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AzTrials

Beta-ThalassemiaPhase 3NCT07884773

Combination Therapy With Danazol, Prednisolone, and Thalidomide for Thalidomide-Refractory Transfusion-Dependent β-Thalassemia

A Phase 3 study testing Thalidomide, Danazol and Prednisolone in people with Beta-Thalassemia and Thalassemia, run by Khyber Medical University Peshawar at 1 site in Pakistan.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

This study will compare two treatments for children with beta-thalassemia who need regular blood transfusions and have not responded well to thalidomide. One group will continue thalidomide alone. The other group will receive thalidomide plus danazol and prednisolone. Read more about this study

Who is it for?
Ages 5 to 15 years
Conditions the study is for
Beta-Thalassemia, Thalassemia
What is being tested?
Thalidomide, Danazol and Prednisolone
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
172 participants
Where
1 sitePakistan
Study dates
12 Oct 2026to 20 May 2027
Phase
Phase 3
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 5 to 15 years
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Age 5 to 15 years with confirmed transfusion-dependent beta-thalassemia major.
  • Documented non-response to adequately dosed thalidomide therapy for at least 6 months.
  • Pre-transfusion hemoglobin less than 9.0 g/dL with continued transfusion dependence (more than 2 units per month).
  • Adequate baseline clinical and laboratory assessment for safe study treatment.
  • Stable transfusion and iron-chelation regimen according to the protocol.
  • Written informed consent from parent/legal guardian and age-appropriate assent from the participant, with willingness to comply with study procedures and follow-up.

Who cannot join

  • Previous allogeneic hematopoietic stem cell or bone marrow transplantation.
  • Diabetes mellitus or clinically significant uncontrolled metabolic disease.
  • Active severe infection or uncontrolled hepatic, renal, or cardiovascular disease.
  • Significant pre-existing peripheral neuropathy or history of clinically significant thromboembolic disease.
  • Known hypersensitivity to any study medication.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Syeda Nayab Imtiaz, MBBS contact

+923369966014

dr.nayabimtiaz@hotmail.com

Gulab Fatima Rani, MBBS contact

+923357438822

ranigulabfatima@gmail.com

Pakistan1 site, 1 recruiting
  • Pak International Medical College

    Peshawar, Khyber Pakhtunkhwa, 25000

    Syeda Nayab Imtiaz, MBBS, +923369966014, dr.nayabimtiaz@gmail.com

    Tariq Masood, MBBS, +923005888867, drtariqmsd@gmail.com

    Recruiting

Other trials in Pakistan

About this study

Official title: Safety and Efficacy of Combination Therapy (Danazol + Prednisolone + Thalidomide) in Thalidomide-Refractory Transfusion-Dependent β-Thalassemia Patients: A Prospective Randomized Controlled Clinical Trial

This study will compare two treatments for children with beta-thalassemia who need regular blood transfusions and have not responded well to thalidomide. One group will continue thalidomide alone. The other group will receive thalidomide plus danazol and prednisolone. The study will check whether the combination treatment reduces the need for blood transfusions, raises hemoglobin levels, and is safe. About 172 children aged 5 to 15 will be assigned by chance to one of the two groups. They will be followed for 9 to 12 months.

Read the detailed description

This is a two-arm, parallel-group, open-label, randomized controlled superiority trial. It will enroll 172 participants aged 5 to 15 years with transfusion-dependent beta-thalassemia major who have had an inadequate response to at least 6 months of adequately dosed thalidomide. Participants will be randomly assigned 1:1 to thalidomide monotherapy or thalidomide plus danazol plus prednisolone. The primary outcomes are transfusion independence, defined as no red blood cell transfusion for at least 8 consecutive weeks with hemoglobin at least 9.0 g/dL; mean change in pre-transfusion hemoglobin from baseline to 6 months; and safety and tolerability graded by CTCAE v5.0. Secondary outcomes include transfusion burden, hematological improvement, health-related quality of life using TranQOL, and exploratory associations of HBB mutation class and HbF-modifier genotypes (XmnI, BCL11A, HBS1L-MYB) with treatment response. Follow-up will be 9 to 12 months. The trial will be conducted at the Blood Care Clinic, Pak International Medical College, and Peshawar General Hospital, Hayatabad, Phase 5, Peshawar, Pakistan. The trial will be registered before the first participant is enrolled.

Being tested
Thalidomide, Danazol, Prednisolone
Keywords
Beta-thalassemia, Transfusion-dependent, Thalidomide-refractory, Combination therapy, Randomized controlled trial
Medical subject headings
beta-Thalassemia, Thalassemia

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ThalidomideDrug

    Also called Thalomid, alpha-(N-phthalimido)glutarimide

    Initial oral capsule dose is 1 to 5 mg/kg taken once daily at night, with adjustments made every 2 to 4 weeks based on response and tolerance. The treatment is administered in both arms for a duration of 9 to 12 months.

  • DanazolDrug

    Also called Danocrine

    Oral capsule of 100 mg taken three times daily, continuously for 30 days per cycle. This medication is administered only in the combination arm.

  • PrednisoloneDrug

    Also called Pediapred, Orapred

    Oral tablet of 5 mg twice daily for 10 days each month, only administered in the combination arm.

Study groups in NCT07884773
Study groupRoleWhat they receive
Thalidomide plus Danazol plus PrednisoloneExperimentalIn this treatment regimen, Thalidomide and Danazol are administered at a dosage of 100 mg orally three times daily for 30 days each cycle. Prednisolone is given at a dosage of 5 mg orally twice daily for 10 days each month. Supportive care includes Famotidine, folic acid, and vitamin B12. This treatment plan is continued for a duration of 9 to 12 months.
Receives: Drug: Thalidomide; Drug: Danazol; Drug: Prednisolone
Thalidomide MonotherapyActive comparatorThalidomide should be taken orally at a dose of 1 to 5 mg/kg at night, with dosage titrated upward every 2 to 4 weeks based on response and tolerance. Clopidogrel and aspirin should be taken together for thromboprophylaxis. This regimen should continue for 9 to 12 months.
Receives: Drug: Thalidomide

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Transfusion independence

    Proportion of participants who remain free from red blood cell transfusion for at least 8 consecutive weeks while maintaining hemoglobin greater than or equal to 9.0 g/dL.

    Measured: Assessed continuously from randomization through final study visit (Month 9 to 12).

  2. Hemoglobin response

    Mean change in pre-transfusion hemoglobin (g/dL) from baseline to 6 months.

    Measured: Baseline and Month 6.

  3. Safety and tolerability

    Incidence and severity of treatment-emergent adverse events, including hepatic toxicity, renal dysfunction, hyperglycemia, peripheral neuropathy, and thromboembolic events, graded according to CTCAE v5.0.

    Incidence and severity of treatment-emergent adverse events, including hepatic toxicity, renal dysfunction, hyperglycemia, peripheral neuropathy, and thromboembolic events, graded according to CTCAE v5.0.

    Incidence and severity of treatment-emergent adverse events, including hepatic toxicity, renal dysfunction, hyperglycemia, peripheral neuropathy, and thromboembolic events, graded according to CTCAE v5.0.

    Measured: Assessed at every scheduled visit (Months 1, 3, 6, 9, and final visit).

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Oct 2026
  2. Study start12 Oct 2026
  3. Primary completion12 Apr 2027 (estimated)
  4. Study completion20 May 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Two-arm, parallel-group, randomized controlled superiority trial. Participants are allocated 1:1 to thalidomide monotherapy or thalidomide plus danazol plus prednisolone. Open-label.
Masking
None (open label)
Enrolment
172 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07884773
Sponsor's protocol ID
KMU/DIR/CTU/2026/14
Status last verified
Oct 2026
First submitted
13 Oct 2026
Last updated
21 Oct 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: De-identified individual participant data (IPD), the full trial protocol, statistical analysis plan, informed consent form, and analytic code will be made available to other researchers upon reasonable request after publication of the primary results. Data sharing will comply with KMU data-sharing policy and patient confidentiality requirements.

Publications

  • Modell B, Darlison M. Global epidemiology of haemoglobin disorders and derived service indicators. Bull World Health Organ. 2008 Jun;86(6):480-7. doi: 10.2471/blt.06.036673.

    PubMed 18568278
  • Weatherall DJ, Clegg JB. Inherited haemoglobin disorders: an increasing global health problem. Bull World Health Organ. 2001;79(8):704-12. Epub 2001 Oct 24.

    PubMed 11545326
  • Montoto LG, Arregui L, Sanchez NM, Gomendio M, Roldan ER. Postnatal testicular development in mouse species with different levels of sperm competition. Reproduction. 2012 Mar;143(3):333-46. doi: 10.1530/REP-11-0245. Epub 2011 Dec 20.

    PubMed 22187670
  • Safdari KM, Converse C, Dong F, MacDougall NA, Hyer K, Runyon A, Ahlering H, Comunale ME. Hemodynamic Effects of Methamphetamine and General Anesthesia. Anesthesiol Res Pract. 2022 Feb 17;2022:7542311. doi: 10.1155/2022/7542311. eCollection 2022.

    PubMed 35222639
  • Ouzaid I, Kammerer-Jacquet SF, Khene Z, Ravaud A, Patard JJ, Bensalah K, Rioux-Leclercq N. Exploring Biological Predictive Factors of Progression After Surgery in High-Risk Renal Cell Carcinoma: Results From the French Cohort of the Randomized S-TRAC Trial Patients. Front Surg. 2020 Jun 5;7:26. doi: 10.3389/fsurg.2020.00026. eCollection 2020.

    PubMed 32582758
  • Bakathir AA, Moos KF, Ayoub AF, Bagg J. Factors Contributing to the Spread of Odontogenic Infections: A prospective pilot study. Sultan Qaboos Univ Med J. 2009 Dec;9(3):296-304. Epub 2009 Dec 19.

    PubMed 21509313
  • O'Callaghan J. Russian Moon lander crash - what happened, and what's next? Nature. 2023 Aug 21. doi: 10.1038/d41586-023-02659-6. Online ahead of print. No abstract available.

    PubMed 37604864
  • Hou X, Zhang P, Du H, Chu W, Sun R, Qin S, Tian Y, Zhang Z, Xu F. Akkermansia Muciniphila Potentiates the Antitumor Efficacy of FOLFOX in Colon Cancer. Front Pharmacol. 2021 Sep 17;12:725583. doi: 10.3389/fphar.2021.725583. eCollection 2021.

    PubMed 34603035
  • Zywiel M, Ellis K, Veillette CJH, Skou ST, McGlasson R. Implementation of the Good Life with osteoArthritis in Denmark (GLA:D) Program across Canada for the Management of Hip and Knee Osteoarthritis. Healthc Q. 2021 Apr;24(1):54-59. doi: 10.12927/hcq.2021.26464.

    PubMed 33864442
  • Gelber PE, Drager J, Maheshwer B, Leyes M, Barenius B, Robinson J, Pujol N, Tischer T, Margheritini F, Fritsch B, Frosh KH, Chahla J. Large variability exists in the management of posterolateral corner injuries in the global surgical community. Knee Surg Sports Traumatol Arthrosc. 2020 Jul;28(7):2116-2123. doi: 10.1007/s00167-020-05922-9. Epub 2020 Apr 1.

    PubMed 32239270
  • Courpied JP, Caton JH. Total Hip Arthroplasty, state of the art for the 21st century. Int Orthop. 2011 Feb;35(2):149-50. doi: 10.1007/s00264-011-1207-9. Epub 2011 Jan 18. No abstract available.

    PubMed 21243356
  • Nahar R, Zhai W, Zhang T, Takano A, Khng AJ, Lee YY, Liu X, Lim CH, Koh TPT, Aung ZW, Lim TKH, Veeravalli L, Yuan J, Teo ASM, Chan CX, Poh HM, Chua IML, Liew AA, Lau DPX, Kwang XL, Toh CK, Lim WT, Lim B, Tam WL, Tan EH, Hillmer AM, Tan DSW. Elucidating the genomic architecture of Asian EGFR-mutant lung adenocarcinoma through multi-region exome sequencing. Nat Commun. 2018 Jan 15;9(1):216. doi: 10.1038/s41467-017-02584-z.

    PubMed 29335443

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Thalidomide, Danazol and Prednisolone in people with Beta-Thalassemia and Thalassemia, run by Khyber Medical University Peshawar at 1 site in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 21 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Syeda Nayab Imtiaz, MBBS (+923369966014, dr.nayabimtiaz@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Transfusion independence (time frame: Assessed continuously from randomization through final study visit (Month 9 to 12).). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07884773, which also lists 12 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Oct 2026.

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