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Sickle Cell DiseaseOctober 2023

What Researchers Found Treating Severe Malnutrition in Children With Sickle Cell

This 110-child trial in Nigeria tested ready-to-use therapeutic food, with or without hydroxyurea, for older children with sickle cell anemia and severe acute malnutrition. After 12 weeks, 39% improved their BMI z-score above the severe-malnutrition cutoff with no serious safety problems.

What the trial was testing

The trial enrolled 132 patients with sickle cell disease. The study was sponsored by Vanderbilt University Medical Center 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

39% recovered from severe malnutrition with therapeutic food at 12 weeks.

Blood Advances · 2023 · NCT03634488

These findings — that from severe acute malnutrition on ready-to-use therapeutic food in 12 weeks — were published in the Blood Advances and represent the headline result of the study.

Researchers tracked outcomes across 132 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 sickle cell disease, 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

Ready-to-use therapeutic food is the WHO-recommended treatment for severe acute malnutrition globally and is widely available through humanitarian programs and clinics. Hydroxyurea is FDA-approved for sickle cell disease and broadly available, including in many African countries. Ask a pediatric hematologist about both.

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.