Table 1. Summary of the properties of iron chelators in clinical use.
Property of Chelator | Desferrioxamine (DFO) | Deferiprone (L1) | Desferasirox (ICL-670) |
Date of approval for clinical use1,8,14 | 1970s | 1999 in Europe and Asia,2012 in the USA | 2005 |
Usual dose1 | 20–50 mg/kg/day | 75–100 mg/kg/day | 20–40 mg/kg/day |
Molecular weight | 560 | 139 | 373 |
Fe binding log stability constant6,7,32 | 30.6 | 35 | 38 |
Chelator: Iron39 | 1∶1 (Hexadentate) | 3∶1 (Bidentate) | 2∶1 (Tridentate) |
Potential toxicities11,13,16 | Reaction at the infusion site,neurotoxicity, boneabnormalities | Neutropenia, agranulocytosis,arthralgia, elevation of liverenzyme | Gastrointestinal, rash, renal and liver |