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. 2022 Sep 5;23(17):10189. doi: 10.3390/ijms231710189

Table 5.

Decreased ferritin, but do not mention morbidities.

Study Study Subject N, Study Design Morbidity Ferritin Level (Patient Number)/Patient Number (%) Note:
THALASSA trial, 2012 [52]




THALASSA trial, 1 year extension 2013 [53]





Ali T Taher et al., 2014 [54]; Part of THALASSA trial
NTDT ≥ 10 years and LIC ≥ 5 mg Fe/g dw (MRI) and Ferritin > 300 ng/mL in 2 consecutive values ≥ 14 days; 1 year result
No transfusion within 6 months or chelation therapy within 1 month
Exclude HBV, HCV carrier





NTDT age ≥ 10 years
LIC ≥ 5 mg Fe/g dw and
Ferritin > 300 μg/mL
Deferasirox-naïve, no other chelation therapy within 1 month of study entry
Deferasirox vs. placebo 1 year and then 1 year extension placebo switched to deferasirox
166 patients
Phase 2, prospective, randomized, double-blind, placebo-controlled trial

130 patients







130 patients
Start LIC ≥ 5 mg Fe/g dw and Ferritin > 300 ng/mL
Suspended Ferritin < 100 ng/mL or LIC < 3 mg Fe/g dw
↓ LIC significantly, ↓ serum ferritin level significantly
↓ LIC significantly, ↓ serum ferritin level significantly
Trend decreasing in mean ALT
Trend increase serum creatinine and decrease
creatinine clearance; increase urinary protein/creatinine
ratio initially and then stable
Ferritin 800 ≥ μg/L predict LIC ≥ 5 mg
Interruption (ferritin <300 μg/L)
Dose escalation (ferritin > 2000 μg/L)
Pootrakul P et al., 2003 [55] Deferiprone 1 year in Thailand
Transfused while Hb < 5 g/dL
7 β-TI/HbE,
2 β-TI
Significant fall in liver iron, serum ferritin, red cell membrane iron and serum non-transferrin bound iron 3 transfused
6 not transfused
Vassilis Ladis et al., 2010 [56] Ferritin 500 ≥ µg/L and LIC ≥ 2 mg Fe/g dw (MRI)
NTDT, some <20 pRBC
Exclude renal, liver function impairment or a life expectancy <2 years
11 TI patients
Deferasirox discontinue ferritin < 250 µg/L and LIC < 2 mg Fe/g dw
1 patient excluded for 6 months of iron chelation therapy
1 patient 12 months
LIC decrease, p = 0.044
LVEF no change