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CompletedNCT02301026DINOUpdated Jun 14, 2017

A Non-interventional Study of Diafer in Subjects With CKD on Haemodialysis for Treatment of Iron Deficiency

An observational study in Anaemia in Chronic Kidney Disease, sponsored by Pharmacosmos A/S. Completed at 2 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2017-06-14.

Sponsored by Pharmacosmos A/S · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
209
Ages
18 Years and older
Sex
All
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Study summary

The purpose of the study is to monitor initiated Diafer® therapy administered according to hospital practice and the product labeling in routine clinical practice in haemodialysis patients with Chronic Kidney Disease.

Read the detailed description

Parenteral iron is the iron treatment of choice for haemodialysis (HD) patients with Chronic Kidney Disease (CKD), who may suffer from absolute iron deficiency due to continuous blood losses and/or functional iron deficiency due to erythropoiesis stimulating agent treatment or impaired release from iron stores.

Much evidence indicates that adequate iron supply is necessary to achieve optimal responses to ESAs and thereby potentially avoid ESA induced ADRs.

Pharmacosmos has been working with dialysis providers for many years and identified a medical need for a new safe and cost-effective low dose intravenous (IV) iron that can be administered frequently. Diafer® is a new low dose iron formulation based on iron isomaltoside 1000, with doses restricted to maximum 200 mg iron pr. injection. No test dose is needed and Diafer® may be administered as a push injection.

The primary objective of the study is to monitor initiated Diafer® therapy administered according to hospital practice and the product labeling in routine clinical practice in HD patients with CKD. The scientific rationale being to fulfil a need for systematic information/auditing on applied practice including long term experience with the use of IV iron in the HD setting. This information will provide an evidence base for optimised treatment procedures.

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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 209 is close to the median of 192 across 1,033 observational 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.

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Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients ≥ 18 years of age with chronic kidney disease (CKD) who have been on HD > 3 months and have received at least one dose of iron sucrose treatment within the last 6 months while being on dialysis.

Inclusion criteria

  • HD patients ≥ 18 years of age in a stable phase of CKD as judged by the investigator
  • Patients must have been on HD > 3 months
  • Patients must have received at least one dose of iron sucrose treatment within the last 6 months

Exclusion criteria

Exclusion Criteria:

  • Diafer® contraindications
  • Patient not able to give informed consent
  • Significant disease not related to CKD and likely to impact study results as evaluated by investigator
  • Inability to estimate retrospective baseline data
  • Planned change of iron dosing protocol or routines around iron administration during the study
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
209 participants (actual)
Patient registry
No

Interventions

  • Drug5% Iron Isomaltoside 1000

    Administered according to local routines and product labeling in doses at the doctors discretion

    Also known as: Diafer®

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What researchers measure

Primary outcomes

  1. Hb (Change in Hb compared to baseline at 3 months intervals)

    Change in Hb compared to baseline at 3 months intervals

    Time frame: 12 month

Secondary outcomes

  1. Adverse drug reactions

    Time frame: 12 month

  2. Adverse Events

    AEs of special interest defined as hypersensitivity symptoms such as urticaria, oedema, bronchospasm, hypotension, cardiorespiratory arrest, syncope, unresponsiveness or loss of consciousness at pre-specified time points in relation to administration of study drug

    Time frame: 12 month

  3. ESA (use of ESA and dose)

    Use of ESA and dose

    Time frame: 12 month

  4. Blood Transfusion (Number of blood transfusions)

    Number of blood transfusions

    Time frame: 12 month

  5. IV iron dose (Total needed dose)

    Total needed dose

    Time frame: 12 month

Other outcomes

  1. Nurse hours (time spend per treatment)

    Nurse time spend per treatment

    Time frame: 12 month

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Study locations

2 sites
  • Heleneholmsdialysen
    Malmö, 214 30, Sweden
  • Morriston Hospital, Renal Department
    Swansea, Wales SA6 6NL, United Kingdom
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References and documents

Publications

  • Mikhail AI, Schon S, Simon S, Brown C, Hegbrant JBA, Jensen G, Moore J, Lundberg LDI. A prospective observational study of iron isomaltoside in haemodialysis patients with chronic kidney disease treated for iron deficiency (DINO). BMC Nephrol. 2019 Jan 10;20(1):13. doi: 10.1186/s12882-018-1159-z. PubMed 30630452 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 14, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02301026
Lead sponsor
Pharmacosmos A/S
Collaborators
BioStata
Responsible party
Sponsor
First posted
Nov 25, 2014
Start date
Sep 1, 2014
Primary completion
Dec 9, 2016
Completion
Dec 9, 2016
Last update
Jun 14, 2017

Study contacts

Sylvia Simon
study chair · Pharmacosmos A/S

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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