Safety and Efficacy of Sodium Nitrite in Sickle Cell Disease
|ClinicalTrials.gov Identifier: NCT01033227|
Recruitment Status : Terminated (Low enrollment)
First Posted : December 16, 2009
Results First Posted : February 8, 2017
Last Update Posted : October 17, 2017
|Condition or disease||Intervention/treatment||Phase|
|Sickle Cell Disease||Drug: sodium nitrite injection, usp||Phase 1 Phase 2|
Nitric oxide (NO) is a naturally occuring chemical that relaxes blood vessels and helps improve blood flow.
The pain associated with vaso-occlusive crisis (pain crisis) in sickle cell disease is caused in part by lack of oxygen and increased tissue acid because blood flow is blocked by stiff sickle red cells. Administration of sodium nitrite should generate nitric oxide in this area of hypoxia and acidosis and improve blood flow.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||5 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||A Safety and Efficacy Evaluation of Sodium Nitrite Injection for the Treatment of Vaso-Occlusive Crisis Associated With Sickle Cell Disease|
|Study Start Date :||December 2009|
|Actual Primary Completion Date :||June 2012|
|Actual Study Completion Date :||June 2012|
No Intervention: No drug
No study drug administered
Experimental: Sodium nitrite injection, USP
Administration if sodium nitrite injection, USP
Drug: sodium nitrite injection, usp
Sodium nitrite injection, USP will be administered in blocks of six subjects (3 sodium nitrite and 3 no drug). A total of five dose levels are planned, pending safety starting. Drug will be given by continuous infusion infusion for 48 hours starting at 6 nmol/min/kg (10% of the maximal tolerated dose).
Other Name: sodium nitrite
- 48 Hour Sodium Nitrite Infusion Safety as Determined by Number of Participants With No Adverse Events [ Time Frame: 48 hours from start of infusion ]The primary end points will be to determine if a) a 48-hour sodium nitrite infusion is tolerated without a decrease in mean arterial blood pressure by 15mmHg for greater than 2 hours or development of methemoglobin greater than 5% and b) a 48-hour sodium nitrite infusion is safe as determined by monitoring for adverse events
- Secondary End Point [ Time Frame: 48 hours ]a) reduced the duration and intensity of pain; b) reduced total narcotic analgesic consumption; and c) reduced length of hospitalization.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01033227
|United States, California|
|Childrens Hospital Los Angeles|
|Los Angeles, California, United States, 90027|
|Principal Investigator:||Thomas Coates, MD||Children's Hospital Los Angeles|