FILE NO. TLC-CI-BAL-03
Co-Investigator

Janet R. Serwint , MD

Co-Investigator, Baltimore Clinical Center — Johns Hopkins Hospital

Site
Baltimore
Affiliation
Johns Hopkins Hospital
TLC era
1990s
Tags
Co-InvestigatorPediatricsIron Status PaperJohns Hopkins

Pediatrician at Johns Hopkins Hospital and co-investigator at the Baltimore TLC site. First author of the TLC iron-status analysis (1999 J Pediatrics), the principal source cited to dismiss iron deficiency as a confound in TLC.

The 1999 paper analyzed iron deficiency prevalence using the screening cohort (not the randomized cohort) and applied a low ferritin threshold — measuring iron status at screening rather than during the treatment phase, and using a threshold that underestimates true iron deficiency. The paper cannot actually rule out iron deficiency as a factor affecting chelation efficacy in the children who were randomized and treated.

Despite these limitations, the paper is routinely cited as evidence that iron deficiency was not a problem in TLC, foreclosing further inquiry into whether iron-deficient children responded differently to succimer.