Iron Deficiency AnemiaPhase 3NCT01114217
A Trial of Ferumoxytol for the Episodic Treatment of Iron Deficiency Anemia
A Phase 3 study testing Ferumoxytol in people with Iron Deficiency Anemia, run by AMAG Pharmaceuticals, Inc. at 140 sites in 6 countries.
Trial summary
To evaluate the safety and efficacy of ferumoxytol for the episodic treatment of iron deficiency anemia (IDA). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Iron Deficiency Anemia
- What is being tested?
- Ferumoxytol
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 634 participants
- Where
- 140 sitesin 6 countries
- Study dates
- 27 Jul 2010to 23 Apr 2013
- Phase
- Phase 3
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants who completed participation in study AMAG-FER-IDA-301 [NCT01114139]
- Female participants of childbearing potential who are sexually active must be on an effective method of birth control and agree to remain on birth control until completion of participation in the study
Who cannot join
- Experienced a serious adverse event (SAE) related to ferumoxytol in study AMAG-FER-IDA-301
- Female participants who are pregnant, intend to become pregnant, are breastfeeding, or have a positive serum/urine pregnancy test
Trial locations and contacts
140 sites in 6 countries.
140 sites in 6 countries
United States103 sites
Clinical Trial Site
Albuquerque, New Mexico
Clinical Trial Site
Anaheim, California
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Arlington, Texas
Clinical Trial Site
Atlanta, Georgia, 30308
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Atlanta, Georgia, 30312
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Atlanta, Georgia, 30342
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Aurora, Illinois
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Bakersfield, California
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Bay City, Michigan, 48706
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Bay City, Michigan
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Bethesda, Maryland
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Birmingham, Alabama
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Boynton Beach, Florida, 33426
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Boynton Beach, Florida, 33472
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Bristol, Connecticut
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Brooklyn, New York
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Buena Park, California
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Canton, Ohio
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Carlisle, Ohio
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Chesapeake, Virginia
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Chicago, Illinois, 60616
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Cincinnati, Ohio, 45224
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Cincinnati, Ohio, 45242
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Clearwater, Florida, 33756
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Clearwater, Florida, 33759
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Colton, California
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Columbia, South Carolina
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Columbus, Ohio, 43231
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Dallas, Texas
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Decatur, Georgia
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Dublin, Georgia
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Greer, South Carolina
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Groton, Connecticut
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Hialeah, Florida
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Holiday, Florida
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Hollywood, Maryland
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Houston, Texas, 77030
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Houston, Texas, 77074
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Houston, Texas
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Inverness, Florida
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Jenkintown, Pennsylvania
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Kansas City, Missouri
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Laredo, Texas
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Las Vegas, Nevada
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Lawrenceville, New Jersey
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Levittown, Pennsylvania
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Longview, Texas
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Los Angeles, California, 90036
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Los Angeles, California, 90057
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Los Angeles, California
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Margate, Florida
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Marion, Ohio, 43302
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Marion, Ohio
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Mentor, Ohio
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Miami, Florida, 33126
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Miami, Florida, 33135
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Miami, Florida, 33143
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Miami, Florida, 33144
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Miami, Florida, 33175
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Miami Lakes, Florida
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Middletown, Ohio
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Mission Hills, California
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Mobile, Alabama
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Montgomery, Alabama, 36106
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Montgomery, Alabama, 36116
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Myrtle Beach, South Carolina
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Naples, Florida
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Neptune City, New Jersey
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New Orleans, Louisiana
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New York, New York, 10038
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Norfolk, Virginia
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Norman, Oklahoma
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North Charleston, South Carolina
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Orange, California
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Orem, Utah
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Phoenix, Arizona, 85015
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Phoenix, Arizona, 85032
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Plainsboro, New Jersey
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Pueblo, Colorado
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Raleigh, North Carolina
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Rapid City, South Dakota
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San Antonio, Texas, 78205
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San Antonio, Texas, 78215
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San Antonio, Texas, 78229
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San Antonio, Texas
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San Diego, California, 92103
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San Diego, California, 92121
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San Diego, California, 92123
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Sandy Springs, Georgia
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Skokie, Illinois, 60076
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Skokie, Illinois
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Springfield, Illinois
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Stockbridge, Georgia
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Tucson, Arizona, 85710
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Tucson, Arizona, 85712
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Vero Beach, Florida
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Voorhees Township, New Jersey
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West Palm Beach, Florida
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Wichita, Kansas
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Winston-Salem, North Carolina
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Wyoming, Michigan
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Zanesville, Ohio
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Zephyrhills, Florida
India14 sites
Clinical Trial Site
Bangalore, Karnataka, 560002
Clinical Trial Site
Bangalore, Karnataka, 560054
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Chennai, Tamil Nadu
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Chhatrapati Sambhajinagar, Maharashtra
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Guwahati, Assam
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Hyderabad, Andhra Pradesh
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Jaipur, Rajasthan
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Lucknow, Uttar Pradesh, 226003
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Lucknow, Uttar Pradesh
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Madurai, Tamil Nadu
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Nagpur, Maharashtra
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Nashik, Maharashtra
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Pune, Maharashtra
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Secunderabad, Andhra Pradesh
Latvia8 sites
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Daugavpils
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Riga, LV-1002
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Riga, LV-1005
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Riga, LV-1006
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Riga, LV-1010
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Valmiera
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Ventspils, LV-3601
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Ventspils
Canada6 sites
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London, Ontario
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Pointe-Claire, Quebec
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Saint John, New Brunswick
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Thornhill, Ontario
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Vancouver, British Columbia
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Vaughan, Ontario
Hungary5 sites
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Békéscsaba
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Gyula
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Komárom
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Szekszárd
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Vác
Poland4 sites
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Bialystok
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Sopot
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Warsaw
Clinical Trial Site
Wroclaw
About this study
Official title: A Phase III, Open-Label Extension Trial of the Safety and Efficacy of Ferumoxytol for the Episodic Treatment of Iron Deficiency Anemia
To evaluate the safety and efficacy of ferumoxytol for the episodic treatment of iron deficiency anemia (IDA).
- Conditions
- Iron Deficiency Anemia
- Being tested
- Ferumoxytol
- Keywords
- Iron deficiency anemia, Feraheme, Ferumoxytol, IDA
- Medical subject headings
- Anemia, Iron-Deficiency
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FerumoxytolDrug
Also called Feraheme
IV Ferumoxytol
| Study group | Role | What they receive |
|---|---|---|
| Ferumoxytol | Experimental | Participants received ferumoxytol or placebo during AMAG-FER-IDA-301 [NCT01114139]. Participants enrolled in AMAG-FER-IDA-303, a 6-month Extension Study, were evaluated monthly and could receive treatment with ferumoxytol only if they met criteria defined as persistent or recurrent IDA, hemoglobin <11.0 grams per deciliter (g/dL) and transferrin saturation (TSAT) <20% at any evaluation visit, (except study termination visit). Participants who met criteria began a 5-week treatment period (TP) and received 2 doses of ferumoxytol 510 mg intravenously (IV). The first IV 510-mg dose was administered on TP Day 1 (Baseline); the second 2-8 (5±3) days after Dose 1. The first treatment course with ferumoxytol for participants who previously received placebo in AMAG-FER-IDA-301 was considered Course 1; Course 2 included participants who previously received ferumoxytol in AMAG-FER-IDA-301; subsequent treatment courses were serially numbered. Receives: Drug: Ferumoxytol |
What is being measured
The primary outcome is the main question the study is designed to answer.
Mean Change In Hemoglobin From TP Baseline To TP Week 5 Following The First Course Of Ferumoxytol
Mean change in hemoglobin from TP Baseline (Day 1) to TP Week 5 following the first dose of ferumoxytol was calculated as: Hemoglobin Change = Hemoglobin (TP Week 5) - Hemoglobin (TP Baseline) TP Baseline was the most recent value measured on/after the screening or the closest monthly evaluation visit prior to Day 1 dosing of Course 1.
Change from Baseline used an imputed value of 0 for missing values at the post-baseline visit.
Measured: TP Baseline (Day 1), TP Week 5
Secondary outcomes (6)
Mean Change In Hemoglobin Following Each Course Of Ferumoxytol From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol After The First Course
Mean change in hemoglobin from TP Baseline to TP Week 5 following each course of ferumoxytol after the first course was calculated for each participant as:
Hemoglobin Change = Hemoglobin (TP Week 5) - Hemoglobin (TP Baseline) The first course of treatment with ferumoxytol for participants who had previously received placebo in AMAG-FER-IDA-301 was considered Course 1. The first course of treatment with ferumoxytol for participants who had previously received ferumoxytol in AMAG-FER-IDA-301 was considered Course 2; subsequent treatment courses were serially numbered.
Measured: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Percentage Of Participants With An Increase In Hemoglobin ≥2.0 g/dL At Any Time From TP Baseline To TP Week 5
Proportion of participants with an increase in hemoglobin ≥2.0 g/dL at any time from TP Baseline to TP Week 5 following each course of ferumoxytol. The first course of treatment with ferumoxytol for participants who had previously received placebo in AMAG-FER-IDA-301 was considered Course 1. The first course of treatment with ferumoxytol for participants who had previously received ferumoxytol in AMAG-FER-IDA-301 was considered Course 2; subsequent treatment courses were serially numbered.
Measured: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Percentage Of Participants Who Achieved A Hemoglobin Level ≥12.0 g/dL At Any Time From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
Proportion of participants who achieved a hemoglobin level ≥12.0 g/dL at any time from TP Baseline to TP Week 5 following each course of ferumoxytol. The first course of treatment with ferumoxytol for participants who had previously received placebo in AMAG-FER-IDA-301 was considered Course 1. The first course of treatment with ferumoxytol for participants who had previously received ferumoxytol in AMAG-FER-IDA-301 was considered Course 2; subsequent treatment courses were serially numbered.
Measured: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Mean Change In TSAT Following Each Course Of Ferumoxytol From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
Mean change in TSAT from TP Baseline to TP Week 5 following each course of ferumoxytol.
Measured: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Patient-reported Outcome Measure: Mean Change In Functional Assessment Of Chronic Illness Therapy (FACIT)-Fatigue Questionnaire From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
The FACIT-Fatigue questionnaire is a 13-item questionnaire designed and validated to specifically assess the presence and impact of treatment on fatigue and related symptoms, such as tiredness, on health-related quality of life in anemic participants with cancer. The questionnaire has 13 items, each measured on a 4-point Likert scale. Scoring ranges from 0 (the most fatigued) to 52 (the least fatigued) points, with higher scores representing better functioning or less fatigue.
Mean change in FACIT-Fatigue questionnaire from TP Baseline to TP Week 5 following each course of ferumoxytol was calculated as:
FACIT-Fatigue Score Change = FACIT-Fatigue Score (Week 5) - FACIT-Fatigue Score (Baseline).
TP Baseline was the most recent value measured on/after the screening or the closest monthly evaluation visit prior to Day 1 dosing in each course.
If the TP Week 5 FACIT-Fatigue Score value was missing, the change from TP Baseline was conservatively imputed as zero.
Measured: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Time To Hemoglobin Increase Of ≥2.0 g/dL Or To A Hemoglobin Level Of ≥12.0 g/dL From Baseline
Days to event was defined as the days from Baseline to the first time the participant met the criteria. Participants without any post-Baseline study visits were not included in this analysis.
The first course of treatment with ferumoxytol for participants who had previously received placebo in AMAG-FER-IDA-301 was considered Course 1. The first course of treatment with ferumoxytol for participants who had previously received ferumoxytol in AMAG-FER-IDA-301 was considered Course 2; subsequent treatment courses were serially numbered.
Measured: TP Baseline (Day 1) up to TP Week 5 for Courses 1, 2, and 3
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted3 May 2010 (estimated)
- Study start27 Jul 2010
- Primary completion24 Sep 2012
- Study completion23 Apr 2013
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Iron Deficiency AnemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 634 participants (actual)
Sponsor and investigators
- Lead sponsor
- AMAG Pharmaceuticals, Inc.
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01114217
- Sponsor's protocol ID
- AMAG-FER-IDA-303
- Status last verified
- Mar 2022
- First submitted
- 29 Apr 2010
- Last updated
- 21 Apr 2022
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Vadhan-Raj S, Ford DC, Dahl NV, Bernard K, Li Z, Allen LF, Strauss WE. Safety and efficacy of ferumoxytol for the episodic treatment of iron deficiency anemia in patients with a history of unsatisfactory oral iron therapy: Results of a phase III, open-label, 6-month extension study. Am J Hematol. 2016 Feb;91(2):E3-5. doi: 10.1002/ajh.24240. No abstract available.
PubMed 26572233
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2022. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase III, Open-Label Extension Trial of the Safety and Efficacy of Ferumoxytol for the Episodic Treatment of Iron Deficiency Anemia
- ClinicalTrials.gov ID
- NCT01114217
- Acronym / sponsor ID
- AMAG-FER-IDA-303
- Conditions
- Iron Deficiency Anemia
- Keywords
- Iron deficiency anemia, Feraheme, Ferumoxytol, IDA
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 634 participants (actual)
- Lead sponsor
- AMAG Pharmaceuticals, Inc.Industry (pharma, biotech, devices)
- Study start
- 27 Jul 2010 (actual)
- Primary completion
- 24 Sep 2012 (actual)
- Study completion
- 23 Apr 2013 (actual)
- First posted
- 3 May 2010 (estimated)
- Results
- Posted 11 Jun 2018
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To evaluate the safety and efficacy of ferumoxytol for the episodic treatment of iron deficiency anemia (IDA).
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Ferumoxytol | Experimental | Drug: FerumoxytolParticipants received ferumoxytol or placebo during AMAG-FER-IDA-301 [NCT01114139]. Participants enrolled in AMAG-FER-IDA-303, a 6-month Extension Study, were evaluated monthly and could receive treatment with ferumoxytol only if they met criteria defined as persistent or recurrent IDA, hemoglobin <11.0 grams per deciliter (g/dL) and transferrin saturation (TSAT) <20% at any evaluation visit, (except study termination visit). Participants who met criteria began a 5-week treatment period (TP) and received 2 doses of ferumoxytol 510 mg intravenously (IV). The first IV 510-mg dose was administered on TP Day 1 (Baseline); the second 2-8 (5±3) days after Dose 1. The first treatment course with ferumoxytol for participants who previously received placebo in AMAG-FER-IDA-301 was considered Course 1; Course 2 included participants who previously received ferumoxytol in AMAG-FER-IDA-301; subsequent treatment courses were serially numbered. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (2 listed)
- Participants who completed participation in study AMAG-FER-IDA-301 [NCT01114139]
- Female participants of childbearing potential who are sexually active must be on an effective method of birth control and agree to remain on birth control until completion of participation in the study
Key exclusion criteria (2 listed)
- Experienced a serious adverse event (SAE) related to ferumoxytol in study AMAG-FER-IDA-301
- Female participants who are pregnant, intend to become pregnant, are breastfeeding, or have a positive serum/urine pregnancy test
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FerumoxytolAlso: FerahemeIV Ferumoxytol | Drug | Ferumoxytol |
Primary outcome
Mean Change In Hemoglobin From TP Baseline To TP Week 5 Following The First Course Of Ferumoxytol
Time frame: TP Baseline (Day 1), TP Week 5
Mean change in hemoglobin from TP Baseline (Day 1) to TP Week 5 following the first dose of ferumoxytol was calculated as: Hemoglobin Change = Hemoglobin (TP Week 5) - Hemoglobin (TP Baseline) TP Baseline was the most recent value measured on/after the screening or the closest monthly evaluation visit prior to Day 1 dosing of Course 1. Change from Baseline used an imputed value of 0 for missing values at the post-baseline visit.
6 secondary outcomes
Mean Change In Hemoglobin Following Each Course Of Ferumoxytol From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol After The First Course
Time frame: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Percentage Of Participants With An Increase In Hemoglobin ≥2.0 g/dL At Any Time From TP Baseline To TP Week 5
Time frame: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Percentage Of Participants Who Achieved A Hemoglobin Level ≥12.0 g/dL At Any Time From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
Time frame: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Mean Change In TSAT Following Each Course Of Ferumoxytol From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
Time frame: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Patient-reported Outcome Measure: Mean Change In Functional Assessment Of Chronic Illness Therapy (FACIT)-Fatigue Questionnaire From TP Baseline To TP Week 5 Following Each Course Of Ferumoxytol
Time frame: TP Baseline (Day 1), TP Week 5 for Courses 1, 2, and 3
Time To Hemoglobin Increase Of ≥2.0 g/dL Or To A Hemoglobin Level Of ≥12.0 g/dL From Baseline
Time frame: TP Baseline (Day 1) up to TP Week 5 for Courses 1, 2, and 3
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2022.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 26572233Vadhan-Raj S, Ford DC, Dahl NV, Bernard K, Li Z, Allen LF, Strauss WE. Safety and efficacy of ferumoxytol for the episodic treatment of iron deficiency anemia in patients with a history of unsatisfactory oral iron therapy: Results of a phase III, open-label, 6-month extension study. Am J Hematol. 2016 Feb;91(2):E3-5. doi: 10.1002/ajh.24240. No abstract available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
140 sites in 6 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Ferumoxytol in people with Iron Deficiency Anemia, run by AMAG Pharmaceuticals, Inc. at 140 sites in 6 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 2 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 21 Apr 2022. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 140 sites in United States, India, Latvia, Canada, Hungary and 1 more country. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 11 Jun 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Mean Change In Hemoglobin From TP Baseline To TP Week 5 Following The First Course Of Ferumoxytol (time frame: TP Baseline (Day 1), TP Week 5). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01114217, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Apr 2022.