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Renal AnemiaPhase 4NCT06830941

Iron Isomaltoside for the Treatment of Anemia in Peritoneal Dialysis Patients

A Phase 4 study testing Iron isomaltoside and Ferrous succinate in people with Renal Anemia and Peritoneal Dialysis (PD), run by Xie Jingyuan, MD.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This is a prospective multicenter randomized controlled clinical study. The goal of this clinical trial is to learn if intravenous iron isomaltoside injection use is equally effective and safe for the treatment of renal anemia in peritoneal dialysis patients compared with oral ferrous succinate tablets. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Renal Anemia, Peritoneal Dialysis (PD)
What is being tested?
Iron isomaltoside and Ferrous succinate
Could I receive a placebo?
No, everyone receives an active treatment
How many people
124 participants
Where
No sites listed yet
Study dates
15 Feb 2025to 31 Dec 2027
Phase
Phase 4
Are there results?
Not yet: the study is under way

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

  • Males or females who are ≥ 18 years and on PD treatment for ≥90 days, body weight≥50Kg
  • Hemoglobin(Hb)≤110 g/L at screening phase
  • Serum ferritin(SF)≤200 μg/L or transferrin saturation(TSAT)≤20% at screening phase
  • No oral or intravenous iron use within 4 weeks prior to screening.
  • No hypoxia-inducible factor prolyl hydroxylase inhibitor(HIF-PHI)used or other erythropoiesis-stimulating agent(ESA)except for erythropoietin (EPO) used in the past 4 weeks prior to screening
  • Stable doses of erythropoiesis-stimulating agents (ESA) with a change of dose ≤20% during the past 4 weeks.
  • Willing to participate and signed the informed consent form

Who cannot join

  • Anemia predominantly caused by other diseases rather than renal diseases according to the investigator's judgement. (eg. bleeding, hematological diseases, anemia due to autoimmune diseases)
  • History of disturbances in iron utilisation.(eg. hemochromatosis and hemosiderosis)
  • Anemia due to lack of folate or vitamin B12:folate<6.8nmol/L(3ng/ml)and(or) Vitamin B12<74pmol/L(100pg/ml)at screening phase
  • Histories of serious allergies to iron
  • Obvious liver dysfunction:ALT>3×ULN and/or AST>3×ULN,or total bilirubin>1.5×ULN
  • Active acute or chronic infection(clinically diagnosed)
Show all 16Show fewer
  • Uncontrolled secondary hyperparathyroidism:PTH or iPTH>9×ULN;
  • History of malignancy within 5 years
  • Acute coronary syndrome, strokes (except for lacunar cerebral infarction), serious thromboembolism (eg. DVT or PE) within 6 months before the screening period
  • NYHA grade III or IV of congestive heart failure or severe arrythmia(including ventricular tachycardia, ventricular fibrillation, AV-block III etc.) within 6 months before screening
  • Pregnant or during lactation period or not willing to get contraception
  • Planning to receive renal transplantation within 2 months
  • Accepted blood transfusion within 3 months.
  • Serum ferritin,SF>500 μg/L
  • Planning to recieve the treatment as operations, chemotherapies or radiotherapies etc. during the research period
  • Other situations not suitable for inclusion decided by researchers. Rescreening is allowed if it failed in the first time of screening.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

About this study

Official title: Efficacy and Safety of Iron Isomaltoside in the Treatment of Peritoneal Dialysis Patients with Renal Related Anemia: a Randomized Controlled Trial

This is a prospective multicenter randomized controlled clinical study. The goal of this clinical trial is to learn if intravenous iron isomaltoside injection use is equally effective and safe for the treatment of renal anemia in peritoneal dialysis patients compared with oral ferrous succinate tablets.

The main questions to answer are:

Read more
  • Changes in hemoglobin concentration from baseline to week 8 after the use of single dose intravenous iron isomaltoside injection in peritoneal dialysis patients with renal anemia.
  • If intravenous iron isomaltoside injection use is equally effective and safe for the treatment of renal anemia in peritoneal dialysis patients compared with oral ferrous succinate tablets.

Participants will:

  • be randomized 1:1 to two groups, either Iron isomaltoside Group (Group A, experimental group) or Ferrous succinate Group (Group B, control group).
  • Patients in Iron isomaltoside Group will receive a single dose of intravenous iron isomaltoside injection, the dose of which is set at 1000 mg. Patients in Ferrous succinate Group will receive ferrous succinate treatment orally given as 200mg twice a day for 8 weeks (containing iron element 7840mg in total).
  • Patients will be followed up for 8 weeks.
Read the detailed description

This is a prospective multicenter randomized controlled clinical study. The purpose of this study is to evaluate the efficacy and safety of single dose intravenous iron isomaltoside comparing with daily oral ferrous succinate in the treatment of renal anemia among patients on peritoneal dialysis.

A total of 124 patients will be enrolled. The primary endpoint is hemoglobin change from baseline to week 8, the secondary endpoint is hemoglobin change from baseline to week 4. Other secondary endpoints include the results of iron metabolism, reticulocytes, composite cardiovascular events, laboratory and safety parameters. The expected result is that intravenous iron isomaltoside is equally effective and safe for the treatment of renal anemia in peritoneal dialysis patients compared with oral ferrous succinate tablets.

Being tested
Iron isomaltoside, Ferrous succinate
Keywords
peritoneal dialysis, renal anemia, iron isomaltoside, iron treatment

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Iron isomaltosideDrug

    Also called Intravenous iron isomaltoside

    Intravenous infusion of 1000mg iron isomaltoside as a single dose for over 15min. Iron isomaltoside 1000mg was diluted in 100ml of 0.9% saline.

  • Ferrous succinateDrug

    Also called Oral ferrous succinate

    Patients received ferrous succinate treatment orally given as 200mg twice a day for 8 weeks.

Study groups in NCT06830941
Study groupRoleWhat they receive
Iron isomaltoside GroupExperimentalIntravenous infusion of 1000mg iron isomaltoside as a single dose for over 15min. Iron isomaltoside 1000mg was diluted in 100ml of 0.9% saline.
Receives: Drug: Iron isomaltoside
Ferrous succinate GroupActive comparatorPatients received ferrous succinate treatment orally given as 200mg twice a day for 8 weeks(containing iron element 7840mg in total).
Receives: Drug: Ferrous succinate

What is being measured

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

  1. Changes in hemoglobin concentration from baseline to week 8

    Full blood count

    Measured: Screening period,Day 1,Week 1,Week 4,Week 8

Secondary outcomes (5)
  1. Changes in hemoglobin concentration from baseline to week 4

    Full blood count

    Measured: Screening period,Day 1,Week 1,Week 4

  2. Iron metabolism indices and reticulocyte count at week 8

    Iron metabolism indices and reticulocyte count

    Measured: Screening period,Day 1,Week 1,Week 4,Week 8

  3. Iron metabolism indices and reticulocyte count at week 4

    Iron metabolism indices and reticulocyte count

    Measured: Screening period,Day 1,Week 1,Week 4

  4. Compound cardiovascular adverse events at Week 8

    Recording and observation with the reference of clinical symptoms and the results of EKG, NT-proBNP, cardiac troponin, CK-MB and myoglobin etc.

    Measured: Through study completion, an average of 1 year

  5. Adverse Events

    Recording and observation with the reference of clinical symptoms and the results of laboratory indices and other indices for safety

    Measured: Through study completion, an average of 1 year

Timeline

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

  1. First posted17 Feb 2025
  2. Study start15 Feb 2025 (estimated)
  3. Primary completion9 Feb 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
124 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06830941
Sponsor's protocol ID
Iron isomaltoside-PD
Status last verified
Jan 2025
First submitted
10 Feb 2025
Last updated
17 Feb 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kalra PA, Bhandari S, Saxena S, Agarwal D, Wirtz G, Kletzmayr J, Thomsen LL, Coyne DW. A randomized trial of iron isomaltoside 1000 versus oral iron in non-dialysis-dependent chronic kidney disease patients with anaemia. Nephrol Dial Transplant. 2016 Apr;31(4):646-55. doi: 10.1093/ndt/gfv293. Epub 2015 Aug 6.

    PubMed 26250435
  • Bhandari S, Kalra PA, Kothari J, Ambuhl PM, Christensen JH, Essaian AM, Thomsen LL, Macdougall IC, Coyne DW. A randomized, open-label trial of iron isomaltoside 1000 (Monofer(R)) compared with iron sucrose (Venofer(R)) as maintenance therapy in haemodialysis patients. Nephrol Dial Transplant. 2015 Sep;30(9):1577-89. doi: 10.1093/ndt/gfv096. Epub 2015 Apr 28.

    PubMed 25925701
  • Bhandari S, Kalra PA, Berkowitz M, Belo D, Thomsen LL, Wolf M. Safety and efficacy of iron isomaltoside 1000/ferric derisomaltose versus iron sucrose in patients with chronic kidney disease: the FERWON-NEPHRO randomized, open-label, comparative trial. Nephrol Dial Transplant. 2021 Jan 1;36(1):111-120. doi: 10.1093/ndt/gfaa011.

    PubMed 32049331
  • Futterer S, Andrusenko I, Kolb U, Hofmeister W, Langguth P. Structural characterization of iron oxide/hydroxide nanoparticles in nine different parenteral drugs for the treatment of iron deficiency anaemia by electron diffraction (ED) and X-ray powder diffraction (XRPD). J Pharm Biomed Anal. 2013 Dec;86:151-60. doi: 10.1016/j.jpba.2013.08.005. Epub 2013 Aug 14.

    PubMed 23998966
  • Jahn MR, Andreasen HB, Futterer S, Nawroth T, Schunemann V, Kolb U, Hofmeister W, Munoz M, Bock K, Meldal M, Langguth P. A comparative study of the physicochemical properties of iron isomaltoside 1000 (Monofer), a new intravenous iron preparation and its clinical implications. Eur J Pharm Biopharm. 2011 Aug;78(3):480-91. doi: 10.1016/j.ejpb.2011.03.016. Epub 2011 Mar 23.

    PubMed 21439379
  • Auerbach M, Henry D, DeLoughery TG. Intravenous ferric derisomaltose for the treatment of iron deficiency anemia. Am J Hematol. 2021 Jun 1;96(6):727-734. doi: 10.1002/ajh.26124. Epub 2021 Feb 26.

    PubMed 33580972
  • Auerbach M, Gafter-Gvili A, Macdougall IC. Intravenous iron: a framework for changing the management of iron deficiency. Lancet Haematol. 2020 Apr;7(4):e342-e350. doi: 10.1016/S2352-3026(19)30264-9.

    PubMed 32220343
  • Bazeley JW, Wish JB. Recent and Emerging Therapies for Iron Deficiency in Anemia of CKD: A Review. Am J Kidney Dis. 2022 Jun;79(6):868-876. doi: 10.1053/j.ajkd.2021.09.017. Epub 2021 Nov 7.

    PubMed 34758368
  • Cancelo-Hidalgo MJ, Castelo-Branco C, Palacios S, Haya-Palazuelos J, Ciria-Recasens M, Manasanch J, Perez-Edo L. Tolerability of different oral iron supplements: a systematic review. Curr Med Res Opin. 2013 Apr;29(4):291-303. doi: 10.1185/03007995.2012.761599. Epub 2013 Feb 6.

    PubMed 23252877
  • Drueke TB, Parfrey PS. Summary of the KDIGO guideline on anemia and comment: reading between the (guide)line(s). Kidney Int. 2012 Nov;82(9):952-60. doi: 10.1038/ki.2012.270. Epub 2012 Aug 1.

    PubMed 22854645
  • Batchelor EK, Kapitsinou P, Pergola PE, Kovesdy CP, Jalal DI. Iron Deficiency in Chronic Kidney Disease: Updates on Pathophysiology, Diagnosis, and Treatment. J Am Soc Nephrol. 2020 Mar;31(3):456-468. doi: 10.1681/ASN.2019020213. Epub 2020 Feb 10.

    PubMed 32041774
  • Molnar MZ, Mehrotra R, Duong U, Kovesdy CP, Kalantar-Zadeh K. Association of hemoglobin and survival in peritoneal dialysis patients. Clin J Am Soc Nephrol. 2011 Aug;6(8):1973-81. doi: 10.2215/CJN.01050211. Epub 2011 Jul 22.

    PubMed 21784829
  • Li S, Foley RN, Collins AJ. Anemia, hospitalization, and mortality in patients receiving peritoneal dialysis in the United States. Kidney Int. 2004 May;65(5):1864-9. doi: 10.1111/j.1523-1755.2004.00584.x.

    PubMed 15086928
  • Horl WH. Anaemia management and mortality risk in chronic kidney disease. Nat Rev Nephrol. 2013 May;9(5):291-301. doi: 10.1038/nrneph.2013.21. Epub 2013 Feb 26.

    PubMed 23438972
  • Fishbane S, Spinowitz B. Update on Anemia in ESRD and Earlier Stages of CKD: Core Curriculum 2018. Am J Kidney Dis. 2018 Mar;71(3):423-435. doi: 10.1053/j.ajkd.2017.09.026. Epub 2018 Jan 11.

    PubMed 29336855

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Iron isomaltoside and Ferrous succinate in people with Renal Anemia and Peritoneal Dialysis (PD), run by Xie Jingyuan, MD.

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 7 inclusion and 16 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: opening soon, as of the sponsor's last update on 17 Feb 2025. Status can change between updates, so confirm with the study contact before making plans.

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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Jingyuan Xie (+862164370045 ext. 665272, nephroxie@163.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Changes in hemoglobin concentration from baseline to week 8 (time frame: Screening period,Day 1,Week 1,Week 4,Week 8). 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 NCT06830941, which also lists 18 linked publications.

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 17 Feb 2025.

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