Preventing G-CSF bone pain with diosmin-hesperidin and loratadine
Official title: A Comparative Study of Diosmin-Hesperidin and Loratadine for the Prevention of G-CSF Induced Bone Pain in Patients With Hematological Malignancies
Run by Alexandria University · NCT07300735 · Data updated 2026-11-12
We will test whether diosmin-hesperidin, loratadine, or both can prevent bone pain from G-CSF in adults with leukemia or lymphoma.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 65 Years |
| Sex | All |
| Enrollment | 88 (estimated) |
| Sponsor | Alexandria University Academic / other |
| Drugs / interventions | chemotherapy |
| Locations | 1 site (Alexandria) |
| Status | Recruiting |
| Started | March 1, 2025 |
| Main results expected | March 2027 |
| Study ends | July 2027 |
| Registry record updated | June 24, 2026 |
| Trial ID | NCT07300735 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 18–65 with hematologic malignancies (leukemia or lymphoma) receiving filgrastim for neutropenia or post-autologous transplant prevention who can provide informed consent are the intended participants.
✕Probably not a fit
Patients with solid tumors, pregnant or breastfeeding women, those with pre-existing bone disorders, or those taking contraindicated medications are unlikely to be eligible or to gain benefit from this protocol.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a prospective, randomized, open-label comparison at Alexandria University Hospitals of four groups: no specific preventive treatment, loratadine, diosmin-hesperidin, and the combination. Adults 18–65 with leukemia or lymphoma receiving filgrastim for neutropenia treatment or autologous transplant prophylaxis will be enrolled and randomized. Treatments are given 30 minutes before filgrastim and continued for five days (loratadine 10 mg once daily; diosmin-hesperidin 500 mg twice daily; or both). The study measures occurrence and severity of G-CSF–related bone pain during the treatment period and compares outcomes across groups.
Why it matters
Potential benefit: If effective, these inexpensive oral medicines could reduce G-CSF‑related bone pain, improving patient comfort and the ability to complete cancer care.
How similar studies have gone: Antihistamines such as loratadine have shown mixed results in prior studies for G-CSF bone pain, while diosmin-hesperidin is a relatively novel option with limited prior clinical data for this indication.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Adults 18 to 65 years old * Receiving a G-CSF for one of the following indications: Treatment of neutropenia along with treatment for leukemia or lymphoma Neutropenia prevention following autologous hematopoietic cell transplant * Patients with or without bone pain associated with G-CSF administration. * Willingness to provide informed consent to participate in the study. Exclusion Criteria: * Patients with solid tumors. * Pregnant or breastfeeding women. * Patients with known allergies or hypersensitivity to Loratadine, Diosmin- Hespiridin or Filgrastim. * Patients with pre-existing bone disorders or receiving bone modifying agents * Chronic use of antihistamines, Diosmin-Hespiridin, NSAIDs, corticosteroids, or immunosuppressants. * Receiving medications with drug interaction grade X with Loratadine, Diosmin-Hespiridin or Filgrastim * Patients who are unable to understand or provide informed consent
Where it's running
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Alexandria University Hospitals
Alexandria, Egypt Recruiting
Study contacts
- Principal investigator: Mai Moustafa Helmy, Professor — Alexandria University
- Study coordinator: Mayssaa Mohamed Elsayed, M.S. Candidate
- Email: Maya_salam2007@yahoo.com
- Phone: +201097973834
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.