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CompletedNCT00872833Updated Oct 7, 2015Results posted

Assessment of Pain in People With Thalassemia Who Are Treated With Regular Blood Transfusions

An observational study in Thalassemia, sponsored by Carelon Research. Completed at 9 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-10-07.

Sponsored by Carelon Research · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
32
Ages
18 Years and older
Sex
All
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Study summary

Thalassemia is an inherited blood disorder that can result in mild to severe anemia. Regular blood transfusions, which refresh the healthy red blood cell supply, are one treatment for thalassemia. People with thalassemia often experience pain, but the exact source of pain remains unknown. This study will examine how pain varies during the blood transfusion cycle in people with thalassemia who are treated with regular blood transfusions.

Read the detailed description

Thalassemia is an inherited blood disorder in which the body makes an abnormal form of hemoglobin-the protein in red blood cells that carries oxygen. People with thalassemia often experience fatigue, shortness of breath, and pain. There have been no previous research studies that have fully examined pain levels in people with thalassemia, and as a result, the sources of pain remain unknown. This study is a substudy of the Assessment of Pain study, which is a Thalassemia Clinical Research Network (TCRN) study that is examining the prevalence and severity of pain in people with transfusion-dependent thalassemia and non-transfusion-dependant thalassemia. This study will enroll a subset of participants from the Assessment of Pain study who have transfusion-dependant thalassemia. The purpose of this study is to examine whether pain varies during the blood transfusion cycle and whether the length of the transfusion cycle affects pain levels in people with transfusion-dependent thalassemia.

Participants will complete daily questionnaires through an automated telephone system to assess pain levels during three blood transfusion cycles. Each transfusion cycle will last between 2 to 4 weeks, depending on the individual needs of the participant, and the cycles will be separated by at least 3 months but no more than 4 months. Prior to each transfusion cycle, study researchers will review participants' medical records for certain blood level measurements.

02

Conditions studied

  • Thalassemia

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Keywords

  • Transfusion-Dependant Thalassemia
  • Pain
  • Mild Pain
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In context

Thalassemia

422 studies on the registry are indexed under Thalassemia; 69 are open to participants now.

This study's enrollment of 32 is below the median of 100 across 122 observational studies indexed under Thalassemia.

Browse Thalassemia studies →

Lead sponsor

Carelon Research is the lead sponsor of 59 studies on the registry; 4 are open to participants now.

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

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

People with transfusion-dependent thalassemia who receive care at sites funded by the Thalassemia Clinical Research Network and their satellites.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Participating in the Thalassemia Clinical Research Network Assessment of Pain study
  • Has a transfusion dependence of at least eight transfusions per year
  • Diagnosis of beta thalassemia or E-beta-thalassemia
  • Experiences at least "mild" pain in the 1 month before study entry, as measured by the response to the Brief Pain Inventory (BPI) question #6 from the Assessment of Pain study

Exclusion criteria

Exclusion Criteria:

  • Unwillingness or inability to complete the Brief Pain Inventory Short Form (BPI-SF) on a daily basis
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
32 participants (actual)

Groups and cohorts

  • age 18-29

    People age groups 18-29 with transfusion-dependent thalassemia who have reported at least mild degrees of pain during the main Assessment of Pain study.

  • age 30+

    People age groups 30+ years with transfusion-dependent thalassemia who have reported at least mild degrees of pain during the main Assessment of Pain study.

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What researchers measure

Primary outcomes

  1. Report of Pain by Age Group

    Subjects reported whether or not they had pain (yes/no) during each transfusion cycle (data on up to 3 transfusion cycles were collected for each subject). The percent of subject-cycles with pain was calculated for the quartiles of the transfusion cycle.

    Time frame: measured daily over the 3 transfusion cycles

Secondary outcomes

  1. Report of Pain by Length of the Transfusion Cycle

    Subjects reported whether or not they had pain (yes/no) during each transfusion cycle (data on up to 3 transfusion cycles were collected for each subject). The percent of subject-cycles with pain was calculated for the quartiles of the transfusion cycle.

    Time frame: measured daily over the 3 transfusion cycles

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Results

Posted Aug 27, 2014

Participant flow

Participant flow — Overall Study
MilestoneYounger CohortOlder Cohort
Started1517
Completed1517
Not completed00

Outcome measures

PrimaryReport of Pain by Age Group

Subjects reported whether or not they had pain (yes/no) during each transfusion cycle (data on up to 3 transfusion cycles were collected for each subject). The percent of subject-cycles with pain was calculated for the quartiles of the transfusion cycle.

Time frame:
measured daily over the 3 transfusion cycles
Reported as:
Number · percentage of participant-cycles
Report of Pain by Age Group
percentage of participant-cyclesYounger CohortOlder Cohort
Start of cycle2361
25% through cycle1851
50% through cycle1547
75% through cycle2054
End of cycle1856
Statistical analysis
  • Younger Cohort vs Older Cohort · Chi-squared · p = <.001
SecondaryReport of Pain by Length of the Transfusion Cycle

Subjects reported whether or not they had pain (yes/no) during each transfusion cycle (data on up to 3 transfusion cycles were collected for each subject). The percent of subject-cycles with pain was calculated for the quartiles of the transfusion cycle.

Time frame:
measured daily over the 3 transfusion cycles
Reported as:
Number · percentage of participant-cycles
Report of Pain by Length of the Transfusion Cycle
percentage of participant-cycles<= 14 Days15 - 21 Days22 - 28 Days> 28 Days
Start of cycle50404241
25% through cycle50483514
50% through cycle50482314
75% through cycle60523118
End of cycle50443132
Statistical analysis
  • <= 14 Days vs 15 - 21 Days vs 22 - 28 Days vs > 28 Days · Chi-squared · p = 0.028

Adverse events

Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Adverse Events Were Not Collected———

Baseline characteristics

Age, Continuous
Age, Continuous(years)Overall
Mean31.8 ± 10.5
Sex: Female, Male
Sex: Female, Male(Participants)Overall
Female18
Male14
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Study locations

9 sites
  • Children's Hospital of Los Angeles
    Los Angeles, California 90027, United States
  • Children's Hospital Research Center Oakland
    Oakland, California 94609, United States
  • Stanford University - School of Medicine
    Stanford, California 94305, United States
  • Children's Healthcare of Atlanta
    Atlanta, Georgia 30342, United States
  • Children's Memorial Hospital - Chicago
    Chicago, Illinois 60614, United States
  • Weill Medical College of Cornell
    New York, New York 10065, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Baylor College of Medicine
    Houston, Texas 77030, United States
  • University Health Network - Toronto General Hospital
    Toronto, Ontario M5G 2C4, Canada
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 7, 2015, 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
NCT00872833
Lead sponsor
Carelon Research
Responsible party
Sponsor
First posted
Mar 31, 2009
Start date
Jul 2009
Primary completion
Oct 2010
Completion
Oct 2010
Results posted
Aug 27, 2014
Last update
Oct 7, 2015

Study contacts

Dru Foote, NP
principal investigator · Children's Hospital and Research Institute Oakland
Jeanne Boudreaux, MD
study chair · Children's Healthcare of Atlanta
Thomas Coates, MD
study chair · Children's Hospital Los Angeles
Elliott Vichinsky, MD
study chair · UCSF Benioff Children's Hospital Oakland
Michael Jeng, MD
study chair · Stanford University
Janet Kwiatkowski, MD
study chair · Children's Hospital of Philadelphia
Nancy Olivieri, MD
study chair · University Health Network - Toronto General Hospital
Patricia J. Giardina, MD
study chair · Weill Medical College of Cornell
Brigitta Mueller, MD
study chair · Baylor College of Medicine
Alexis A. Thompson, MD, MPH
study chair · Ann & Robert H Lurie Children's Hospital of Chicago

Oversight

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

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This study is completed, as verified in Apr 2012. You cannot join it, but the record below documents what was studied.

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