ClinicalTrials.gg
TerminatedNCT03371173ORION-PH-1Updated Apr 21, 2020

ORal IrON Supplementation With Ferric Maltol in Patients With Pulmonary Hypertension (ORION-PH-1)

A Phase 3 interventional study of Ferric maltol 30 mg (Feraccru®) in Hypertension, Pulmonary and Anemia, Iron Deficiency, sponsored by Hannover Medical School. Terminated at 1 site in Germany. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2020-04-21.

Sponsored by Hannover Medical School · Phase 3, Interventional, and Treatment

Why this study was terminated
low recruitment rate; difficulties to achieve planned number of participants within reasonable time frame

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Phase
Phase 3
Study type
Interventional
Enrollment
22
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 150 studies in Hypertension, Pulmonary with a site in Germany — 21 open to participants now, 28 under way, 6 of them phase 3. Hypertension, Pulmonary · Germany.

Enrollment
91st of 105
22 · median 86
Started
2018
with 8 others
Phase 3
37 of 150
4 open now
Registered
96th of 150
by date
Lead sponsor
4 of 150
Hannover Medical School

Among the 150 studies in Hypertension, Pulmonary with a site in Germany, this one is the 91st largest by enrollment of the 105 interventional ones that give a count, is one of 9 that started in 2018, is one of 37 in phase 3, and was the 96th registered.

Hypertension, Pulmonary

1,091 studies on the registry are indexed under Hypertension, Pulmonary; 243 are open to participants now.

Browse Hypertension, Pulmonary studies →

Open to participants now

21 of the 150 studies in Hypertension, Pulmonary with a site in Germany are open now. Recruiting first, the newest first:

16 more — sign in →

All 21 open studies →

A study can be open while its sites in Germany have not opened yet or have stopped. Only those recruiting at a site in Germany →

Who these studies take

Of the 163 Hypertension, Pulmonary studies recruiting now, 99 (61%) set no upper age limit and 26 (16%) stop at 75 or younger; 39 take children under 18; 24 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 150 studies in Hypertension, Pulmonary with a site in Germany, or all of them as a file.
02

Study summary

This is an explorative, open-label, uncontrolled, single center study to explore the preliminary safety, tolerability and efficacy of oral ferric maltol in treating iron deficiency in patients with pulmonary hypertension and iron deficiency anemia.

03

Conditions studied

  • Hypertension, Pulmonary
  • Anemia, Iron Deficiency

Keywords

  • Pulmonary Hypertension
  • Iron Deficiency
04

Who can participate

Ages eligible
18 Years and older
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

  1. Signed written prior to any study-related procedure and willingness to comply with treatment and follow-up procedures
  2. Male and female patients ≥18 years at day of inclusion
  3. Patients capable of understanding the nature, potential risks and benefits of the clinical trial
  4. Patients with a diagnosis of PH confirmed by a (historical) right heart catheterization showing a mean pulmonary artery pressure ≥25 mmHg at rest and stable PH medication for at least 3 months.
  5. 6 min walk distance >50 m
  6. Mild-to-moderate iron-deficiency anemia as defined by a concentration ≥7 g/dl and \<12 g/dl in females or ≥8 g/dl and \<13 g/dl in males, and serum ferritin \<100 µg/l, or 100-300 µg/l and transferrin saturation \<20% at screening
  7. Prevention of pregnancy:

Women without defined as follows:

  • at least 6 weeks after surgical sterilization by bilateral tubal ligation or bilateral oophorectomy or
  • hysterectomy or uterine agenesis or
  • ≥ 50 years and in state ≥ 1 year or
  • \< 50 years and in postmenopausal state ≥ 1 year with serum FSH > 40 IU/l and serum oestrogen \< 30 ng/l or a negative oestrogen test or

Women of childbearing potential with a negative ß-HCG pregnancy test at screening who agree to meet one of the following criteria from the time of screening, during the study and for a period of four weeks following the last administration of study medication:

  • correct use of methods. The following are acceptable: hormonal contraceptives (combined oral contraceptives and oestrogen-free pills with desogestrel, implants, transdermal patches, hormonal vaginal devices or injections with prolonged release), intrauterine device (IUS) or a barrier method, e.g. condom or occlusive cap (diaphragm or cervical/vault caps) with spermicide (foam, gel, film, cream or suppository)
  • true abstinence (periodic abstinence and withdrawal are not acceptable methods of contraception)
  • sexual relationship only with female partners and/or sterile male partners

Exclusion criteria

Exclusion Criteria:

  1. Active hematological disorders other than iron-deficiency anemia
  2. Other medical condition that according to the investigator's assessment is causing or contributing to anemia
  3. Active
  4. Active infectious disease
  5. Active bleeding
  6. Severe renal insufficiency ( \<30 ml/min)
  7. Severe liver injury as indicated by serum aminotransferases >3 x or levels >50 µmol/l
  8. Ongoing oral or intravenous iron supplementation
  9. \<7 g/dl in females or \<8 g/dl in males at screening
  10. Concomitant erythropoietin medication
  11. Pregnancy or lactation period
  12. Subject has received any medication or any investigational device within 30 days prior to the first dose of study medication or is actively participating in any investigational drug/devices trial, or is scheduled to receive an investigational drug/device during the course of the study.
  13. Known or suspected to any of the active substances or any of the investigational medicinal product
  14. Known haemochromatosis or other iron overload syndromes
  15. Patients who have been receiving repeated (>1) blood transfusions during the past 6 months
Terms in these criteria, in plain language(12)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

GFR and eGFR (kidney filtering)

GFR (glomerular filtration rate) is how much blood the kidneys filter each minute. It is usually estimated from a blood test — eGFR, by formulas such as CKD-EPI or MDRD — and some studies ask for it to be measured directly instead. Usually given in mL/min/1.73 m².

Check the method, the units and the minimum the study states. A value of 90 or above is in the normal-or-high range, but kidney damage can show in other tests too.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

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.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
22 participants (actual)

Study arms

  • Experimental
    Ferric maltol 30 mg (Feraccru®)

    Treatment with Feraccru® 30 mg hard capsules (Ferric maltol 30 mg). One capsule twice daily, morning and evening, on an empty stomach for 12 weeks

    Drug: Ferric maltol 30 mg (Feraccru®)

Interventions

  • Feraccru® 30 mg hard capsules will be used. Each capsule contains 30 mg iron (as ferric maltol), 91.5 mg of lactose, 0.5 mg of Allura Red AC (E129) and 0.3 mg Sunset Yellow FCF (E110) as excipients with known effects

06

What researchers measure

Primary outcomes

  1. Change in hemoglobin level from baseline to week 12

    measurement of hemoglobin in blood

    Time frame: baseline to week 12

Secondary outcomes

  1. Change in hemoglobin from baseline to week 6

    measurement of hemoglobin in blood

    Time frame: baseline to week 6

  2. Change in serum ferritin levels from baseline to week 6 and 12

    measurement of serum ferritin levels

    Time frame: baseline to week 6 and baseline to week 12

  3. Change in transferrin saturation from baseline to week 6 and 12

    measurement of transferrin saturation

    Time frame: baseline to week 6 and baseline to week 12

  4. Change in 6 min walking distance from baseline to week 12

    measurement of functional exercise capacity

    Time frame: baseline to week 12

  5. Change in serum NT-proBNP from baseline to weeks 6 and 12

    measurement of serum NT-proBNP

    Time frame: baseline to week 6 and baseline to week 12

  6. Change in echocardiographic markers of right ventricular function from baseline to week 12 (1)

    measurement of right atrial area

    Time frame: from baseline to week 12

  7. Change in echocardiographic markers of right ventricular function from baseline to week 12 (2)

    measurement of right ventricular diameter

    Time frame: from baseline to week 12

  8. Change in echocardiographic markers of right ventricular function from baseline to week 12 (3)

    measurement of fractional area change

    Time frame: from baseline to week 12

  9. Change in echocardiographic markers of right ventricular function from baseline to week 12 (4)

    measurement of tricuspid annular plane systolic excursion

    Time frame: from baseline to week 12

  10. Change in World Health Organization Functional Class (WHO FC) from baseline to week 6 and week 12

    measurement of different parameter according to an evaluated process

    Time frame: from baseline to week 6 and week 12

Other outcomes

  1. Incidence of Adverse Events [Safety and Tolerability]

    Number of Adverse Events

    Time frame: first application of IMP until 4 weeks after treatment discontinuation

  2. Incidence of Serious Adverse Events [Safety and Tolerability]

    Number of Serious Adverse Events

    Time frame: first application of IMP until 4 weeks after treatment discontinuation

07

Study locations

1 site
  • Hannover Medical School
    Hannover, 30625, Germany
08

References and documents

Publications

  • Olsson KM, Fuge J, Brod T, Kamp JC, Schmitto J, Kempf T, Bauersachs J, Hoeper MM. Oral iron supplementation with ferric maltol in patients with pulmonary hypertension. Eur Respir J. 2020 Nov 12;56(5):2000616. doi: 10.1183/13993003.00616-2020. Print 2020 Nov. PubMed 32444411 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Mar 2018 to primary completion in Mar 2020, 23 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 16, 2017
First posted
Dec 13, 2017
StartActual
Mar 27, 2018
Primary completionActual
Mar 19, 2020
CompletionActual
Mar 19, 2020
Last update
Apr 21, 2020
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Apr 21, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03371173
Collaborators
Shields, Shields and Associates
Responsible party
Sponsor
First posted
Dec 13, 2017
Start date
Mar 27, 2018
Primary completion
Mar 19, 2020
Completion
Mar 19, 2020
Last update
Apr 21, 2020

Study contacts

Marius Hoeper, Prof. Dr.
principal investigator · Hannover Medical School, Department of Pneumology

Oversight

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

Not currently enrolling

This study is terminated, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ferric maltol

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