Delivery of Soluble Ferric Pyrophosphate (SFP) Via the Dialysate to Maintain Iron Balance in Hemodialysis Patients
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Purpose
In maintenance hemodialysis patients, regular administration of parenteral iron by addition of SFP to the dialysate, when compared to conventional dialysate, is effective in preventing the development of iron deficiency, thereby maintaining hemoglobin level; is clinically safe and does not lead to oxidative stress or inflammation.
| Condition | Intervention |
|---|---|
|
ESRD |
Drug: soluble ferric pyrophosphate (SFP) |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Double Blind (Subject, Investigator) Primary Purpose: Supportive Care |
| Official Title: | A Prospective, Randomized, Open-label, Multi-center, Controlled Clinical Trial of the Safety and Efficacy of Physiological Iron Maintenance in ESRD Subjects by Delivery of Soluble Ferric Pyrophosphate (SFP) Via Hemodialysate |
- sparing the need for supplemental intravenous iron required to maintain hemoglobin levels. Hemoglobin, Hematology, TSAT,Fe Panel,Chemistry Profile will be obtained [ Time Frame: every 4 weeks ] [ Designated as safety issue: Yes ]
- compare subjects receiving SFP dialysate versus conventional dialysate with regard to:Hemoglobin,Markers of inflammation and oxidative stress, iron overload or deficiency [ Time Frame: every 4 weeks ] [ Designated as safety issue: Yes ]
- To compare the two study groups (conventional dialysate versus SFP dialysate) Markers of inflammation and oxidative stress as described in the text. · Acute Oxidative stress/inflammation induced by the first dialysis session. [ Time Frame: every 4 weeks ] [ Designated as safety issue: Yes ]
| Estimated Enrollment: | 30 |
| Study Start Date: | January 2008 |
| Study Completion Date: | August 2009 |
| Estimated Primary Completion Date: | December 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: A |
Drug: soluble ferric pyrophosphate (SFP)
Subjects will be randomized to undergo dialysis with either Fe-HD (dialysate containing SFP) or C-HD (conventional dialysate lacking SFP) The experimental concentrate containing SFP (Fe-HD)has 95mg of SFP per gallon, or 10.9 mg total iron per gallon (96 µg of SFP per dL or 11 µg of total iron per dL). Control concentrate lacking SFP (C-HD) does not contain SFP (total iron = 0) |
Detailed Description:
This study has been terminated.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:Subjects with end stage renal disease undergoing maintenance hemodialysis three times a week.
- Subjects who have required IV iron at any time in the 2 months preceding enrollment.
Exclusion Criteria:
- Subjects with absolute iron deficiency at the time of enrollment In hemodialysis subjects "absolute iron deficiency"
- Subjects with a current malignancy involving sites other than skin.
- Subjects with a history of drug or alcohol abuse within the last 6 months
Contacts and Locations| United States, California | |
| RAI | |
| Los Angeles, California, United States, 90059 | |
| DaVita | |
| Los Angeles, California, United States, 90033 | |
| Principal Investigator: | Ajay Gupta, MD | Charles Drew University |
More Information
No publications provided
| Responsible Party: | Ajay Gupta, MD, PI, Charles Drew University (CDU) |
| ClinicalTrials.gov Identifier: | NCT00604565 History of Changes |
| Other Study ID Numbers: | SFP-NIH-01, NIH-FP-01 |
| Study First Received: | January 17, 2008 |
| Last Updated: | August 28, 2009 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Charles Drew University of Medicine and Science:
|
Hemodialysis |
Additional relevant MeSH terms:
|
Kidney Failure, Chronic Renal Insufficiency, Chronic Renal Insufficiency Kidney Diseases Urologic Diseases Iron |
Trace Elements Micronutrients Growth Substances Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 21, 2013