The proceedings of the 19Th international conference on chelation held in London, United Kingdom: major changes in iron chelation therapy in the last 25 years using deferiprone (L1) has resulted in the complete treatment of iron overload.

Abstract:

:Major advances were presented at the 19th International Conference on Chelation (ICOC) in London, UK including changes in iron chelation therapy that led to the complete treatment of transfusional iron overload. The first oral iron chelation results in animals using deferiprone (L1) were published in 1985, and effective iron removal in thalassemia and myelodysplasia patients were reported 2 years later. The results of multicenter clinical trials of L1 were presented at the 1st ICOC in London, UK in 1989. Long-term use of L1 resulted in the reduction of the mortality rate in thalassemia patients due to the effective removal of all excess iron from the heart. In 2008, specific combinations of L1 and deferoxamine (DFO) were reported to cause the complete removal of excess iron load and the achievement of normal range body iron store levels (NRBISL) in thalassemia patients. Patients with NRBISL were identified to require lower doses of L1 for the maintenance of negative iron balance. The introduction of deferasirox (DFRA) may benefit patients not tolerating L1, DFO or their combination. A simple, inexpensive synthesis of L1 has encouraged its manufacture in developing countries for the benefit of patients who could not afford the expensive imported chelating drugs or formulations.

journal_name

Hemoglobin

journal_title

Hemoglobin

authors

Kontoghiorghes GJ

doi

10.3109/03630269.2011.575663

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

181-5

issue

3

eissn

0363-0269

issn

1532-432X

journal_volume

35

pub_type

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    pub_type: 杂志文章

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    doi:10.3109/03630269009005801

    authors: Harkness M,Harkness DR,Kutlar F,Kutlar A,Wilson JB,Webber BB,Codrington JF,Huisman TH

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    doi:10.3109/03630269109027881

    authors: Jiang NH,Liang S,Wen XJ,Liang R,Su C,Tang Z

    更新日期:1991-01-01 00:00:00