoxamine and Blood Pressure, Low

deferoxamine has been researched along with Blood Pressure, Low in 10 studies

Deferoxamine: Natural product isolated from Streptomyces pilosus. It forms iron complexes and is used as a chelating agent, particularly in the mesylate form.
desferrioxamine B : An acyclic desferrioxamine that is butanedioic acid in which one of the carboxy groups undergoes formal condensation with the primary amino group of N-(5-aminopentyl)-N-hydroxyacetamide and the second carboxy group undergoes formal condensation with the hydroxyamino group of N(1)-(5-aminopentyl)-N(1)-hydroxy-N(4)-[5-(hydroxyamino)pentyl]butanediamide. It is a siderophore native to Streptomyces pilosus biosynthesised by the DesABCD enzyme cluster as a high affinity Fe(III) chelator.

Research Excerpts

ExcerptRelevanceReference
"The aim was to test the primary hypothesis that in patients suffering from shock, treatment with N-acetylcysteine (NAC) plus deferoxamine (DFX) decreases the incidence of acute kidney injury (AKI)."9.22N-acetylcysteine plus deferoxamine for patients with prolonged hypotension does not decrease acute kidney injury incidence: a double blind, randomized, placebo-controlled trial. ( Dal-Pizzol, F; Damasio, DC; Fraga, CM; Ritter, C; Tomasi, CD; Vuolo, F, 2016)
"Treatment with the iron chelator, deferoxamine mesylate (DFO), improves neurological recovery in animal models of intracerebral hemorrhage (ICH)."9.15Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage. ( Goldstein, JN; Gomes, J; Greenberg, S; Morgenstern, LB; Palesch, Y; Schlaug, G; Selim, M; Torbey, M; Waldman, B; Xi, G; Yeatts, S, 2011)
"To review the adverse effects and risks of deferoxamine for the treatment of iron poisoning."8.79Risks of parenteral deferoxamine for acute iron poisoning. ( Howland, MA, 1996)
" We conclude that iron-chelation therapy with DFO at the above dosage results in a significant deterioration in cardiovascular function in septic swine."5.29Deferoxamine induces hypotension in experimental gram-negative septicemia. ( Bohnen, JM; Mullen, JB; Mustard, RA; Schouten, BD; Swanson, HT, 1994)
"The aim was to test the primary hypothesis that in patients suffering from shock, treatment with N-acetylcysteine (NAC) plus deferoxamine (DFX) decreases the incidence of acute kidney injury (AKI)."5.22N-acetylcysteine plus deferoxamine for patients with prolonged hypotension does not decrease acute kidney injury incidence: a double blind, randomized, placebo-controlled trial. ( Dal-Pizzol, F; Damasio, DC; Fraga, CM; Ritter, C; Tomasi, CD; Vuolo, F, 2016)
"Treatment with the iron chelator, deferoxamine mesylate (DFO), improves neurological recovery in animal models of intracerebral hemorrhage (ICH)."5.15Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage. ( Goldstein, JN; Gomes, J; Greenberg, S; Morgenstern, LB; Palesch, Y; Schlaug, G; Selim, M; Torbey, M; Waldman, B; Xi, G; Yeatts, S, 2011)
"To review the adverse effects and risks of deferoxamine for the treatment of iron poisoning."4.79Risks of parenteral deferoxamine for acute iron poisoning. ( Howland, MA, 1996)
"Desferrioxamine (DFO) was administered intravenously to a 63-year-old chronic hemodialysis patient with osteomalacia believed secondary to aluminum intoxication."3.67Thrombocytopenia associated with intravenous desferrioxamine. ( Eisinger, RP; Sherman, RA; Walker, JA, 1985)
" We conclude that iron-chelation therapy with DFO at the above dosage results in a significant deterioration in cardiovascular function in septic swine."1.29Deferoxamine induces hypotension in experimental gram-negative septicemia. ( Bohnen, JM; Mullen, JB; Mustard, RA; Schouten, BD; Swanson, HT, 1994)

Research

Studies (10)

TimeframeStudies, this research(%)All Research%
pre-19904 (40.00)18.7374
1990's2 (20.00)18.2507
2000's1 (10.00)29.6817
2010's3 (30.00)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Fraga, CM2
Tomasi, CD2
Damasio, DC1
Vuolo, F2
Ritter, C2
Dal-Pizzol, F2
Selim, M1
Yeatts, S1
Goldstein, JN1
Gomes, J1
Greenberg, S1
Morgenstern, LB1
Schlaug, G1
Torbey, M1
Waldman, B1
Xi, G1
Palesch, Y1
Biff, D1
Topanotti, MF1
Felisberto, F1
Petronilho, F1
Yokoyama, N1
Nishikawa, K1
Saito, Y1
Saito, S1
Goto, F1
Mustard, RA1
Bohnen, JM1
Mullen, JB1
Schouten, BD1
Swanson, HT1
Howland, MA1
Greengard, J1
Walker, JA1
Sherman, RA1
Eisinger, RP1
Eriksson, F1
Johansson, SV1
Mellstedt, H1
Stranberg, O1
Wester, PO1
Westlin, WF1

Clinical Trials (4)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Prospective, Randomized, Double-blinded, Placebo-controlled Study of N-acetylcysteine Plus Deferoxamine for Patients With Hypotension as Prophylaxis for Acute Renal Failure[NCT00870883]Phase 281 participants (Actual)Interventional2009-03-31Completed
Safety and Effectiveness Study of Deferoxamine and Xingnaojing Injection in Intracerebral Hemorrhage[NCT02367248]Phase 1/Phase 2180 participants (Anticipated)Interventional2015-03-31Recruiting
Futility Study of Deferoxamine in Intracerebral Hemorrhage[NCT01662895]Phase 242 participants (Actual)Interventional2013-03-18Terminated (stopped due to By DSMB on October 18, 2013 due to increased incidence of ARDS. See modified protocol [NCT02175225)
Study of Deferoxamine Mesylate in Intracerebral Hemorrhage[NCT02175225]Phase 2294 participants (Actual)Interventional2014-10-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Number of Patients Who Died During the 90-day Study Period

Mortality at any time from randomization through day-90 (NCT01662895)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine3
Normal Saline0

Number of Patients With Hypotension

(NCT01662895)
Timeframe: within 7 days or discharge

InterventionParticipants (Count of Participants)
Deferoxamine1
Normal Saline1

Number of Patients With New Visual or Auditory Changes

(NCT01662895)
Timeframe: within 7 days or discharge

InterventionParticipants (Count of Participants)
Deferoxamine0
Normal Saline1

Number of Patients With Serious Adverse Events

(NCT01662895)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine9
Normal Saline6

Number of Subjects With Acute Respiratory Distress Syndrome

(NCT01662895)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine6
Normal Saline0

Number of Subjects With Allergic/Anaphylactic Reaction

(NCT01662895)
Timeframe: within 7 days or discharge

InterventionParticipants (Count of Participants)
Deferoxamine0
Normal Saline0

Number of Subjects With Modified Rankin Scale (mRS) Score 0-2

"The primary outcome measure of efficacy is the modified Rankin Scale (mRS) score, dichotomized to define good functional outcome as mRS 0-2 at 90 days.~The minimum mRS score is 0 (i.e. no disability). The maximum score is 6 (i.e. dead)." (NCT01662895)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine6
Normal Saline10

Number of Subjects With mRS Score 0-3

The proportion of DFO- and placebo-treated subjects with mRS 0-3 vs. 4-6 at 90 days (NCT01662895)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine12
Normal Saline14

Adverse Event of Special Interest: Number of Patients With Allergic Reactions (During Infusion of Study Drug)

Adverse event of special interest: anaphylaxis at any time during the study infusion (NCT02175225)
Timeframe: during the study infusion

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate3
Normal Saline0

Adverse Event of Special Interest: Number of Patients With Hypotension

Hypotension requiring medical intervention at any time during the study infusion that could not be explained by other causes (NCT02175225)
Timeframe: during the study infusion

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate1
Normal Saline2

Adverse Event of Special Interest: Number of Patients With New Visual or Auditory Changes

Adverse event of special interest: development of new and unexplained visual or auditory changes after initiation of the study infusion (NCT02175225)
Timeframe: after initiation of study infusion

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate3
Normal Saline4

Number of Patients With Symptomatic Cerebral Edema

Edema accompanied by an unexplained increase of more than four points on the US National Institutes of Health Stroke Scale or a decrease of more than two points in Glasgow Coma Scale score during the first week after the intracerebral haemorrhage. (NCT02175225)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate9
Normal Saline5

Number of Subjects Experiencing Serious Adverse Events

Number of subjects experiencing Serious adverse events at any time from randomization through day 90 (NCT02175225)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate39
Normal Saline49

Number of Subjects With Serious Adverse Events Within 7 Days

Number of Subjects Experiencing Serious Adverse Events within 7 days of randomization (NCT02175225)
Timeframe: 7 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate24
Normal Saline26

Proportion of Patients With Modified Rankin Scale (mRS) Score 0-2 at 180 Days

Another measure of efficacy is the modified Rankin Scale (mRS) score, dichotomized to define good functional outcome as mRS 0-2 at 180 days. The mRS ranges from 0 to 6, with higher scores indicating worse outcome. (NCT02175225)
Timeframe: 180 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate61
Normal Saline48

Proportion of Patients With Modified Rankin Scale (mRS) Score 0-2 at 90 Days

The primary outcome measure of efficacy is the modified Rankin Scale (mRS) score, dichotomized to define good functional outcome as mRS 0-2 at 90 days. The mRS ranges from 0 to 6, with higher scores indicating worse outcome. (NCT02175225)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate48
Normal Saline47

Proportion of Patients With Modified Rankin Scale (mRS) Score 0-3 at 180 Days

Another measure of efficacy is the modified Rankin Scale (mRS) score, dichotomized to define good functional outcome as mRS 0-3 at 180 days. The mRS ranges from 0 to 6, with higher scores indicating worse outcome. (NCT02175225)
Timeframe: 180 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate97
Normal Saline92

Proportion of Patients With mRS Score 0-3 at 90 Days

"Another measure of efficacy is the modified Rankin Scale (mRS) score, dichotomized to define good functional outcome as mRS 0-3 at 90 days. The mRS ranges from 0 to 6, with higher scores indicating worse outcome.~Although mRS 0-3 is less favorable than the primary outcome of mRS 0-2, it would still be a desirable effect in patients with ICH given that no treatments exist to reduce disability." (NCT02175225)
Timeframe: 90 days

InterventionParticipants (Count of Participants)
Deferoxamine Mesylate91
Normal Saline82

Adverse Event of Special Interest: Number of Patients With Respiratory Compromise

Adverse event of special interest: Respiratory compromise of any cause, including acute respiratory distress syndrome, in hospital until day 7 or discharge [whichever was earlier] (NCT02175225)
Timeframe: 7 days

,
InterventionParticipants (Count of Participants)
All causeCause by acute respiratory distress syndrome
Deferoxamine Mesylate202
Normal Saline231

Proportion of Subjects With Good Outcome (mRS 0-2) in the Early vs. Delayed Treatment Time Windows

Analyses will be expanded to include an interaction between treatment and OTT window and the magnitude of the treatment effect, and corresponding confidence interval, will be estimated for each time window (<12 hours vs. >/= 12 hours) in order to explore the presence of a differential treatment effect in the OTT windows. (NCT02175225)
Timeframe: 90 days

,
InterventionParticipants (Count of Participants)
Onset to treatment time <=12 hoursOnset to treatment time >12 hours
Deferoxamine Mesylate1533
Normal Saline1928

Reviews

1 review available for deferoxamine and Blood Pressure, Low

ArticleYear
Risks of parenteral deferoxamine for acute iron poisoning.
    Journal of toxicology. Clinical toxicology, 1996, Volume: 34, Issue:5

    Topics: Administration, Oral; Antidotes; Communicable Diseases; Deferoxamine; Ear Diseases; Eye Diseases; Hu

1996

Trials

4 trials available for deferoxamine and Blood Pressure, Low

ArticleYear
N-acetylcysteine plus deferoxamine for patients with prolonged hypotension does not decrease acute kidney injury incidence: a double blind, randomized, placebo-controlled trial.
    Critical care (London, England), 2016, 10-17, Volume: 20, Issue:1

    Topics: Acetylcysteine; Acute Kidney Injury; Adult; Aged; Critical Illness; Deferoxamine; Double-Blind Metho

2016
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
Safety and tolerability of deferoxamine mesylate in patients with acute intracerebral hemorrhage.
    Stroke, 2011, Volume: 42, Issue:11

    Topics: Acute Disease; Aged; Aged, 80 and over; Cerebral Hemorrhage; Cohort Studies; Deferoxamine; Female; F

2011
The effects of N-acetylcysteine and deferoxamine on plasma cytokine and oxidative damage parameters in critically ill patients with prolonged hypotension: a randomized controlled trial.
    Journal of clinical pharmacology, 2012, Volume: 52, Issue:9

    Topics: Acetylcysteine; Acute Kidney Injury; Adult; Aged; Antioxidants; Critical Illness; Deferoxamine; Doub

2012
[Comparison of the effects of colloid and crystalloid solution for volume preloading on maternal hemodynamics and neonatal outcome in spinal anesthesia for cesarean section].
    Masui. The Japanese journal of anesthesiology, 2004, Volume: 53, Issue:9

    Topics: Adult; Anesthesia, Obstetrical; Anesthesia, Spinal; Cesarean Section; Colloids; Crystalloid Solution

2004

Other Studies

5 other studies available for deferoxamine and Blood Pressure, Low

ArticleYear
Deferoxamine induces hypotension in experimental gram-negative septicemia.
    Shock (Augusta, Ga.), 1994, Volume: 1, Issue:3

    Topics: Animals; Deferoxamine; Disease Models, Animal; Gram-Negative Bacterial Infections; Hemodynamics; Hyp

1994
Iron poisoning in children.
    Clinical toxicology, 1975, Volume: 8, Issue:6

    Topics: Chelating Agents; Child; Child, Preschool; Deferoxamine; Exchange Transfusion, Whole Blood; Humans;

1975
Thrombocytopenia associated with intravenous desferrioxamine.
    American journal of kidney diseases : the official journal of the National Kidney Foundation, 1985, Volume: 6, Issue:4

    Topics: Aluminum; Deferoxamine; Humans; Hypotension; Injections, Intravenous; Kidney Failure, Chronic; Male;

1985
Iron intoxication in two adult patients.
    Acta medica Scandinavica, 1974, Volume: 196, Issue:3

    Topics: Adult; Deferoxamine; Female; Hemoglobins; Hemolysis; Humans; Hypotension; Iron; Jaundice; Liver Func

1974
Deferoxamine as a chelating agent.
    Clinical toxicology, 1971, Volume: 4, Issue:4

    Topics: Chelating Agents; Chemical Phenomena; Chemistry; Child; Deferoxamine; Diarrhea; Female; Humans; Hypo

1971