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. 2017 Aug 15;2017(8):CD007476. doi: 10.1002/14651858.CD007476.pub3

Peng 2013.

Methods Randomised controlled study.
Participants 26 individuals were recruited, who were diagnosed as β‐severe thalassaemia by gene screening, 2 met exclusion criteria
24 participants were randomised
Gender: 13 male, 11 female
Age (mean (SD) (range)): (14 (3) (11 ‐ 26)) years
Setting: First Affiliated Hospital, Guangxi Medical University, Nanning
Country: China
Inclusion criteria:
  • Age ≥ 10 years

  • History of 50 unit red blood cell transfusion (1 unit = 200 mL red blood cell) at least

  • Receiving red blood cell transfusion (≥ 10 unit per year)


Exclusion criteria:
  • T2* ≥ 6.3 ms at first MRI screening or LIC ≤ 2 mg/g (1 mg/g = 17.9 mmoL/kg)

  • Dysfunction of liver and kidney

  • Contraindication of MR screening or disagreement doing the screening


Follow up: 12 months
Interventions Two groups:
  • DFX (n = 12): 40 mg/kg daily before breakfast

  • DFO (n = 12): 50 mg/kg, diluted by 10% solution, subcutaneous injection 8 ‐ 12 hours continuously per day, at least 5 days every week


‐ Parameters of the body of patient, LIC, serum ferritin, serum creatinine, liver function and toxicity of the drugs are regarded as standards to adjust the dose or discontinue the therapy
‐ Meanwhile, the patients still receive the former transfusion program (red blood cell transfusion ≥ 10 units per year) to maintain the haemoglobin > 90 g/L
‐ 5‐day washout period without chelation therapz before treatment
Outcomes
  • Serum ferritin

  • Liver R2*

  • Severity of iron deposition in liver

Notes Study funding sources: National Natural Science Foundation of China, the Natural Science Foundation of Guangxi, China
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk "[...] 24 iron‐overloaded patients were randomly divided into 2 groups [...]"
No details given with regard to sequence generation.
Allocation concealment (selection bias) Unclear risk No details given with regard to concealment of allocation.
Blinding (performance bias and detection bias) 
 All outcomes High risk No details given with regard to blinding.
Due to different administration routes, blinding is not likely.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk There were no missing outcome data.
Selective reporting (reporting bias) High risk Side effects were not reported.
Other bias Low risk No other bias detected.