TABLE 3.
Outcomes of some major iron chelators used in ICH in the clinical and preclinical studies.
Iron chelator | Type of trial | Development Phase | Outcomes | References |
Deferoxamine | Preclinical trials | Preclinical | Decreased hemin release from the hematoma and reduced iron deposition and the severity of brain injury in animal models. | Hu et al., 2019 |
Clinical trials | Phase I and II, under investigation | Effective to a certain extent, but lead to hypotension, pancytopenia, retinal toxicity, and neurotoxicity, and would be ineffective to significantly improve the good clinical outcome at day 90 in ICH patients. | Hu et al., 2019; Selim et al., 2019 | |
Deferiprone | Preclinical trials | Preclinical | Reduced iron deposition, but invalid to brain edema and lipid ROS, and failed to improve the outcome in rat models. | Wang et al., 2016 |
Clinical trials | Phase II | Effective to some extent in humans and experimental neurodegenerative and neurodevelopmental conditions, but can cause injury to the surrounding tissue. | Klopstock et al., 2019 | |
Minocycline | Preclinical trials | Preclinical | Reduced the hematoma volume and brain edema, prevented iron accumulation, and protected brain from injury after ICH in rat models. | Zhao et al., 2011a; Yang et al., 2019 |
Clinical trials | Phase II, under investigation | Reduced iron overload and iron-induced brain injury after ICH. | Chang et al., 2017; Fouda et al., 2017; Yang et al., 2020 | |
VK-28 | Preclinical trials | Preclinical | Improved neurobehavioral performance, reduced brain water content, decreased white matter injury. | Li et al., 2017 |
Clioquinol | Preclinical trials | Preclinical | Improved the neurological outcome, attenuated brain edema, and ROS production in rat models. | Wang et al., 2016 |
Ceruloplasmin | Preclinical trials | Preclinical | Reduced the severity of brain injury in rat models. | Liu et al., 2019 |