ClinicalTrials.gg
Active, not recruitingNCT04779593Quali-SATUpdated Jun 12, 2026

Impact of Transferrin Saturation Guided Maintenance Treatment on Quality of Life in HFE Haemochromatosis

An interventional study of Clinical examination and SF36 questionnaire in Haemochromatosis, sponsored by Rennes University Hospital. Active, not recruiting at 12 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-06-12.

Sponsored by Rennes University Hospital · Not applicable, Interventional, and Treatment

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Phase
Not applicable
Study type
Interventional
Enrollment
239
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 17 studies in Hemochromatosis with a site in France — none open to participants now, 2 under way, none of them phase 3. Hemochromatosis · France.

Enrollment
2nd of 11
239 · median 62
Started
2021
the only one that year
No phase
4 of 17
none open now
Registered
16th of 17
by date
Lead sponsor
9 of 17
Rennes University Hospital

Among the 17 studies in Hemochromatosis with a site in France, this one is the 2nd largest by enrollment of the 11 interventional ones that give a count, is the only one that started in 2021, is one of 4 with no phase, and was the 16th registered.

Hemochromatosis

55 studies on the registry are indexed under Hemochromatosis; 4 are open to participants now.

Browse Hemochromatosis studies →

Open to participants now

None of the 17 studies in Hemochromatosis with a site in France is open now. The open studies under Hemochromatosis, anywhere →

Who these studies take

Of the 4 Hemochromatosis studies recruiting now, 2 set no upper age limit and 2 stop at 75 or younger; 1 takes children under 18; 2 take healthy volunteers.

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

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Download CSVNarrow it in search →With an account: the 17 studies in Hemochromatosis with a site in France as a file.
02

Study summary

Patients in maintenance treatment for HFE hemochromatosis since at least one year will be included in a two year study period and randomized in two groups experimental and control group. Because proton pump inhibitors are widely used as chronic medication, and because they can significantly modify iron absorption, patients will be stratified according to the use of proton pump inhibitors and gender. A first bloodletting will be performed at inclusion with the same volume as usually performed by the patients. Results of the biological test performed at this visit will guide the time schedule and volume of the next bloodletting according to randomization group (patients treated with bloodletting according to current guidelines "ferritin alone" versus patients treated with bloodletting according to "transferrin saturation and serum ferritin").Blood count and iron metabolism parameters will be performed at each bloodletting and follow-up visits. Time schedule and volume of bloodletting will be adjusted to biological results after each follow-up visit. Volume and schedule for bloodlettings will be determined according to guidelines specifically designed for this study to assure harmonization of treatment management, and centrally validated through the recording of the biological tests in the electronic Case Report Form which will provide the investigator with the volume and schedule of the next bloodletting. There will be two ways of treatment modification: either change of schedule or volume of bloodletting. Patients will undergo follow-up visit every six months with clinical examination, questionnaires at J0, M12 and M24 (SF-36; AIMS2-SF, WOMAC, EQ-5D-5L), and biological test. For health economics analysis, data will be obtained thanks to a dedicated extraction from SNDS database SNDS database will allow to gather hospital stays, visits, and other healthcare-related costs as well as vital status (date (month/year) of death) and cause of death. A de-identified copy of the clinical database, restricted to the relevant variables, will be sent for semideterministic matching purpose with SNDS extraction using four key variables: gender, same date (month/year) of birth, same date (day/month/year) of visit for bloodletting; pending, of course, regulatory authorization.

03

Conditions studied

  • Haemochromatosis

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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

  • - Patients treated with iron chelators;
  • Patients treated with erythroid growth factors (erythropoietin);
  • Patient with excessive alcohol consumption (> 20g/day and > 30 g/day for women and men respectively);
  • Patients with chronic haematological condition;
  • Patients having uncontrolled chronic blood loss (of digestive or gynaecological origin);
  • Patients with chronic kidney failure;
  • Patients with a diagnosis of cancer or history of cancer in the last year;
  • Pregnancy or breast feeding.
  • Patient who are included in another research protocol
  • Adults legally protected (judicial protection, guardianship, or supervision), persons deprived of their freedom.
  • with C282Y homozygous HFE hemochromatosis;
  • having finished the initial phase of HFE hemochromatosis treatment and in maintenance treatment for at least one year;
  • having signed an form.

Exclusion criteria

Exclusion Criteria:

  • Patients treated with iron chelators;
  • Patients treated with erythroid growth factors (erythropoietin);
  • Patient with excessive alcohol consumption (> 20g/day and > 30 g/day for women and men respectively);
  • Patients with chronic haematological condition;
  • Patients having uncontrolled chronic blood loss (of digestive or gynaecological origin);
  • Patients with chronic kidney failure;
  • Patients with a diagnosis of cancer or history of cancer in the last year;
  • Pregnancy or breast feeding.
  • Patient who are included in another research protocol
  • Adults legally protected (judicial protection, guardianship, or supervision), persons deprived of their freedom.
Terms in these criteria, in plain language(1)

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.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
239 participants (actual)

Study arms

  • Experimental
    experimental group

    Patients treated with bloodletting according to "transferrin saturation and serum ferritin".

    Other: Clinical examination · Other: SF36 questionnaire · Other: AIMS2_SF questionnaire · Other: WOMAC questionnaire · Other: EQ-5D-5L questionnaire · Biological: Blood Sample Complete blood count · Biological: Blood Sample Iron panel · Biological: Blood Sample Fasting Glucose · Biological: Blood sample lipid panel · Biological: Blood sample liver panel · Biological: Blood sample C reactive protein · Biological: BioBank · Other: Medico-economical · Procedure: Bloodletting - experimental group

  • Active comparator
    control group

    Patients treated with bloodletting according to current guidelines "ferritin alone"

    Other: Clinical examination · Other: SF36 questionnaire · Other: AIMS2_SF questionnaire · Other: WOMAC questionnaire · Other: EQ-5D-5L questionnaire · Biological: Blood Sample Complete blood count · Biological: Blood Sample Iron panel · Biological: Blood Sample Fasting Glucose · Biological: Blood sample lipid panel · Biological: Blood sample liver panel · Biological: Blood sample C reactive protein · Procedure: Bloodletting - control group · Biological: BioBank · Other: Medico-economical

Interventions

  • OtherClinical examination

    Clinical data will be recorded (general clinical examination, height, weight, blood pressure,heart beat, alcohol and tobacco consumption, antecedent) as well as concurrent medication at each follow-up visit.

  • OtherSF36 questionnaire

    At D0, M12 and M24. This 36 item patient reported survey of patient's health is the most commonly used and validated health survey instrument for appraising quality of life. Items are grouped in 8 scaled scores exploring multiple dimension of global health (vitality, physical functioning, bodily pain, general health, perceptions, physical role functioning, emotional role functioning, social role functioning, mental health). Scoring will be performed as recommended by the SF-36 instruction manual to create the eight scale scores. Furthermore, these subscales sum to obtain the total SF-36 score and will be summarized into two composite scores (physical and mental quality of life).

  • OtherAIMS2_SF questionnaire

    At D0, M12 and M24. The Arthritis Impact Measurement Scales 2 Short Form (AIMS2-SF) is a specific tool to measure changes in global health, pain, mobility and social function in patients with arthritis. It was described in 1992 in patients with rheumatoid arthritis and osteoarthritis and include 26 items that are summarized in scales according to a predefined scoring system: mobility, physical activity (walking, bending, lifting), dexterity, household activity (managing money and medications, housekeeping), social activities, activities of daily living, pain, depression, and anxiety. The French translation has been validated and this questionnaires has been widely used in the rheumatology field to assess quality of life of patients with arthritis. Because HFE related arthropathy is very similar to osteoarthritis this questionnaire is ought to be adequate in this setting.

  • OtherWOMAC questionnaire

    At D0, M12 and M24. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) is a widely used questionnaires specifically assessing lower limb (hips and knee) osteoarthritis. It measures five items for pain, two for stiffness and 17 for functional limitation and had been translated in French.

  • OtherEQ-5D-5L questionnaire

    At D0, M12 and M24. The EQ-5D is a standardized instrument which evaluates the generic quality of life (http://www.euroqol.org/). It is a preference-based health-related quality of life measure with one question for each of the five dimensions that include mobility, self-care, usual activities, pain/discomfort, and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The answers given to EQ-5D permit to find 243 health states that can be converted into utility score anchored at 0 for death and 1 for perfect health. EQ-5D is an instrument developed in Europe, widely used in cost-utility analysis. It has been validated in a representative sample of French population.

  • BiologicalBlood Sample Complete blood count

    Blood Sample Complete blood count at D0, M6, M12, M18 and M24/end follow-up visit

  • BiologicalBlood Sample Iron panel

    Blood Sample Iron panel (serum ferritin, serum iron and serum transferrin to determine transferrin saturation according to randomization group (at M6, M12 and M18) at D0, M6, M12, M18 and M24/end follow-up visit and at each bloodletting.

  • BiologicalBlood Sample Fasting Glucose

    Blood Sample Fasting Glucose at D0 and M24/end follow-up visit

  • BiologicalBlood sample lipid panel

    Blood sample lipid panel (total cholesterol, triglycerides, HDL, LDL) at D0 and M24/end follow-up visit

  • BiologicalBlood sample liver panel

    Blood sample liver panel (total bilirubin, Alanine Aminotransferase, Alkaline Phosphatase, Aspartate Aminotransferase, Gamma-Glutamyl Transferase) at D0 and M24/end follow-up visit

  • BiologicalBlood sample C reactive protein

    Blood sample C reactive protein at D0 and M24/end follow-up visit

  • ProcedureBloodletting - control group

    Patients treated with bloodletting according to current guidelines (ferritin alone). Patient will undergo bloodletting with a goal of maintaining a serum ferritin equal or lower than 50 g/L according to current clinical practice guidelines (French and European).A first bloodletting will be performed at inclusion with the same volume as usually performed by the patients.Results of the biological test performed at this visit will guide the time schedule and volume of the next bloodletting according to randomization group. Time schedule and volume of bloodletting will be adjusted to biological results after each follow-up visit.

  • BiologicalBioBank

    Blood sample will be collected for BioBank at D0, M12 and M24.

  • OtherMedico-economical

    Medico-economic data will be collected at each follow up visit.

  • ProcedureBloodletting - experimental group

    Patients treated with bloodletting according to "transferrin saturation and serum ferritin". Patients will undergo bloodletting with a goal of maintaining a serum transferrin saturation equal or lower than 50 % and a serum ferritin lower than the upper limit of the normal range (300 g/L for men and 200 g/L for women).A first bloodletting will be performed at inclusion with the same volume as usually performed by the patients.Results of the biological test performed at this visit will guide the time schedule and volume of the next bloodletting according to randomization group. Time schedule and volume of bloodletting will be adjusted to biological results after each follow-up visit.

06

What researchers measure

Primary outcomes

  1. The primary evaluation criteria is the Physical Component Score of the SF-36 questionnaire at the end of the study period (two years)

    The primary evaluation criteria is the Physical Component Score of the SF-36 questionnaire at the end of the study period (two years). Physical Component score of the SF-36 has been chosen because SF-36 it is a widely validated and reproducible questionnaire, and this component is best susceptible to reflect both fatigue and joint involvement.

    Time frame: At Month 24

Secondary outcomes

  1. the AIMS2- SF (short form of the Arthritis Impact Measurement Scales 2) questionnaire

    Assessment of Arthropathy and joint pain related quality of life as assessed by the AIMS2- SF (short form of the Arthritis Impact Measurement Scales 2) questionnaire throughout the study, as performed at J0, M12 and M24 follow-up visit (every 12 months).

    Time frame: at Day 0, Month 12 and Month 24 follow-up visit

  2. the WOMAC (Western Ontario and McMaster Universities Arthritis Index) questionnaire

    Assessment of Arthropathy and joint pain related quality of life as assessed by the WOMAC (Western Ontario and McMaster Universities Arthritis Index) questionnaire throughout the study, as performed at J0, M12 and M24 follow-up visit (every 12 months).

    Time frame: at Day 0, Month 12 and Month 24 follow-up visit

  3. Evolution of the Mental Component Score of the SF-36 questionnaire

    Evolution of the Mental Component Score of the SF-36 questionnaire between inclusion and the end of the study period (two years).

    Time frame: At Month 24

  4. Evolution of the Physical Component Score of the SF-36

    Evolution of the Physical Component Score of the SF-36 throughout the study, as performed at J0, M12 and M24 follow-up visit (every 12 months).

    Time frame: at Day 0, Month 12 and Month 24 follow-up visit

  5. Evolution of the Mental Component Score of the SF-36

    Evolution of the Mental Component Score of the SF-36 throughout the study, as performed at J0, M12 and M24 follow-up visit (every 12 months).

    Time frame: at Day 0, Month 12 and Month 24 follow-up visit

  6. Evolution of of the EQ-5D-5L score

    Evolution of of the EQ-5D-5L score throughout the study, as performed at J0, M12 and M24 follow-up visit (every 12 months).

    Time frame: at Day 0, Month 12 and Month 24 follow-up visit

  7. Evolution of Serum ferritin and serum transferrin saturation

    Evolution of Serum ferritin and serum transferrin saturation determined at each follow-up visit (every 6 months).

    Time frame: Day 0, Month 6, Month 12, Month 18 and Month 24/follow-up visit

  8. Occurrence of anaemia

    Occurrence of anaemia defined as haemoglobin lower than 11g/dL at any follow-up visit.

    Time frame: Day 0, Month 6, Month 12, Month 18 and Month 24/follow-up visit

  9. Occurrence of malaise

    Occurrence of malaise after a bloodletting procedure

    Time frame: At Month 24

  10. Total number of phlebotomy performed

    Total number of phlebotomy performed by each patient during the study period.

    Time frame: At Month 24

  11. Incremental Cost-Effectiveness Ratio

    Incremental Cost-Effectiveness Ratio (ICER) defined as the cost for QALY gained in the "transferrin saturation + ferritin" strategy versus "ferritin alone" strategy.

    Time frame: At Month 24

07

Study locations

12 sites
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Jul 2021 (actual). Primary completion is estimated for Jan 2027, 66 months after the start.

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

Registered
Feb 2, 2021
First posted
Mar 3, 2021
StartActual
Jul 2, 2021
Primary completionEst.
Jan 2027
CompletionEst.
Jan 2027
Last update
Jun 12, 2026
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 Jun 12, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04779593
Responsible party
Sponsor
First posted
Mar 3, 2021
Start date
Jul 2, 2021
Primary completion
Jan 2027 (estimated)
Completion
Jan 2027 (estimated)
Last update
Jun 12, 2026

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 active, not recruiting, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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