ClinicalTrials.gg
Status unknownNCT03094182Updated Mar 20, 2019

Efficacy of Intravenous Iron Therapy in Maintaining Hemoglobin Concentration on Patients Undergoing Bimaxillary Orthognathic Surgery

An interventional study of Iron Isomaltoside 1000 and Normal saline in Facial Asymmetry, Retrognathism and Prognathism, sponsored by Yonsei University. Status unknown at 1 site in Korea, Republic of. Open to participants aged 19 Years to 40 Years. Per ClinicalTrials.gov, last updated 2019-03-20.

Sponsored by Yonsei University · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Mar 2019), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
58
Allocation
Randomized
Ages
19 Years to 40 Years
Sex
All
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Study summary

The aim of this study is to evaluate the effect of Intravenous iron isomaltoside on maintaining hemoglobin concentration in patients undergoing bimaxillary orthognathic surgery. Fifty-eight patients, aged 19 to 40 years, scheduled for Bimaxillary orthognathic surgery will be divided into monofer (n=29) and control (n=29) groups. Randomly selected patients of the ulinastatin group are given intravenous iron isomaltoside. In contrast, patients in the control group receive an equivalent volume of normal saline as a placebo. The primary endpoints are postoperative hemoglobin concentration.

Read the detailed description

Bimaxillary orthognathic surgery is widely used to correct dentofacial anomaly and bimaxillary prognathism. However, the complicated vascularity of the surgical site and limited visual field can lead to unexpected bleeding. Intravenous iron isomaltoside 1000 (monofer®) significantly increased the hemoglobin level and prevented anemia 4 weeks after cardiac surgery. The aim of this study is to evaluate the effect of Intravenous iron isomaltoside on maintaining hemoglobin concentration in patients undergoing bimaxillary orthognathic surgery. Fifty-eight patients, aged 19 to 40 years, scheduled for Bimaxillary orthognathic surgery will be divided into monofer (n=29) and control (n=29) groups. Randomly selected patients of the ulinastatin group are given intravenous iron isomaltoside. In contrast, patients in the control group receive an equivalent volume of normal saline as a placebo. The primary endpoints are postoperative hemoglobin concentration.

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Conditions studied

  • Facial Asymmetry
  • Retrognathism
  • Prognathism
03

In context

Facial Asymmetry

27 studies on the registry are indexed under Facial Asymmetry; 10 are open to participants now.

This study's planned enrollment of 58 is above the median of 34 across 17 interventional studies indexed under Facial Asymmetry.

Browse Facial Asymmetry studies →

Lead sponsor

Yonsei University is the lead sponsor of 1,418 studies on the registry; 241 are open to participants now.

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

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Who can participate

Ages eligible
19 Years to 40 Years
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • patients who are scheduled to undergo bimaxillary orthognathic surgery
  • (ASA) physical status I-II

Exclusion criteria

Exclusion Criteria:

  • hematologic disease
  • renal-related anemia
  • hepatitis
  • pregnancy
  • to iron
  • severe atopic disease
  • allergic to drugs
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

ASA physical status

The anaesthetists’ scale of health before surgery: I is healthy, II has a mild illness that is under control, III a severe one, IV a severe illness that is a constant threat to life. V and VI are used for the critically ill and for organ donors.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

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Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
58 participants (estimated)

Study arms

  • Experimental
    iron group

    Patients in the iron group are given Intravenous iron isomaltoside during operation.

    Drug: Iron Isomaltoside 1000

  • Placebo comparator
    control group

    Patients in the control group receive the same volume of normal saline during operation.

    Drug: Normal saline

Interventions

  • Randomly selected patients of the monofer group are given 1000mg of iron isomaltoside, which are mixed in 100ml normal saline, intravenous after induction for 30 minutes.

    Also known as: monofer®

  • DrugNormal saline

    Randomly selected patients in the control group receive an equivalent volume of normal saline as a placebo.

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What researchers measure

Primary outcomes

  1. postoperative hemoglobin level

    Postoperative hemoglobin concentration

    Time frame: 1 day after surgery

  2. postoperative hemoglobin level

    Postoperative hemoglobin concentration

    Time frame: 2 weeks after surgery

  3. postoperative hemoglobin level

    Postoperative hemoglobin concentration

    Time frame: 4 weeks after surgery

Secondary outcomes

  1. hematogenous function

    the hematogenous function measured by serum iron, ferritin, transferrin saturation, and total iron binding capacity, reticulocyte

    Time frame: 1 day after surgery

  2. hematogenous function

    the hematogenous function measured by serum iron, ferritin, transferrin saturation, and total iron binding capacity, reticulocyte

    Time frame: 2 weeks after surgery

  3. hematogenous function

    the hematogenous function measured by serum iron, ferritin, transferrin saturation, and total iron binding capacity, reticulocyte

    Time frame: 4 weeks after surgery

  4. quality of life(LASA)

    The quality of life measured by LASA(Linear Analogue Self Assessment) questionnaire. LASA includes five simple items, each of which targets a specific domain of quality of life. Five single items(overall, physical, emotional, spiritual, intellectual) asking respondents to rate, on zero to ten scales, their perceived level of functioning.

    Time frame: 1 day after surgery

  5. quality of life(LASA)

    The quality of life measured by LASA(Linear Analogue Self Assessment) questionnaire. LASA includes five simple items, each of which targets a specific domain of quality of life. Five single items(overall, physical, emotional, spiritual, intellectual) asking respondents to rate, on zero to ten scales, their perceived level of functioning.

    Time frame: 2 weeks after surgery

  6. quality of life(LASA)

    The quality of life measured by LASA(Linear Analogue Self Assessment) questionnaire. LASA includes five simple items, each of which targets a specific domain of quality of life. Five single items(overall, physical, emotional, spiritual, intellectual) asking respondents to rate, on zero to ten scales, their perceived level of functioning.

    Time frame: 4 weeks after surgery

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Study locations

1 of 1 sites recruiting
  • Department of Anesthesiology and Pain Medicine, Severance Hospital, Yonsei University College of Medicine
    Seoul, 03722, Korea, Republic of
    Recruiting
    • Bon-Nyeo Koo, M.D., Ph.D. · Contactkoobn@yuhs.ac · 02-2227-3835
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References and documents

Publications

  • Johansson PI, Rasmussen AS, Thomsen LL. Intravenous iron isomaltoside 1000 (Monofer(R)) reduces postoperative anaemia in preoperatively non-anaemic patients undergoing elective or subacute coronary artery bypass graft, valve replacement or a combination thereof: a randomized double-blind placebo-controlled clinical trial (the PROTECT trial). Vox Sang. 2015 Oct;109(3):257-66. doi: 10.1111/vox.12278. Epub 2015 Apr 20. PubMed 25900643 ↗
  • Kalra PA, Bhandari S. Efficacy and safety of iron isomaltoside (Monofer((R))) in the management of patients with iron deficiency anemia. Int J Nephrol Renovasc Dis. 2016 Mar 10;9:53-64. doi: 10.2147/IJNRD.S89704. eCollection 2016. PubMed 27022297 ↗
  • Oh AY, Seo KS, Lee GE, Kim HJ. Effect of preoperative autologous blood donation on patients undergoing bimaxillary orthognathic surgery: a retrospective analysis. Int J Oral Maxillofac Surg. 2016 Apr;45(4):486-9. doi: 10.1016/j.ijom.2015.11.008. Epub 2015 Dec 8. PubMed 26678802 ↗
  • Litton E, Xiao J, Ho KM. Safety and efficacy of intravenous iron therapy in reducing requirement for allogeneic blood transfusion: systematic review and meta-analysis of randomised clinical trials. BMJ. 2013 Aug 15;347:f4822. doi: 10.1136/bmj.f4822. PubMed 23950195 ↗
  • Choi BK, Yang EJ, Oh KS, Lo LJ. Assessment of blood loss and need for transfusion during bimaxillary surgery with or without maxillary setback. J Oral Maxillofac Surg. 2013 Feb;71(2):358-65. doi: 10.1016/j.joms.2012.04.012. Epub 2012 Jun 16. PubMed 22705218 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 20, 2019, 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
NCT03094182
Lead sponsor
Yonsei University
Responsible party
Sponsor
First posted
Mar 29, 2017
Start date
Mar 2, 2017
Primary completion
Aug 2019 (estimated)
Completion
Aug 2019 (estimated)
Last update
Mar 20, 2019

Study contacts

Bon-Nyeo Koo, M.D., Ph.D.
Contact
koobn@yuhs.ac
82-2-2227-3919

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Iron isomaltoside 1000

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