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CompletedNCT00143572Updated Apr 26, 2017

Use of Hydroxyurea and Magnesium Pidolate for Treatment of Sickle Cell Disease

A Phase 1 interventional study of Magnesium Pidolate, Hydroxyurea in Anemia, Sickle Cell, sponsored by St. Jude Children's Research Hospital. Completed at 1 site in United States. Open to participants aged 3 Years to 15 Years. Per ClinicalTrials.gov, last updated 2017-04-26.

Sponsored by St. Jude Children's Research Hospital · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
16
Allocation
Not applicable
Ages
3 Years to 15 Years
Sex
All
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Study summary

The purpose of this study is to estimate the MTD of Mg pidolate in combination with HU in patients with sickle cell disease who have been on a therapeutic dose (15-30 mg/kg/day) of HU for at least 6 months.

Read the detailed description

This is a Phase I clinical trial evaluating the combination of hydroxyurea and magnesium pidolate for patients with sickle cell disease with either hemoglobin SS disease or hemoglobin S beta thalassemia. Hydroxyurea and magnesium pidolate will be tested in pediatric and adolescent patients with sickle cell disease who already have been treated with hydroxyurea for a minimum of six months. Magnesium pidolate will be given in combination with hydroxyurea for six months. In successive small groups of patients, the dose of magnesium will be increased in order to eventually determine the maximum tolerated dose (MTD) and dose limiting toxicity (DLT) for magnesium when given in combination with hydroxyurea. The maximum tolerated dose is the highest drug dose that can be given safely to participants. The dose limiting toxicity is determined when drug side effects prevent an increase in dose.

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Conditions studied

  • Anemia, Sickle Cell

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Keywords

  • Hematologic Diseases
  • Anemia, Sickle Cell
03

In context

Anemia, Sickle Cell

1,103 studies on the registry are indexed under Anemia, Sickle Cell; 235 are open to participants now.

This study's enrollment of 16 is below the median of 40 across 750 interventional studies indexed under Anemia, Sickle Cell.

Browse Anemia, Sickle Cell studies →

Lead sponsor

St. Jude Children's Research Hospital is the lead sponsor of 434 studies on the registry; 99 are open to participants now.

Of its 60 completed or terminated interventional studies of FDA-regulated products, 35 (58%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
3 Years to 15 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Age > 3 years and \< 15 years at the time of study enrollment
  2. Diagnosis of Hb SS or Hb S beta thalassemia
  3. Hydroxyurea treatment for at least 6 months prior to study entry at dose of 15 - 30 mg/kg/day
  4. Compliance with taking HU treatment of at least 70 % for 6 months prior to study entry

Exclusion criteria

Exclusion Criteria:

  1. Red blood cell transfusion within the last 3 months resulting in a level of Hb A of 10% or more
  2. Pregnancy or unwillingness to use effective birth control in sexually active subjects (females who state that they are sexually active)
  3. Renal dysfunction defined by a serum creatinine greater than 1.5 times the upper limit of normal for age
  4. Liver dysfunction defined by an ALT greater than twice the upper limit of normal for age
  5. Concomitant usage of an "antisickling" agent other than hydroxyurea
  6. Current use of Mg containing drugs
  7. Iron deficiency, defined by serum ferritin ≤ 10 ng/ml
  8. Concomitant chronic illness other than sickle cell anemia
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Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
16 participants (actual)

Study arms

  • Other
    1

    Drug: Magnesium Pidolate, Hydroxyurea

Interventions

  • DrugMagnesium Pidolate, Hydroxyurea

    Intervention Description: Mg pidolate in combination with HU in patients with sickle cell disease who have been on a therapeutic dose (15-30 mg/kg/day) of HU for at least 6 months. Mg pidolate will be given at an initial dose of 0.6 mEq/kg/day divided into 2 daily doses for the first cohort of patients. This dose will be escalated for the subsequent patient cohorts as defined by a classic Phase I design (according to toxicity).

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What researchers measure

Primary outcomes

  1. To estimate the maximum tolerated dose of magnesium pidolate in combination with hydroxyurea in patients with sickle cell disease who have been on a therapeutic dose of hydroxyurea for at least six months.

    Time frame: Every 2 weeks for first 8 weeks; then every 4 weeks

Secondary outcomes

  1. To document the toxicity of the combination of hydroxyurea and magnesium pidolate.

    Time frame: Every 2 weeks for first 8 weeks; then every 4 weeks

  2. To investigate the effect of the combination of hydroxyurea and magnesium on hematological parameters and red cell metabolism.

    Time frame: 3 months, 6 months, and 9 months

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Study locations

1 site
  • St. Jude Children's Research Hospital
    Memphis, Tennessee 38105, United States
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References and documents

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00143572
Lead sponsor
St. Jude Children's Research Hospital
Responsible party
Sponsor
First posted
Sep 2, 2005
Start date
Nov 2004
Primary completion
Jan 2008
Completion
Jan 2008
Last update
Apr 26, 2017

Study contacts

Winfred Wang, MD
principal investigator · St. Jude Children's Research Hospital

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Feb 2010. You cannot join it, but the record below documents what was studied.

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