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Cystic FibrosisPhase 4NCT07903311

Iron Repletion in Cystic Fibrosis

A Phase 4 study testing IV Repletion and PO Repletion in people with Cystic Fibrosis and Iron Deficiencies, run by University of Michigan at 8 sites in United States.

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

The researchers in this study hope to learn whether oral (PO) or intravenous (IV) iron treatments are better for treating iron deficiency in patients with cystic fibrosis (CF). This research will help doctors better treat iron deficiency in patients with CF in the future by examining blood and other health measures. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
IV Repletion and PO Repletion
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
100 participants
Where
8 sitesUnited States
Study dates
Nov 2026to Apr 2030
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

  • A CF diagnosis as evidenced by one or more clinical features consistent with the CF phenotype and at least one of the following criteria:
  • sweat chloride ≥ 60 milliequivalent/liter by quantitative pilocarpine iontophoresis test (QPIT)
  • two well-characterized mutations in the cystic fibrosis transmembrane conductance regulator (CFTR) gene
  • abnormal nasal potential difference (NPD, change in NPD in response to a low chloride solution and isoproterenol of less than -5 mV)
  • Ability to provide written informed consent and to comply with the requirements of the study
  • --------------------------------------------------
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  • Additional Inclusion Criteria for ID Cohort:
  • ID defined by at least one of the following criteria:
  • Both of the following: i. transferrin saturation (TSAT) < 20% OR ferritin < 30 ug/L ii. hemoglobin < 12.0 g/dL in female OR hemoglobin < 13.0 g/dL in male per World Health Organization (WHO) anemia definition b. TSAT < 15% or ferritin < 15 ug/L irrespective of hemoglobin value
  • --------------------------------------------------
  • Additional Inclusion Criteria for Borderline ID Cohort:
  • Borderline ID defined by both of the following criteria:
  • TSAT < 20% OR ferritin < 60 ug/L
  • not meeting ID Cohort criteria above
  • --------------------------------------------------

Who cannot join

  • Treated with IV repletion within 3 months of Screening Visit
  • Treated with PO repletion within 1 months of Screening Visit
  • Treated with red blood cell (RBC) transfusion within 3 months of Screening Visit
  • Known allergy to either IV or PO iron for ID Cohort, or known allergy to PO iron for Borderline ID Cohort
  • Prior solid organ or hematologic transplant
  • Hemodialysis dependent within 6 months of Screening Visit, active use of erythropoiesis stimulating agent at time of Screening Visit, or Glomerular Filtration Rate (GFR) < 45 estimated based on creatinine (CKD-EPI 2021) at time of Screening Visit
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  • Use of extracorporeal organ support (ECOS) of any type, including but not limited to extracorporeal membrane oxygenation (ECMO), within 6 months of Screening Visit
  • Pregnant, or within 3 months of a prior pregnancy at Screening Visit
  • Presence of known cause of anemia other than ID that has required treatment within 12 months of Screening Visit
  • Presence of a condition or abnormality that in the opinion of the Investigator would compromise the safety of the patient or the quality of the data

Trial locations and contacts

8 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Shijing Jia, MD contact

734-936-8917

sjia@med.umich.edu

8 sites in 1 country

United States8 sites
  • University of Michigan

    Ann Arbor, Michigan, 48109

    Shijing Jia, MD, 734-936-8917, sjia@med.umich.edu

    Shijing Jia, MD

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

    Christina Email: Mingora, 843-792-9200, mingora@musc.edu

    Christina Mingora

  • National Jewish Health

    Denver, Colorado, 80206

    Alix Wilson, 303-270-2517, wilsona@njhealth.org

    Jennifer Taylor

  • Indiana University

    Indianapolis, Indiana, 46202

    Heather Kirchner, 317-278-0062, hekinney@iu.edu

    Courtney Vujakovich, 317-278-3051, cvujakov@iu.edu

  • The University of Kansas Medical Center

    Kansas City, Kansas, 66160

    Larry Scott, 913-588-4020, Lscott2@kumc.edu

    Joel Mermis

  • University of Minnesota

    Minneapolis, Minnesota, 55455

    Brooke Noren, 612-625-7995, boer0039@umn.edu

    Sarah Kiel, MD

  • Columbia University Irving Medical Center

    New York, New York, 10032

    Jordan Rhodeman, 212-305-4675, Jar2403@cumc.columbia.edu

    Claire Keating, MD

  • University of Nebraska Medical Center

    Omaha, Nebraska, 68198-6450

    Michel Wehrli-Veit, 402-559-7585, michel.veit@unmc.edu

Other trials in United States

About this study

Official title: A Multicenter Trial of Iron Repletion in Cystic Fibrosis: IRON-CF

The researchers in this study hope to learn whether oral (PO) or intravenous (IV) iron treatments are better for treating iron deficiency in patients with cystic fibrosis (CF). This research will help doctors better treat iron deficiency in patients with CF in the future by examining blood and other health measures.

Read the detailed description

Participants with cystic fibrosis (CF) will be enrolled in this study. Approximately 80 participants will be enrolled in the Iron Deficient (ID) Cohort; and approximately 20 participants will be enrolled in the Borderline ID Cohort. Participants enrolled in the ID Cohort will be randomized to either an IV versus PO route of iron repletion. Participants enrolled in the Borderline ID Cohort will be randomized to a PO route of iron repletion versus usual care without specific assignment of iron repletion. The focus of the study is the ID Cohort; the Borderline ID Cohort is exploratory.

Being tested
IV Repletion, PO Repletion
Medical subject headings
Cystic Fibrosis, Iron Deficiencies

What participants receive

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

  • IV RepletionDrug

    Possible formulation and dose will depend on the participant's treating clinician, and may include but is not limited to the following: low molecular weight iron dextran; ferric carboxymaltose; ferric derisomaltose.

  • PO RepletionDrug

    Possible formulation and dose will depend on the participant's treating clinician, and may include but is not limited to the following: ferrous sulfate (325 mg/65 mg elemental iron every other day).

Study groups in NCT07903311
Study groupRoleWhat they receive
Iron Deficient IVExperimentalParticipants enrolled in the ID Cohort will be randomized to an IV versus PO route of iron repletion in a 1:1 ratio. Participants are only randomized by route of repletion, not to a specified drug or dose. Rather, selection of the iron repletion formulation and dose will be determined by the participant's treating clinician. This arm is randomized to the IV route of administration.
Receives: Drug: IV Repletion
Iron Deficient POExperimentalParticipants enrolled in the ID Cohort will be randomized to an IV versus PO route of iron repletion in a 1:1 ratio. Participants are only randomized by route of repletion, not to a specified drug or dose. Rather, selection of the iron repletion formulation and dose will be determined by the participant's treating clinician. This arm is randomized to the PO route of administration.
Receives: Drug: PO Repletion
Borderline Iron Deficient POExperimentalParticipants enrolled in the Borderline ID Cohort will be randomized to a PO route of iron repletion versus usual care without specific assignment of iron repletion in a 1:1 ratio. Participants are not randomized to a specific drug or dose. Rather, selection of the iron repletion formulation and dose will be determined by the participant's treating clinician. This arm is randomized to the PO route of administration.
Receives: Drug: PO Repletion
Borderline Iron Deficient Usual CareNo interventionParticipants enrolled in the Borderline ID Cohort will be randomized to a PO route of iron repletion versus usual care without specific assignment of iron repletion in a 1:1 ratio. Usual care is defined as continued clinical care as usual without a specific plan to replete iron. This arm is randomized to usual care.

What is being measured

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

  1. Estimated absolute change in whole blood hemoglobin - ID Cohort

    Whole blood hemoglobin in g/dL at 3 months after the start of IV versus PO treatment. Full longitudinal study data from all study visits will be modeled in a linear mixed-effects model which will include time from start of treatment, the treatment (IV versus PO), and interactions between the time and treatment at approximately 1, 3, and 6 months.

    Measured: Baseline, and approximately 3 months

Secondary outcomes (20)
  1. Estimated absolute change in whole blood hemoglobin - ID Cohort

    Whole blood hemoglobin in g/dL at 1 and 6 months after the start of IV versus PO treatment will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1 and 6 months

  2. Estimated proportion of non-anemic participants - ID Cohort

    Proportion of non-anemic participants over time will be modeled based on an inverse probability weighted generalized estimating equations (GEE) model for the binary variable of hemoglobin value meeting WHO criteria for anemia versus not anemia.

    Measured: Baseline, and approximately 1, 3, and 6 months

  3. Estimated relative change in soluble transferrin receptor (sTfR) - ID Cohort

    Serum sTfR in % of mg/L at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  4. Estimated absolute change in transferrin saturation (TSAT) - ID Cohort

    Serum TSAT in % at 1, 3, and 6 months, determined by total serum iron and iron binding capacity, will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  5. Estimated absolute change in serum iron - ID Cohort

    Serum iron in ug/dL at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  6. Estimated absolute change in serum ferritin - ID Cohort

    Serum ferritin in ng/mL at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  7. Estimated absolute change in serum ferritin(adj-factor) - ID Cohort

    Adjusted serum ferritin using the correction factor method for C-reactive protein (CRP) in ng/mL at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  8. Estimated absolute change in serum ferritin(adj-BRINDA) - ID Cohort

    Adjusted serum ferritin using the BRINDA method for CRP in ng/mL at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  9. Estimated absolute change in sTfR index - ID Cohort

    sTfR index calculated by sTfR / log (ferritin) at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  10. Estimated absolute change in whole blood red blood cell (RBC) mean corpuscular volume (MCV) - ID cohort

    RBC MCV in fL at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  11. Estimated absolute change in 6-minute walk distance (6MWD) - ID Cohort

    6MWD in meters at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  12. Estimated change in percent predicted forced expiratory volume in the first second (ppFEV1) - ID Cohort

    ppFEV1 measured by spirometry in % at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  13. Estimated absolute change in hand grip strength - ID Cohort

    Hand grip strength in lbs, assessed using the Jamar dynamometer, at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  14. Estimated absolute change in body mass index (BMI) - ID Cohort

    BMI measured by height and weight in kg/m2 at 1, 3, and 6 months will be modeled using approaches described in Outcome 1.

    Measured: Baseline, and approximately 1, 3, and 6 months

  15. Estimated absolute change in fatigue severity score (FSS) - ID Cohort

    FSS at 1, 3, and 6 months will be modeled using approaches described in Outcome 1. The FSS is a 9 question scale, with raw score range of 9-63, and final score range of 1-7, with higher scores indicating more fatigue.

    Measured: Baseline, and approximately 1, 3, and 6 months

  16. Estimated absolute change in cystic fibrosis questionnaire revised (CFQ-R) - ID Cohort

    CFQ-R scores captured using the ≥ 14 years of age questionnaire at 1, 3, and 6 months will be modeled using approaches described in Outcome 1. The CFQ-R is reported in separate domains, with a score range of 0-100 for each domain, with higher scores indication better health-related quality of life.

    Measured: Baseline, and approximately 1, 3, and 6 months

  17. Estimated absolute change in gastrointestinal symptom score (GI-SS) - ID Cohort

    Total number of present GI symptoms, out of 8 total assessed in Section C of the questionnaire, at 1, 3, and 6 months will be modeled using approaches described in Outcome 1. Additionally, numerical severity of symptoms will be modeled (0=absent, 1=mild, 2=moderate, 3=severe) using the same approach. A higher number indicates more severe GI symptoms.

    Measured: Baseline, and approximately 1, 3, and 6 months

  18. Time to next distal intestinal obstruction syndrome (DIOS) event - ID Cohort

    All unique DIOS events which occur from start of IV versus PO treatment through the duration of follow-up will be modeled using the Xia/Murray/Tayob method, which is a robust multivariable restricted time model with the capacity to analyze repeated time-to-event data throughout the study period.

    Measured: Start of treatment through the approximate 6-month study period

  19. Time to next pulmonary exacerbation (PEx) - ID Cohort

    All unique PEx events which occur from start of IV versus PO treatment through the duration of follow-up will be modeled using the Xia/Murray/Tayob method, which is a robust multivariable restricted time model with the capacity to analyze repeated time-to-event data throughout the study period.

    Measured: Start of treatment through the approximate 6-month study period

  20. Adherence - ID Cohort

    Adherence to treatment will be defined as cumulative % of doses of respect treatment arm estimated over the study period relative to the total prescribed doses. Adherence to IV versus PO iron treatment as a % will be analyzed by 2-sample t-test.

    Measured: Start of treatment through the approximate 6-month study period

Timeline

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

  1. First posted29 Oct 2026
  2. Study startNov 2026 (estimated)
  3. Primary completionJan 2030 (estimated)
  4. Study completionApr 2030 (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
100 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07903311
Sponsor's protocol ID
HUM00285284
Other IDs
K23HL175126
Status last verified
Oct 2026
First submitted
21 Oct 2026
Last updated
29 Oct 2026
Results posted
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: All data collected, generated, and used in this research study will be preserved and shared, exclusive of data for which we do not have participant consent or IRB approval (e.g., data which may be used to identify individual patients). Deidentified study data will be maintained and shared to aid in future validation of the study results, accelerate future potential research in the field.

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing IV Repletion and PO Repletion in people with Cystic Fibrosis and Iron Deficiencies, run by University of Michigan at 8 sites in United States.

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 15 inclusion and 10 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 29 Oct 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. 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 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 Shijing Jia, MD (734-936-8917, sjia@med.umich.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Estimated absolute change in whole blood hemoglobin - ID Cohort (time frame: Baseline, and approximately 3 months). 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 29 Oct 2026.

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