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CompletedNCT01102413Updated Dec 3, 2015Results posted

Iron Isomaltoside 1000 (Monofer®) in Non-Dialysis Dependent Chronic Kidney Disease and With Renal-Related Anaemia

A Phase 3 interventional study of Monofer and Iron Sulphate in Iron Deficiency Anemia and Chronic Kidney Disease, sponsored by Pharmacosmos A/S. Completed at 1 site in Denmark. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2015-12-03.

Sponsored by Pharmacosmos A/S · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
351
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The study is designed to determine the effects of an investigational drug Monofer in subjects with non-dialysis dependent chronic kidney disease (NDD-CKD) subjects and with iron deficiency anaemia (IDA).

02

Conditions studied

03

In context

Kidney Diseases

3,840 studies on the registry are indexed under Kidney Diseases; 500 are open to participants now.

This study's enrollment of 351 is above the median of 70 across 2,640 interventional studies indexed under Kidney Diseases.

Browse Kidney Diseases studies →

Lead sponsor

Pharmacosmos A/S is the lead sponsor of 36 studies on the registry; 5 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Men and women, aged more than 18 years.
  2. Subjects diagnosed with NDD-CKD with MDRD calculated eGFR between 15-59 mL/min.
  3. Hb \< 11.0 g/dL (6.80 mmol/L)
  4. Either or both of the following iron stores indicators below target {Serum ferritin \< 100 ug/l and Transferrin saturation (TfS)\<20%}.
  5. Life expectancy beyond 12 months by Principal Investigator's judgement.
  6. Willingness to participate after informed consent and any authorization as required by local law ( e.g. Protected Health Information [PHI] for North America).

Exclusion criteria

Exclusion Criteria:

  1. Anaemia predominantly caused by factors other than renal impairment or iron deficiency (according to Principal Investigator's judgment).
  2. Iron overload or disturbances in utilisation of iron (e.g. haemochromatosis and haemosiderosis).
  3. Drug hypersensitivity (i.e. previous hypersensitivity to Iron Dextran or iron mono- or disaccharide complexes or to iron sulphate or any excipients of the study drug.
  4. Subjects with history of multiple allergies.
  5. Decompensated liver cirrhosis or active hepatitis (Alanine Aminotransferase (ALT) > 3 times upper normal limit).
  6. Active acute or chronic infections ((assessed by clinical judgment), supplied with White Blood Cells (WBC) and C-Reactive Protein (CRP)).
  7. Rheumatoid arthritis with symptoms or signs of active joint inflammation.
  8. Pregnancy and nursing (To avoid pregnancy, women have to be postmenopausal (at least 12 months must have elapsed since last menstruation), surgically sterile, or women of child bearing potential must use one of the following contraceptives during the whole study period and after the study has ended for at least 5 times plasma biological half-life of the investigational medicinal product (5 days): Contraceptive pills, intrauterine devices (IUD), contraceptive depot injections (prolonged-release gestagen), subdermal implantation, vaginal ring, and transdermal patches).
  9. Extensive active bleeding necessitating blood transfusion.
  10. Planned elective surgery during the study.
  11. Participation in any other clinical study within 3 months prior to screening.
  12. Known intolerance to oral iron treatment.
  13. Untreated B12 or folate deficiency.
  14. I.V. or oral iron treatment or blood transfusion within 4 weeks prior to screening visit.
  15. ESA treatment within 8 weeks prior to screening visit.
  16. Serum ferritin > 500 µg/L.
  17. Any other medical condition that, in the opinion of Principal Investigator, may cause the subject to be unsuitable for the completion of the study or place the subject at potential risk from being in the study or interfere with study drug evaluation. Example, Uncontrolled Hypertension, Unstable Ischemic Heart Disease or Uncontrolled Diabetes Mellitus.
  18. Body weight \< 30 kilograms.
05

Study design

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

Study arms

  • Experimental
    Monofer

    Injections or infusions

    Drug: Monofer

  • Active comparator
    Iron Sulphate

    Oral intake

    Drug: Iron Sulphate

Interventions

  • DrugMonofer

    Infusion or injections

  • DrugIron Sulphate

    Oral intake

06

What researchers measure

Primary outcomes

  1. Change in Hemoglobin (Hb) Concentration From Baseline to Week 4.

    Time frame: Baseline, 4 weeks

Secondary outcomes

  1. Change in Hemoglobin Concentration From Baseline to Week 8

    Time frame: Baseline to week 8

07

Results

Posted Dec 3, 2015

Participant flow

Participant flow — Overall Study
MilestoneMonoferIron Sulphate
Started233118
Completed208106
Not completed2512

Outcome measures

PrimaryChange in Hemoglobin (Hb) Concentration From Baseline to Week 4.
Time frame:
Baseline, 4 weeks
Reported as:
Mean · g/dL
Change in Hemoglobin (Hb) Concentration From Baseline to Week 4.
g/dLMonoferIron Sulphate
Change in Hemoglobin (Hb) Concentration From Baseline to Week 4.0.57 (-3.1 to 4.0)0.35 (-3.7 to 3.9)
SecondaryChange in Hemoglobin Concentration From Baseline to Week 8
Time frame:
Baseline to week 8
Reported as:
Mean · g/dL
Change in Hemoglobin Concentration From Baseline to Week 8
g/dLMonoferIron Sulphate
Change in Hemoglobin Concentration From Baseline to Week 80.92 (-1.6 to 5.1)0.45 (-2.9 to 4.0)

Adverse events

Non-serious events are listed at a 2% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Monofer—12/228 (5.3%)48/228 (21.1%)
Iron Sulphate—10/117 (8.5%)22/117 (18.8%)
Most frequent serious events
Showing 10 of 25
Most frequent serious events
EventMonoferIron Sulphate
HypersensitivityImmune system disorders2/2280/117
PneumoniaInfections and infestations2/2281/117
AnaemiaBlood and lymphatic system disorders0/2281/117
Acute left ventricular failureCardiac disorders0/2281/117
Cardiorenal syndromeCardiac disorders0/2281/117
Gastric ulcerGastrointestinal disorders0/2281/117
OesophagitisGastrointestinal disorders0/2281/117
CholangitisHepatobiliary disorders0/2281/117
Pneumonia staphylococcalInfections and infestations0/2281/117
PolyneuropathyNervous system disorders0/2281/117
Most frequent other events
Most frequent other events
EventMonoferIron Sulphate
Faeces discolouredGastrointestinal disorders0/2285/117
DiarrhoeaGastrointestinal disorders6/2284/117
PyrexiaGeneral disorders7/2284/117
NasopharyngitisInfections and infestations7/2284/117
VomitingGastrointestinal disorders6/2281/117
HyperkalaemiaMetabolism and nutrition disorders6/2280/117
HypertensionVascular disorders6/2282/117
Odema peripheralGeneral disorders5/2282/117
Back painMusculoskeletal and connective tissue disorders5/2280/117

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)MonoferIron SulphateTotal
<=18 years000
Between 18 and 65 years16480244
>=65 years6938107
Sex: Female, Male
Sex: Female, Male(Participants)MonoferIron SulphateTotal
Female14154195
Male9264156
Region of Enrollment
Region of Enrollment(participants)MonoferIron SulphateTotal
Denmark13619
Austria16521
Germany201131
United Kingdom191231
India13864202
Poland448
Russian Federation9817
Sweden101
United States13821
08

Study locations

1 site
  • Pharmacosmos
    Holbaek, Denmark
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 3, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT01102413
Lead sponsor
Pharmacosmos A/S
Responsible party
Sponsor
First posted
Apr 13, 2010
Start date
Apr 2010
Primary completion
Jun 2014
Completion
Jun 2014
Results posted
Dec 3, 2015
Last update
Dec 3, 2015

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

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