A collaborative, double-blind randomized study of cetiedil citrate in sickle cell crisis

Autor: Vipul N. Mankad, Lawrence M. Lewkow, Lee A. Berkowitz, Eugene P. Orringer, Ram K. Chillar, Charles M. Peterson, Lennette J. Benjamin, Ananda S. Prasad
Rok vydání: 1986
Předmět:
Zdroj: Blood. 67:1442-1447
ISSN: 1528-0020
0006-4971
DOI: 10.1182/blood.v67.5.1442.1442
Popis: We have recently completed a double-blind, placebo-controlled, noncrossover study, the goal of which was to determine whether cetiedil citrate (cetiedil) could affect the course of vaso-occlusive crises in sickle cell disease. Patients, who presented to the emergency room at least 4 but no more than 24 hours after the onset of a painful vasoocclusive crisis severe enough to require hospitalization, were considered candidates for the study. Each patient received either placebo or cetiedil at one of the following three dosages: 0.2, 0.3, or 0.4 mg/kg body weight. The assigned drug dosage was given as a 30 minute intravenous infusion every 8 hours for 4 consecutive days. A total of 67 patients was enrolled in the study. Cetiedil, at its highest dosage (0.4 mg/kg body weight), was found to be significantly superior to placebo both in reducing the number of painful sites present on all 4 treatment days and in shortening the total time in crisis. No serious adverse reactions were observed during the course of the study. We conclude that cetiedil, given at a dosage of 0.4 mg/kg body weight, is therapeutically advantageous for sickle cell crisis.
Databáze: OpenAIRE