Hydroxyurea Dose Escalation for Sickle Cell Anemia in Sub-Saharan Africa
Author(s) -
Chandy C. John,
Robert O. Opoka,
Teresa S. Latham,
Heather Hume,
Catherine Nabaggala,
Phillip Kasirye,
Christopher M. Ndugwa,
Adam Lane,
Russell E. Ware
Publication year - 2020
Publication title -
new england journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 19.889
H-Index - 1030
eISSN - 1533-4406
pISSN - 0028-4793
DOI - 10.1056/nejmoa2000146
Subject(s) - sickle cell anemia , anemia , medicine , disease
Hydroxyurea has proven safety, feasibility, and efficacy in children with sickle cell anemia in sub-Saharan Africa, with studies showing a reduced incidence of vaso-occlusive events and reduced mortality. Dosing standards remain undetermined, however, and whether escalation to the maximum tolerated dose confers clinical benefits that outweigh treatment-related toxic effects is unknown.
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