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Iron Deficiency AnemiaPhase 3IDA-INCT04087993

Polyglucoferron Compared to i.v. Ferric Carboxymaltose and Oral Iron Substitution in Preoperative Treatment of Iron Deficiency Anaemia in Patients

A Phase 3 study testing Polyglucoferron, Ferric carboxymaltose and Ferrous Sulfate in people with Iron Deficiency Anemia, run by Dr. Frank Behrens at 1 site in Germany.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

Patients with IDA and for whom fast replenishment of iron stores is necessary, e.g. if its not appropriated to postpone surgery, will be identified within 28 to 42 days before surgery. Patients will be randomised to receive either Polyglucoferron intravenously (i.v.), Ferric Carboxymaltose i.v. 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?
Polyglucoferron, Ferric carboxymaltose and Ferrous Sulfate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteGermany
Study dates
15 May 2020to 31 Dec 2020
Phase
Phase 3
Are there results?
None posted in the registry

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

  • Male or female; aged ≥ 18 years
  • Planned to undergo non-cardiac surgery (e.g., orthopaedic, vascular, visceral surgery) within 28 to 42 days, which requires a fast replenishment of the patients' iron stores (e.g.if it is not appropriate to postpone surgery) as judged by the treating physician
  • Iron deficiency defined as s-ferritin <100 ng/mL and s-transferrin saturation <20%
  • Relevant anaemia defined as haemoglobin of <12 g/dL for female and <13 g/dL for men
  • Written informed consent; willing and able to comply with the protocol

Who cannot join

  • Pregnancy in female patients or breastfeeding women
  • Female patients not willing to use a safe method of contraception (PEARL index <1) for the full study period
  • Severe anaemia with Hb < 8 g/dL
  • Any ingoing bleeding as judged by the treating physician
  • Patients receiving blood transfusion 24 weeks prior screening
  • Severe physical inability, e.g., American Society of Anesthesiologists (ASA) physical status IV or V
Show all 36Show fewer
  • Haematuria and proteinuria of unknown or known origin
  • Non-iron deficiency anaemia, e.g., known Vitamin B12 or folate deficiency, haemoglobinopathy, or unexplained anaemia
  • Anticipated medical need for erythropoiesis-stimulating agents during the study period
  • Patients with any contraindication to the investigational products, e.g.,
  • known sensitivity to iron or an ingredient of the investigational products
  • History of systemic allergic reactions
  • Haemachromatosis, thalassemia or TSAT >50% as indicator of iron overload
  • Acute or chronic intoxication
  • Infection (patient on non-prophylactic antibiotics)
  • Chronic liver disease and/or screening Alanine Aminotransferase (ALT) or Aspartate Aminotransferase (AST) above three times the upper limit of the normal range
  • Chronic kidney disease, defined as Glomerular Filtration Rate (GFR) <30 mL/min
  • Serum Creatinine > 150 μmol/L
  • Active uncontrolled immune-mediated diseases such as rheumatoid arthritis or inflammatory bowel disease
  • Primary haematologic disease
  • Drug or alcohol abuse according to WHO definition
  • Potentially unreliable patients, and those judged by the investigator to be unsuitable for the study
  • Current or previous participation in another clinical trial during the last 90 days before screening
  • according to summary of product characteristics (SmPC)
  • hypersensitivity to any ingredient in the formulation
  • concomitant parenteral iron
  • haemochromatosis, and other iron overload syndromes
  • according to SmPC
  • hypersensitivity to the active substance, to Ferinject or any of its excipients
  • known serious hypersensitivity to other parenteral iron products
  • anaemia not attributed to iron deficiency
  • evidence of iron overload or disturbances in the utilisation of iron
  • Exclusion criteria related to Polyglucoferron f) hypersensitivity to any ingredient in the formulation
  • known serious hypersensitivity to other parenteral iron products
  • anaemia not attributed to iron deficiency
  • evidence of iron overload or disturbances in the utilisation of iron

Trial locations and contacts

1 site in 1 country.

Germany1 site
  • Department of Anaesthesiology, Intensive Care Medicine and Pain Therapy, University Hospital of Goethe-University

    Frankfurt, Hessia, 60590

Other trials in Germany

About this study

Official title: Randomised, Open Lable, Active Controlled Clinical Trial to Demonstrate Safety and Efficacy of an i.v. Administration of Polyglucoferron Compared to i.v. Ferric Carboxymaltose and Oral Iron Substitution in Preoperative Treatment of Iron Deficiency Anaemia in Patients With Elective Non-cardiac Surgery (IDA I)

Patients with IDA and for whom fast replenishment of iron stores is necessary, e.g. if its not appropriated to postpone surgery, will be identified within 28 to 42 days before surgery. Patients will be randomised to receive either Polyglucoferron intravenously (i.v.), Ferric Carboxymaltose i.v. or oral iron substitution with Ferrous sulfate.

Read the detailed description

Randomised, active-controlled, open-labelled, parallel group, multicentre study to demonstrate superiority of Polyglucoferron i.v. compared to oral iron substitution for the treatment of iron deficient anaemic patients who need fast replenishment of iron stores as judged by the treating physician, e.g. if it is not appropriate to postpone surgery, before elective non-cardiac surgery and superiority of Polyglucoferron i.v. vs Ferric Carboxymaltose in short term safety monitoring.

Being tested
Polyglucoferron, Ferric carboxymaltose, Ferrous Sulfate
Keywords
pre surgery iron treatment
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.

  • PolyglucoferronDrug

    Also called Feramyl

    intravenous administration

  • Ferric carboxymaltoseDrug

    Also called Ferinject

    intravenous administration

  • Ferrous SulfateDrug

    Also called Ferro sanol duodenal

    oral administration

Study groups in NCT04087993
Study groupRoleWhat they receive
PolyglucoferronExperimentalonce intravenously, dosing according to Hb-levels and body weight, 500 - 2000 mg
Receives: Drug: Polyglucoferron
Ferric CarboxymaltoseActive comparatorOnce intravenously (a second administration is allowed), dosing according to Hb-levels and body weight (500 - 2000 mg, max. single dose of 1000 mg)
Receives: Drug: Ferric carboxymaltose
Ferrous sulfateActive comparatorcapsules, orally, dosing 50 mg - 200 mg (50 mg: 1 capsule in total, 200 mg: 4 capsules in total, taken as 2 capsules twice daily), duration of treatment 28 days
Receives: Drug: Ferrous Sulfate

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Normalisation or Increase of hemaglobin(Hb)-level

    Proportion of patients achieving normalized Hb-levels (according to World Health Organization (WHO) definition) or an increase of at least 1.5 g/dl Hb at day before surgery (visit 4) compared to baseline (BL) in the Polyglucoferron treatment arm compared to oral iron substitution with Ferrous sulfate

    Measured: baseline (BL) to day before surgery (visit 4)

  2. Detection of urine iron

    Detection of urine iron in the first urine after the end of i.v. administration, defined as short term safety surrogate marker after administration of the i.v. treatments

    Measured: approx. 8 hours

Secondary outcomes (38)
  1. Units of allogenic red blood cell transfusion

    Proportion of units of allogenic red blood cell transfusion from BL until visit 5

    Measured: baseline to visit 5 approx. 70 day

  2. Hb values

    Mean change in Hb at visit 4 compared to BL

    Measured: baseline to visit 4 approx. 35 day

  3. Hb values

    Mean change in Hb at visit 5 compared to BL

    Measured: baseline to visit 5 approx. 70 day

  4. Transferrin Saturation (TSAT) values

    Mean change in TSAT at visit 5 compared to BL

    Measured: baseline to visit 5 approx. 70 day

  5. Transferrin Saturation (TSAT) values

    Mean change in TSAT at visit 4 compared to BL

    Measured: baseline to visit 4 approx. 35 day

  6. iron values

    Mean change in serum iron at visit 4 compared to BL

    Measured: baseline to visit 4 approx. 35 day

  7. iron values

    Mean change in serum iron at visit 5 compared to BL

    Measured: baseline to visit 5 approx. 70 day

  8. ferritin values

    Mean change in serum ferritin at visit 5 compared to BL

    Measured: baseline to visit 5 approx. 70 day

  9. ferritin values

    Mean change in serum ferritin at visit 4 compared to BL

    Measured: baseline to visit 4 approx. 35 day

  10. transferrin values

    Mean change in serum ferritin at visit 4 compared to BL

    Measured: baseline to visit 4 approx. 35 day

  11. transferrin values

    Mean change in serum ferritin at visit 5 compared to BL

    Measured: baseline to visit 5 approx. 70 day

  12. number of adverse events (AE)/serious adverse events (SAE)

    Tolerability measured by overall number of AEs/SAEs until 28 days after surgery

    Measured: baseline to 28 days after surgery, approx. 56 days

  13. incidence of adverse events (AE)/serious adverse events (SAE)

    Tolerability by incidence of AEs/SAEs until 28 days after surgery

    Measured: baseline to 28 days after surgery, approx. 56 days

  14. Seriousness of adverse events (AE)/serious adverse events (SAE)

    Overall tolerability by seriousness of AEs/SAEs until 28 days after surgery

    Measured: baseline to 28 days after surgery, approx. 56 days

  15. Relationship of adverse events (AE)/serious adverse events (SAE)

    Overall tolerability by relationship of AEs/SAEs until 28 days after surgery

    Measured: baseline to 28 days after surgery, approx. 56 days

  16. Severity of adverse events (AE)/serious adverse events (SAE)

    Overall tolerability by severity of AEs/SAEs until 28 days after surgery

    Measured: baseline to 28 days after surgery, approx. 56 days

  17. Changes in Laboratory parameters

    Changes White blood count on each visit

    Measured: throughout study conduction, max 77 days

  18. Changes in Laboratory parameters

    Changes in thrombocytes on each visit

    Measured: throughout study conduction, max 77 days

  19. Changes in Laboratory parameters

    Changes in serum creatinine on each visit

    Measured: throughout study conduction, max 77 days

  20. Changes in Laboratory parameters

    Changes in AST on each visit

    Measured: throughout study conduction, max 77 days

  21. Changes in Laboratory parameters

    Changes in ALT on each visit

    Measured: throughout study conduction, max 77 days

  22. Changes in Laboratory parameters

    Changes in gamma GT on each visit

    Measured: throughout study conduction, max 77 days

  23. Changes in Laboratory parameters

    Changes in phosphate on each visit

    Measured: throughout study conduction, max 77 days

  24. Changes in vital signs

    Changes in vital signs on each visit

    Measured: throughout study conduction, max 77 days

  25. Changes in blood pressure

    Changes in blood pressure on each visit

    Measured: throughout study conduction, max 77 days

  26. Changes in heart rate

    Changes in heart rate on each visit

    Measured: throughout study conduction, max 77 days

  27. Changes in physical exam

    Changes in physical exam on each visit

    Measured: throughout study conduction, max 77 days

  28. adverse events related to administration

    AEs related to injection/infusion site reactions (i.v. group only)

    Measured: at baseline

  29. adverse events related to administration

    AEs related to injection/infusion site reactions (i.v. group only)

    Measured: 7 days after baseline, at Visit 3

  30. hypersensitivity reactions

    documentation of anaphylatic or anaphylactoid reactions (i.v. group only)

    Measured: at baseline

  31. hypersensitivity reactions

    documentation of anaphylatic or anaphylactoid reactions (i.v. group only)

    Measured: at study visit 3

  32. Mortality

    All-cause mortality within 28 days after surgery

    Measured: within 28 days after surgery, approx. 56 days

  33. Quality of Life (SF36)

    Assessment of Quality of Life by SF36 questionnaire at visits 4 compared to BL

    Measured: base line to visit 4 approx 35 days

  34. Quality of Life (SF36)

    Assessment of Quality of Life by SF36 questionnaire at visits 5 compared to BL

    Measured: baseline to visit 5 approx 70 days

  35. Duration of hospital stay

    Duration of hospital stay (days) until 28 days after surgery

    Measured: 28 days

  36. Number of patients with normalized Hb-values

    Number of patients with normalized Hb-values after iron substitution (n, %) at visits 4 and 5

    Measured: baseline to visit 4 approx 35 days

  37. Number of patients with normalized Hb-values

    Number of patients with normalized Hb-values after iron substitution (n, %) at and 5

    Measured: baseline to visit 5 approx 70 days

  38. Analysis of total iron levels

    Analysis of total iron levels in plasma at BL after end of iron administration (for the i.v. groups (safety analysis group) only)

    Measured: approx 4 hours

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Sep 2019
  2. Study start15 May 2020 (estimated)
  3. Primary completion31 Dec 2020 (estimated)
  4. Study completion31 Dec 2020 (estimated)

Why it stopped: difficult recruitment - redesign in discussion

Resources

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
Randomised
Intervention model
Parallel groups
Model description
2:2:1 distribution Polyglucoferron, Ferric Carboxymaltose i.v., or oral iron substitution with Ferrous sulfate. After safety assessment of first 35 patients treated with Polyglucoferron or Ferric Carboxymaltose i.v. respectively, Ferric Carboxymaltose arm will be closed.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04087993
Sponsor's protocol ID
TMP0916_02
Acronym
IDA-I
Status last verified
Aug 2024
First submitted
29 Aug 2019
Last updated
28 Aug 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Polyglucoferron, Ferric carboxymaltose and Ferrous Sulfate in people with Iron Deficiency Anemia, run by Dr. Frank Behrens at 1 site in Germany.

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 5 inclusion and 36 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: withdrawn, as of the sponsor's last update on 28 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Germany. 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?

The study was withdrawn before enrolling participants, so there are no results.

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?

Normalisation or Increase of hemaglobin(Hb)-level (time frame: baseline (BL) to day before surgery (visit 4)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 28 Aug 2024.

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