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Trial · NCT00006400

Hydroxyurea to Prevent Organ Damage in Children With Sickle Cell Anemia

NCT00006400, Phase 3, Completed, National Heart, Lung, and Blood Institute (NHLBI); results first posted 2020-08-19

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Hydroxyurea to Prevent Organ Damage in Children With Sickle Cell Anemia. Trials, record NCT00006400. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT00006400

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Hydroxyurea to Prevent Organ Damage in Children With Sickle Cell Anemia
NCT number
NCT00006400
Status
Completed
Phases
Phase 3
Enrollment
193 participants, actual
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Conditions
Hematologic Diseases, Anemia, Sickle Cell
Interventions
Hydroxyurea, Placebo
First posted
2000-10-13
Last updated
2020-08-19
Results first posted
2020-08-19

Source ClinicalTrials.gov

Registered outcomes4

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryTreatment Differences of the Change in Qualitative Splenic Function From BaselineBefore initiation of treatment and at 2 years
Primary Endpoint: Spleen function was assessed by uptake of 99mTc sulfur colloid on liver-spleen scan before initiation of treatment (baseline) and 2 years later (exit). The results of each of the two scans were categorized as normal, functional but abnormal, or not functional by a panel of nuclear medicine specialists blinded to treatment assignment. The proportion of patients whose paired scans demonstrated a decline in splenic function was compared in the hydroxyurea versus placebo groups. The change in splenic function from baseline to 2 years was defined as worse if it changed from normal to decreased or absent, or decreased to absent; and not worse if it changed from decreased to decreased, normal to normal, or decreased to normal.
SecondaryChange From Baseline in the Renal Function That Was Measured by Diethylenetriaminepentaacetic Acid (DTPA) Glomerular Filtration Rate (GFR)Before initiation of treatment and at 2 years
DTPA GFR was originally a co-primary efficacy outcome for the study. Later in May 29, 2009, this measurement was discontinued because of statistical futility (an extremely small chance that the difference between treatment groups would be statistically significant for this outcome) and the small risk posed by the radiation exposure involved with performing the DTPA GFR test. Subjects who had missing data at baseline or 2 years measurement were excluded from the analysis (29 subjects from the hydroxurea, and 31 subjects from the placebo group excluded).
SecondaryChange From Baseline in the Renal Function That Was Measured by Glomerular Filtration Rate (GFR) (Calculated Using Schwartz Formula)Before initiation of treatment and at 2 years
Schwartz formula used to calculate GFR is: 0.55× height (cm)/serum creatinine (mg/dL). Where height is in cm and serum creatinine is in mg/dL. Children with missing baseline or 2 years GFR were excluded from the analysis.
SecondaryChange From Baseline in the Renal Function That Was Measured by GFR (Calculated Using New Schwartz Formula)Before initiation of treatment and at 2 years
GFR was calculated using new Schwartz formula: 39.1× \[height (cm)/serum creatinine (mg/dL)\]0.516 × \[1.8/cystatin C\]0.294 × \[30/blood urea nitrogen\]0.169 × \[1.099\]if male × \[height(m)/1.4\]0.188. Children with missing baseline or 2 years GFR were excluded from the analysis.

Outcomes4

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYTreatment Differences of the Change in Qualitative Splenic Function From BaselineBefore initiation of treatment and at 2 years
Subjects who had baseline and 2 years splenic function measurements, and had baseline measurement different from absent splenic function. A total of 26 hydroxyurea and 23 placebo subjects had missing data or had absent splenic function at baseline.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in the Renal Function That Was Measured by Diethylenetriaminepentaacetic Acid (DTPA) Glomerular Filtration Rate (GFR)Before initiation of treatment and at 2 yearsSubjects who had baseline and 2 years measurementsmL/min/1.73m^2MEAN
SECONDARYChange From Baseline in the Renal Function That Was Measured by Glomerular Filtration Rate (GFR) (Calculated Using Schwartz Formula)Before initiation of treatment and at 2 yearsAll subjects who had baseline and 2 years GFR calculated using Schwartz formula (0.55× height (cm)/serum creatinine (mg/dL)).mL/min/1.73m^2MEAN
SECONDARYChange From Baseline in the Renal Function That Was Measured by GFR (Calculated Using New Schwartz Formula)Before initiation of treatment and at 2 years
All subjects who had baseline and 2 years GFR calculated using the new Schwartz formula (39.1× \[height (cm)/serum creatinine (mg/dL)\]0.516 × \[1.8/cystatin C\]0.294 × \[30/blood urea nitrogen\]0.169 × \[1.099\]if male × \[height(m)/1.4\]0.188).
mL/min/1.73m^2MEAN

Results by group10

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Treatment Differences of the Change in Qualitative Splenic Function From BaselineHydroxyureaWorse19Participants
Treatment Differences of the Change in Qualitative Splenic Function From BaselinePlaceboWorse28Participants
Treatment Differences of the Change in Qualitative Splenic Function From BaselineHydroxyureaNot worse51Participants
Treatment Differences of the Change in Qualitative Splenic Function From BaselinePlaceboNot worse46Participants
Change From Baseline in the Renal Function That Was Measured by Diethylenetriaminepentaacetic Acid (DTPA) Glomerular Filtration Rate (GFR)Hydroxyurea22.56Standard Deviation 54.67mL/min/1.73m^2
Change From Baseline in the Renal Function That Was Measured by Diethylenetriaminepentaacetic Acid (DTPA) Glomerular Filtration Rate (GFR)Placebo20.74Standard Deviation 51.07mL/min/1.73m^2
Change From Baseline in the Renal Function That Was Measured by Glomerular Filtration Rate (GFR) (Calculated Using Schwartz Formula)Hydroxyurea28.65Standard Deviation 76.46mL/min/1.73m^2
Change From Baseline in the Renal Function That Was Measured by Glomerular Filtration Rate (GFR) (Calculated Using Schwartz Formula)Placebo33.36Standard Deviation 95.85mL/min/1.73m^2
Change From Baseline in the Renal Function That Was Measured by GFR (Calculated Using New Schwartz Formula)Hydroxyurea10.57Standard Deviation 20.78mL/min/1.73m^2
Change From Baseline in the Renal Function That Was Measured by GFR (Calculated Using New Schwartz Formula)Placebo14.33Standard Deviation 24.01mL/min/1.73m^2

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDHydroxyurea96
Overall StudySTARTEDPlacebo97
Overall StudyCOMPLETEDHydroxyurea83
Overall StudyCOMPLETEDPlacebo84
Overall StudyNOT COMPLETEDHydroxyurea13
Overall StudyNOT COMPLETEDPlacebo13

Adverse events116

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherFEVER >101.5 F (38.4 C)General disordersHydroxyurea7596231
otherFEVER >101.5 F (38.4 C)General disordersPlacebo8297272
otherUPPER RESPIRATORY INFECTIONInfections and infestationsHydroxyurea8396298
otherUPPER RESPIRATORY INFECTIONInfections and infestationsPlacebo7797326
otherUPPER RESPIRATORY INFECTIONRespiratory, thoracic and mediastinal disordersHydroxyurea89612
otherUPPER RESPIRATORY INFECTIONRespiratory, thoracic and mediastinal disordersPlacebo149716
otherPainGeneral disordersHydroxyurea5096131
otherPainGeneral disordersPlacebo6297268
otherPainMusculoskeletal and connective tissue disordersHydroxyurea159620
otherPainMusculoskeletal and connective tissue disordersPlacebo279749

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityHydroxyurea096
Total, all-cause mortalityPlacebo097
Total, other adverse eventsHydroxyurea9596
Total, other adverse eventsPlacebo9597
Total, serious adverse eventsHydroxyurea1996
Total, serious adverse eventsPlacebo3597

Papers16

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
15125610BACKGROUNDPubMed
18478575RESULTPubMed
19621454RESULTPubMed
19731330BACKGROUNDPubMed
19813252RESULTPubMed
19856395RESULTPubMed
19880138RESULTPubMed
20797449RESULTPubMed
21217080RESULTPubMed
21571150RESULTPubMed

1 to 10 of 16

See all 16 papers

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons2

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Hydroxyurea vs Placebo: deaths from any causeTrial comparisons
Hydroxyurea vs Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT00006400

GET https://conductscience.org/api/trials/v1/NCT00006400/events?page=2