Heme Iron Polypeptide for Iron Deficiency Anemia in Chronic Renal Failure
Recruitment status was Active, not recruiting
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Purpose
The purpose of this study is to determine if oral Heme Iron Polypeptide is as effective as IV iron sucrose in the treatment of iron-deficiency anemia for patients with chronic kidney disease.
| Condition | Intervention | Phase |
|---|---|---|
|
Anemia Renal Failure |
Drug: Heme Iron Polypeptide (Proferrin) Drug: Iron sucrose (Venofer) |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Single Blind (Investigator) Primary Purpose: Treatment |
| Official Title: | Heme Iron Polypeptide for the Treatment of Iron Deficiency Anaemia in Pre-Dialysis Patients: A Pilot Randomized Controlled Study |
- Hemoglobin concentration at 6 months [ Time Frame: 6 mmonths ] [ Designated as safety issue: No ]
- Iron indices IV iron requirements rHuEpo requirements Adverse events/side effects [ Time Frame: 6 months ] [ Designated as safety issue: Yes ]
| Enrollment: | 55 |
| Study Start Date: | May 2007 |
| Estimated Study Completion Date: | February 2011 |
| Estimated Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Heme Iron
Heme Iron Polypeptide 11mg PO tid for 6 months
|
Drug: Heme Iron Polypeptide (Proferrin)
Heme iron polypeptide 11mg po tid for 6 months
Other Name: Proferrin
|
|
Active Comparator: Venofer
Venofer q month IV x 6 months
|
Drug: Iron sucrose (Venofer)
Iron sucrose infusion IV q month x 6 months
Other Name: Venofer
|
Detailed Description:
Iron deficiency anemia is common in patients with pre-dialysis chronic kidney disease, and is associated with significant morbidity. Conventional treatment with oral iron salts or IV iron formulations are costly and are associated with side effects. Heme iron polypeptide is a newly available formulation of oral iron which can be administered orally, is well absorbed by uremic patients, and has potentially fewer side effects.
Comparison: Iron deficient anemic patients will be randomized to either oral heme iron polypeptide or IV iron sucrose for six months.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- eGFR < 30 mL/min
- Hb 90-110 g/L
- Age > 18
- Not on renal replacement therapy
- Transferrin saturation < 20% OR Ferritin <100 mcg/L
- B12 & folate within reference range
Exclusion Criteria:
- Iron overload (Tsat > 50% or ferritin > 800 μg/L);
- malignancy; recurrent gastro-intestinal bleeding, major surgery or infection within the last 3 months;
- parenteral iron therapy, blood transfusion within the last 3 months;
- pregnancy;
- contraindication to any study medication and;
- inability or refusal to give consent.
Contacts and Locations| Canada, Ontario | |
| The Ottawa Hospital - Riverside Campus | |
| Ottawa, Ontario, Canada, K1H 7W9 | |
| Principal Investigator: | Deborah Zimmerman, MD | Ottawa Hospital Research Institute |
More Information
No publications provided by Ottawa Hospital Research Institute
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Deborah Zimmerman, Kidney Research Centre |
| ClinicalTrials.gov Identifier: | NCT00318812 History of Changes |
| Other Study ID Numbers: | 2005840-01H |
| Study First Received: | April 25, 2006 |
| Last Updated: | November 16, 2010 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Ottawa Hospital Research Institute:
|
RCT Prospective Studies ferric oxide, saccharated Peptides Heme Iron |
Erythropoietin, Recombinant Ferritin Transferrin Treatment Outcome |
Additional relevant MeSH terms:
|
Anemia Kidney Failure, Chronic Renal Insufficiency Anemia, Iron-Deficiency Hematologic Diseases Renal Insufficiency, Chronic Kidney Diseases Urologic Diseases Anemia, Hypochromic Iron Metabolism Disorders Metabolic Diseases |
Ferric oxide, saccharated Iron Hematinics Hematologic Agents Therapeutic Uses Pharmacologic Actions Trace Elements Micronutrients Growth Substances Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 21, 2013