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ThalassemiaFebruary 2013Summary reviewed June 2026

What Researchers Found Testing Two Iron-Removal Drugs Together for Thalassemia

This study tested combining two iron-removal medications—deferasirox (taken daily by mouth) and deferoxamine (given by infusion 3–7 days a week)—in 22 thalassemia patients with dangerous iron buildup. After one year, liver iron dropped by 31% and all six patients with heart iron overload showed improvement.

What the trial was testing

The trial enrolled 22 patients with thalassemia. The study was sponsored by Elliott Vichinsky and tracked outcomes across the full group of patients who matched the trial's eligibility profile.

It was initial testing (phase 2). Trials at this stage are designed to produce evidence regulators and physicians can act on — not just observations to follow up later.

What the results showed

Liver iron levels dropped by 31% and heart iron improved in all patients who had it.

Blood cells, molecules & diseases · 2013 · NCT00901199

These findings — that combining two iron-removal drugs cut liver iron by nearly a third in one year — were published in the Blood cells, molecules & diseases and represent the headline result of the study.

Researchers tracked outcomes across 22 patients enrolled in the trial. The result was consistent enough across the group that the team felt confident reporting it.

What this means for patients

For patients with thalassemia, this result changes the calculus on what to ask their care team about. Whether it changes day-to-day care depends on factors like disease subtype, prior treatments, and where the patient is in their care journey.

What you can do now

This was an initial testing study. Both deferasirox and deferoxamine are FDA-approved iron-removal drugs for thalassemia, but using them together like this is not standard practice yet. If you have thalassemia with severe iron overload despite single-drug treatment, ask your hematologist whether combined therapy might be an option for you.

Eligibility for the treatments mentioned above depends on specific test results and clinical history. Bring this summary, the trial name, and your most recent labs or pathology report to your next visit.