A Phase 3 interventional study of Ferrum Lek® (iron (III) hydroxide polymaltosate), 100 mg chewable tablets (Lek d.d., Slovenia) and MALTOFER® (iron (III) hydroxide polymaltosate), 100 mg chewable tablets (Vifor S.A., Switzerland) in Mild and Moderate Iron-deficiency Anaemia, sponsored by Sandoz. Completed at 18 sites in Russian Federation. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2021-07-12.
Sponsored by Sandoz · Phase 3, Interventional, and Treatment
The purpose of this study was to evaluate non-inferiority for efficacy and safety of Ferrum Lek® (iron (III) hydroxide polymaltosate), 100 mg chewable tablets (Lek d.d., Slovenia), compared to MALTOFER® (Vifor S.A., Switzerland), in the treatment of patients with mild and moderate iron-deficiency anaemia.
This was a multi-centric, open-label, randomized, prospective, comparative, parallel-group, active-controlled, phase III clinical trial (in the Russian Federation).
The purpose of this study was to evaluate non-inferiority for efficacy and safety of Ferrum Lek® (iron (III) hydroxide polymaltosate), compared to MALTOFER®, in the treatment of patients with mild and moderate iron-deficiency anaemia.
Participants underwent screening for up to 7 days. Eligible participants were randomized in 1:1 ratio to two treatment arms.
Subjects in Group 1 received 2 tablets per day (200 mg) of chewable tablets Ferrum Lek® during or immediately after meals; once daily.
Subjects in Group 2 (reference product) received 2 tablets per day (200 mg) of chewable tablets Maltofer® during or immediately after meals; once daily.
The subjects received the medicinal products daily for 12 weeks. After the last scheduled study site visit, a follow-up visit (by phone) was scheduled 14 days after the completion of the active treatment period (day 98±2) to record any delayed adverse events.
1,733 studies on the registry are indexed under Anemia; 246 are open to participants now.
This study's enrollment of 267 is above the median of 94 across 1,291 interventional studies indexed under Anemia.
Browse Anemia studies →Sandoz is the lead sponsor of 136 studies on the registry; none are open to participants now.
Of its 10 completed or terminated interventional studies of FDA-regulated products, 5 (50%) have results posted.
Counted across the registry records on this site, refreshed daily.
Diagnosed iron-deficiency anemia, based on two criteria:
Exclusion Criteria:
Other causes of anemia, apart from iron deficiency, including:
The necessity of parenteral iron therapy, i.e. the following cases:
Concomitant diseases and conditions, which, in the investigator's opinion, pose risk to a subject's safety in case of his/her participation in the study, or able to affect the safety data analysis in case of exacerbation of this disease/condition during the study, including:
Participants received Ferrum Lek® 2 tablets daily (200 mg) for 12 weeks
Drug: Ferrum Lek® (iron (III) hydroxide polymaltosate), 100 mg chewable tablets (Lek d.d., Slovenia)
Participants received MALTOFER® 2 tablets daily (200 mg) for 12 weeks
Drug: MALTOFER® (iron (III) hydroxide polymaltosate), 100 mg chewable tablets (Vifor S.A., Switzerland)
Participants received Ferrum Lek® 2 tablets daily (200 mg) for 12 weeks
Participants received MALTOFER® 2 tablets daily (200 mg) for 12 weeks
Change From Baseline in Blood Hemoglobin Level (g/L)
Changes in blood hemoglobin level (g/L) after 12-weeks of iron-deficiency anaemia treatment, a non-inferiority comparison, as compared with the baseline value (screening visit) between Ferrum Lek® and MALTOFER® groups
Time frame: Baseline and Week 12
Change From Baseline in Serum Iron
Change in average values of iron metabolism parameter serum iron during the treatment period
Time frame: Baseline, Week 4, 8 and 12
Change From Baseline in Transferrin
Change in average values of iron metabolism parameter transferrin during the treatment period
Time frame: Baseline, Week 4, 8 and 12
Change From Baseline in Percent Transferrin Saturation
Change in average values of iron metabolism parameter percent transferrin saturation during the treatment period
Time frame: Baseline, Week 4, 8 and 12
Change From Baseline in Ferritin
Change in average values of iron metabolism parameter ferritin during the treatment period
Time frame: Baseline, Week 4, 8 and 12
Number of Participants With Response to the Therapy
Response to the therapy is determined as an increase in hemoglobin level by 20 g/L and more after 12-weeks of treatment
Time frame: Baseline and Week 12
Participants were enrolled from 18 sites in the Russian Federation.
| Milestone | Ferrum Lek | MALTOFER |
|---|---|---|
| Started | 133 | 134 |
| Intention-to-treat (itt) population | 123 | 129 |
| Safety analysis set | 133 | 134 |
| Completed | 123 | 129 |
| Not completed | 10 | 5 |
| Withdrew: Lost to follow-up | 2 | 1 |
| Withdrew: Non-compliance to the inclusion criteria | 0 | 1 |
| Withdrew: Wrong randomization | 0 | 1 |
| Withdrew: Improper enrollment | 0 | 1 |
| Withdrew: Prescribed with prohibited concomitant therapy | 1 | 0 |
| Withdrew: Developed sae | 2 | 0 |
| Withdrew: Consent withdrawal | 1 | 0 |
| Withdrew: Did not follow the treatment schedule | 1 | 0 |
| Withdrew: Did not follow the treatment regimen | 1 | 0 |
| Withdrew: Adverse event | 1 | 0 |
| Withdrew: Withdrawal by subject | 1 | 1 |
Changes in blood hemoglobin level (g/L) after 12-weeks of iron-deficiency anaemia treatment, a non-inferiority comparison, as compared with the baseline value (screening visit) between Ferrum Lek® and MALTOFER® groups
| g/L | Ferrum Lek | MALTOFER |
|---|---|---|
| Change From Baseline in Blood Hemoglobin Level (g/L) | 18.33 ± 15.05 | 18.52 ± 14.57 |
Change in average values of iron metabolism parameter serum iron during the treatment period
| micromoles/liter | Ferrum Lek | MALTOFER |
|---|---|---|
| Week 4 | 1.76 ± 7.35 | 3.42 ± 6.57 |
| Week 8 | 4.09 ± 9.62 | 4.34 ± 9.19 |
| Week 12 | 5.16 ± 9.56 | 6.12 ± 8.28 |
Change in average values of iron metabolism parameter transferrin during the treatment period
| g/L | Ferrum Lek | MALTOFER |
|---|---|---|
| Week 4 | -0.15 ± 0.31 | -0.14 ± 0.38 |
| Week 8 | -0.22 ± 0.41 | -0.22 ± 0.41 |
| Week 12 | -0.24 ± 0.41 | -0.25 ± 0.43 |
Change in average values of iron metabolism parameter percent transferrin saturation during the treatment period
| percent transferrin saturation | Ferrum Lek | MALTOFER |
|---|---|---|
| Week 4 | 2.46 ± 5.82 | 4.44 ± 8.04 |
| Week 8 | 8.25 ± 12.54 | 5.47 ± 9.45 |
| Week 12 | 7.27 ± 12.02 | 8.03 ± 10.14 |
Change in average values of iron metabolism parameter ferritin during the treatment period
| microgram/liter | Ferrum Lek | MALTOFER |
|---|---|---|
| Week 4 | 3.48 ± 11.2 | 7.35 ± 33.76 |
| Week 8 | 4.9 ± 14.72 | 4.49 ± 15.42 |
| Week 12 | 7.62 ± 20.24 | 6.55 ± 15.87 |
Response to the therapy is determined as an increase in hemoglobin level by 20 g/L and more after 12-weeks of treatment
| Participants | Ferrum Lek | MALTOFER |
|---|---|---|
| Number of Participants With Response to the Therapy | 59 | 56 |
Collected over Adverse Events were collected for 14 weeks (12 weeks treatment period plus 2 weeks follow up).. Non-serious events are listed at a 5% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Ferrum Lek | 1/133 (0.8%) | 2/133 (1.5%) | 54/133 (40.6%) |
| MALTOFER | 0/134 (0%) | 0/134 (0%) | 47/134 (35.1%) |
| Event | Ferrum Lek | MALTOFER |
|---|---|---|
| MenometrorrhagiaReproductive system and breast disorders | 1/133 | 0/134 |
| EncephalopathyNervous system disorders | 1/133 | 0/134 |
| Event | Ferrum Lek | MALTOFER |
|---|---|---|
| Stool discolorationGastrointestinal disorders | 26/133 | 20/134 |
| DiarrhoeaGastrointestinal disorders | 13/133 | 9/134 |
| Abdominal painGastrointestinal disorders | 9/133 | 6/134 |
| ConstipationGastrointestinal disorders | 8/133 | 7/134 |
| HeadacheNervous system disorders | 5/133 | 8/134 |
| NasopharyngitisInfections and infestations | 4/133 | 8/134 |
| NauseaGastrointestinal disorders | 7/133 | 5/134 |
| DyspepsiaGastrointestinal disorders | 6/133 | 7/134 |
| Age, Continuous(years) | Ferrum Lek | MALTOFER | Total |
|---|---|---|---|
| Mean | 39.68 (18 to 71) | 38.16 (18 to 73) | 38.92 (18 to 73) |
| Sex: Female, Male(Participants) | Ferrum Lek | MALTOFER | Total |
|---|---|---|---|
| Female | 124 | 125 | 249 |
| Male | 9 | 9 | 18 |
| Race/Ethnicity, Customized(Participants) | Ferrum Lek | MALTOFER | Total |
|---|---|---|---|
| Asian | 2 | 2 | 4 |
| Caucasian | 131 | 132 | 263 |
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