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TerminatedNCT00929409Updated Feb 17, 2012

Controlled Randomised Trial of Ferric Carboxymaltose and Oral Iron to Treat Postpartum Anemia

A Phase 2/3 interventional study of Ferric carboxymaltose and Ferrous sulfate tablets in Anemia, Iron-Deficiency, Puerperal Disorders and Depression, Postpartum, sponsored by Norwegian University of Science and Technology. Terminated at 3 sites in Norway. Open to female participants aged 18 Years to 45 Years. Per ClinicalTrials.gov, last updated 2012-02-17.

Sponsored by Norwegian University of Science and Technology · Phase 2/3, Interventional, and Treatment

Why this study was terminated
Stopped prematurely because too few patients were recruited.
Phase
Phase 2/3
Study type
Interventional
Enrollment
30
Allocation
Randomized
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

200 patients with post partum anemia will be randomised to receive either intravenous iron (intervention group) or peroral iron (control group).

The hypothesis is that intravenous iron supplementation is superior to standard peroral iron.

Read the detailed description

The study is a multi center phase 3 trial, comprising 3 medium sized obstetrical units in Norway.

The amount of iron given to the intervention group is calculated according to the modified Ganzoni formula. The control group is given the standard regime of 200 mg ferro sulphate daily. In both groups, treatment start at inclusion, within 48 h of delivery.

The sample size was based on power calculations: About 200 participants are required to detect a difference of 0.5 g/dl between the groups (with 80 % power).

Randomization is performed by use of opaque envelopes. An electronic CRF is applied. Laboratory analysis are provided by a recognized Swedish biochemical laboratory.

Apart from hemoglobin and the common iron parameters, the serum concentration of soluble ferritin receptors will be analyzed, as well as hepcidin levels.

02

Conditions studied

  • Anemia, Iron-Deficiency
  • Puerperal Disorders
  • Depression, Postpartum

Keywords

  • Postpartum anemia, iron-deficiency
03

Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
No

Inclusion criteria

  • Woman within 48 h post partum
  • Hemoglobin level equal or higher than 6.5 g/dl and equal or lower than 8.5 g/dl
  • Able to read and understand the Norwegian language
  • Signed informed consent

Exclusion criteria

Exclusion Criteria:

  • Anemia not attributable to iron deficiency
  • Contraindications for any of the study drugs
  • Treatment with drugs, dietary supplements or natural remedies containing iron
  • Clinically significant condition which in the opinion of the investigator should disqualify the patient from the study
  • Assessed as requiring blood transfusion(s)
04

Study design

Phase
Phase 2 / Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
30 participants (actual)

Study arms

  • Active comparator
    Peroral iron - ferrous sulfate tablets

    Peroral iron given as one tablet of ferrous sulfate 100 mg two times daily

    Drug: Ferrous sulfate tablets

  • Active comparator
    Ferric carboxymaltose

    Intravenous infusion of Ferric Carboxymaltose (Ferinject), the given dose is adapted according to the individual patient's requirement. No other form of iron supplementation is given.

    Drug: Ferric carboxymaltose

Interventions

  • DrugFerric carboxymaltose

    Intravenous infusion of Ferric carboxymaltose in a dose calculated to meet the individual patient's requirements following the Ganzoni formula

    Also known as: Ferinject

  • DrugFerrous sulfate tablets

    Standard tablets containing 100 mg ferrous sulfate, 1 tablet two times daily

    Also known as: Duroferon

05

What researchers measure

Primary outcomes

  1. Haemoglobin concentration

    Time frame: 6 weeks

Secondary outcomes

  1. Ferritin

    Time frame: 6 weeks

  2. Fatigue

    Fatigue scale

    Time frame: 6 weeks

  3. Quality of life

    SF-36

    Time frame: 6 weeks

  4. Post partum depression

    Edinburgh Post Partum Depression Scale

    Time frame: 6 weeks

06

Study locations

3 sites
  • Department of Obstetrics, Vestre Viken Hospital Trust
    Drammen, 3004, Norway
  • Sykehuset Innlandet HF
    Lillehammer, N 2609, Norway
  • St Olavs Hospital
    Trondheim, N 7006, Norway
07

Registry details

Key details

Study ID
NCT00929409
Lead sponsor
Norwegian University of Science and Technology
Collaborators
St. Olavs Hospital, Sykehuset Innlandet HF, Sykehuset Buskerud HF
Responsible party
Sponsor
First posted
Jun 29, 2009
Start date
Jun 2009
Primary completion
Jul 2010
Completion
Jul 2010
Last update
Feb 17, 2012

Study contacts

Bjorn Backe, MD PhD
principal investigator · Norwegian University of Science and Technology

Oversight

Data monitoring committee
No
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