ClinicalTrials.gg
RecruitingNCT05179226Updated Aug 7, 2026

Multi-center Trial of Ferric Derisomaltose in Children 0 to <18 Years of Age With Iron Deficiency Anemia

A Phase 3 interventional study of Ferric Derisomaltose in Iron Deficiency, Anaemia in Children, sponsored by Pharmacosmos A/S. Recruiting at 1 site in United States. Open to participants aged Up to 17 Years. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Pharmacosmos A/S · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Nov 2022; still recruiting 3 years 11 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
200
Allocation
Not applicable
Ages
Up to 17 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies testing iron isomaltoside 1000 in Iron Deficiencies — 9 open to participants now, 9 under way, 2 of them phase 3. iron isomaltoside 1000 · Iron Deficiencies.

Planned enrollment
7th of 21
200 · median 170
Started
2022
the only one that year
Phase 3
8 of 21
2 open now
Registered
13th of 21
by date
Lead sponsor
8 of 21
Pharmacosmos A/S

Among the 21 studies testing iron isomaltoside 1000 in Iron Deficiencies, this one is the 7th largest by planned enrollment, is the only one that started in 2022, is one of 8 in phase 3, and was the 13th registered.

Iron Deficiencies

386 studies on the registry are indexed under Iron Deficiencies; 80 are open to participants now.

This study's planned enrollment of 200 is above the median of 99 across 301 interventional studies indexed under Iron Deficiencies.

Browse Iron Deficiencies studies →

Open to participants now

9 of the 21 studies testing iron isomaltoside 1000 in Iron Deficiencies are open now, in 4 countries. Each count lists the studies.

All 9 open studies →

About iron isomaltoside 1000

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 55 Iron Deficiencies studies recruiting now, 23 (42%) set no upper age limit and 28 (51%) stop at 75 or younger; 15 take children under 18; 16 take healthy volunteers.

This study: Up to 17 Years · 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 21 studies testing iron isomaltoside 1000 in Iron Deficiencies, or all of them as a file.
02

Study summary

Several clinical trials have been reported for ferric derisomaltose where it has been shown to be well tolerated and to improve markers of IDA. All clinical trials with ferric derisomaltose have been performed in adults, however, IDA is not specific to the adult population. In fact, children are likely to develop IDA due to their rapid growth.

The aim in this trial is to evaluate the efficacy and safety of intravenous (IV) ferric derisomaltose in children 0 to \<18 years of age with IDA due to NDD-CKD or with IDA who are intolerant or unresponsive to oral iron .

The subjects will receive ferric derisomaltose/iron isomaltoside 1000 (Monoferric®/Monofer®), at single doses of 10 mg/kg or 20 mg/kg with a maximal dose of 1000 mg.

24 subjects will be part of a PK assessment, meaning that more blood samples will be drawn within the first week after treatment. The blood samples will be used for analysis of the amount of total iron in the blood from treatment is given to day 7.

For the individual subject, duration of the trial will be approximately 10 weeks (including a 14-day screening period) and each subject will attend 6-9 visits. Subjects who will be included in the PK assessments will attend 8 (subjects age 6 to \<12 years old and 0 to \<6 years old) or 9 (subjects age 12 to \<18 years old) visits, while the other subjects will attend 6 visits.

Read the detailed description

This is a combined clinical pharmacology and phase III study. The study is a prospective, open-label, multi-center study. Children 0 to \<18 years of age with iron deficiency anemia (IDA) with a) non-dialysis dependent chronic kidney disease (NDD-CKD) or b) who are intolerant or unresponsive to oral iron will be enrolled. The subjects will receive ferric derisomaltose/iron isomaltoside 1000 (Monoferric®) at single doses of 10 mg/kg or 20 mg/kg with a maximal dose of 1000 mg.

A total of 200 subjects will be enrolled. Of these will 24 be part of the PK assessment. PK-subjects will be included in cohorts of 4 with the oldest age group as the first and with ferric derisomaltose 10 mg/kg to be increased to 20 mg/kg for the next cohort. Thus 12 subjects will be treated with 10mg/kg and the remaining 188 subjects with 20mg/kg.

03

Conditions studied

  • Iron Deficiency, Anaemia in Children

Browse trials for

04

Who can participate

Ages eligible
Up to 17 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

  • Subjects \<18 years
  • and child assent, as age-appropriate, obtained before any trial- related activities and willingness to participate. LAR of the subject must sign and date the ICF (according to local requirements). The child must sign and date the CAF or provide oral assent, if required according to local requirements
  • IDA caused by different etiologies such as gastrointestinal disease, NDD-CKD, or other conditions leading to IDA
  • concentration less than the 5th percentile for age and sex-specific reference range (Appendix B)
  • Subjects with NDD-CKD (a) or who are intolerant or unresponsive to oral iron (b):

    a) Subjects with NDD-CKD:

  • TSAT ≤35 % or s-ferritin \<100 ng/mL
  • Estimated (eGFR) \<60 mL/min/1.73m2
  • If on ESA, receiving stable ESA regimen defined as dose adjustments no more than

    ± 20 % for ≥8 weeks prior to screening

    b) Subjects with documented history of intolerance or unresponsiveness to oral iron therapy for at least one month prior to trial enrolment.

  • TSAT ≤20 % or s-ferritin \<100 ng/mL

Exclusion criteria

Exclusion Criteria:

  • Anemia caused by factors other than IDA according to Investigator's judgment
  • S-ferritin >600 ng/mL
  • ≤5.0 g/dL
  • Iron overload or disturbances in utilization of iron (e.g. hemochromatosis and hemosiderosis)
  • ALAT and/or ASAT >2 times (e.g. decompensated liver cirrhosis or active hepatitis)
  • Pregnant or nursing female subjects. In order to avoid pregnancy, female subjects of have to use adequate (e.g. intrauterine devices, hormonal contraceptives, or double barrier method) or be abstinent during the whole trial period and 7 days after the last dosing. Childbearing potential refers to all female subjects ≥12 years old or \<12 years old who have started menstruating
  • Previous serious reactions to any IV iron compounds including ferric derisomaltose
  • Received an drug within 30 days prior to screening
  • Treatment with IV iron within 10 days prior to screening
  • Treatment with blood transfusion, radiotherapy, chemotherapy or other drugs that suppress the bone marrow, and drugs which have anemia as side effect within 30 days prior to screening
  • Planned elective surgery (or planned surgery during the trial period) where significant blood loss is expected within the last 30 days prior to screening
  • Any non-viral infection (non-viral infection that has been fully treated before the baseline visit is accepted)
  • Any other laboratory abnormality, medical condition, or psychiatric disorders which, in the opinion of the Investigator, will put the subject's disease management at risk or may result in the subject being unable to comply with the trial requirements
Terms in these criteria, in plain language(8)

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.

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).

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.

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.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    Ferric Derisomaltose

    All subjects (a total of 200) will be treated with Ferric Derisomaltose. 12 subjects (half of the 24 subjects participating in the PK-part of the trial) will be treated with 10mg/kg while the remaining subjects will be treated with 20 mg/kg. .

    Drug: Ferric Derisomaltose

Interventions

  • All subjects will be treated with Ferric derisomaltose 20 mg/kg at baseline visit except for 12 subjects included in the PK-group, who will be treated with 10 mg/kg

    Also known as: Monofer®, Monoferric®

06

What researchers measure

Primary outcomes

  1. Incidence of subjects with a Hb increase of ≥1 g/dL (NDD-CKD) or 2 g/dL (intolerant or unresponsive to oral iron). Measurement by bloodsample.

    Hb (g/dL), measurement by bloodsample analysis

    Time frame: From baseline at any time from week 1 to week 8

Secondary outcomes

  1. Time to increase Hb ≥1 g/dL (NDD-CKD) or 2 g/dL (intolerant or unresponsive to oral iron). Measurement by bloodsample.

    Hb (g/dL), measurement by bloodsample analysis

    Time frame: From baseline at any time from week 1 to week 8

  2. Incidence of subjects who achieve a serum (s-) ferritin of ≥100 ng/mL. Measurement by bloodsample.

    s-ferritin (ng/mL), measurement by bloodsample analysis

    Time frame: At weeks 1, 2, 4, and 8

  3. Incidence of subjects who achieve a TSAT of ≥35 % (NDD-CKD) or ≥20 % (intolerant or unresponsive to oral iron). Measurement by bloodsample.

    TSAT (%), measurement by bloodsample analysis

    Time frame: At weeks 1, 2, 4, and 8

  4. Total iron PK parameters: AUC0-∞

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  5. Total iron PK parameters: AUC0-t

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  6. Total iron PK parameters: Cmax

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  7. Total iron PK parameters: Tmax

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  8. Total iron PK parameters: Ke

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  9. Total iron PK parameters: T½

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  10. Total iron PK parameters: CL

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  11. Total iron PK parameters: Vd

    Total iron (µg/dL), measurement by bloodsample analysis

    Time frame: From baseline to day 7

  12. Type and incidence of AEs

    Any AE

    Time frame: From baseline to week 8

  13. Serious or severe hypersensitivity reaction

    Any serious or severe hypersensitivity reaction

    Time frame: From treatment (Baseline) to 24 hours

07

Study locations

1 of 1 sites recruiting
  • Pharmacosmos Investigational Site
    Miami, Florida 33142, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Nov 2022 (actual). Primary completion is estimated for Apr 2027, 53 months after the start.

Of 16 phase 3 interventional studies under Iron Deficiencies, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 60. This study's planned 53 months is above that.

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

Registered
Nov 16, 2021
First posted
Jan 5, 2022
StartActual
Nov 28, 2022
Primary completionEst.
Apr 30, 2027
CompletionEst.
Apr 30, 2027
Last update
Aug 7, 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 Aug 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05179226
Lead sponsor
Pharmacosmos A/S
Responsible party
Sponsor
First posted
Jan 5, 2022
Start date
Nov 28, 2022
Primary completion
Apr 30, 2027 (estimated)
Completion
Apr 30, 2027 (estimated)
Last update
Aug 7, 2026

Study contacts

Pharmacosmos A/S Clinical and Non-clinical Research
Contact
info@pharmacosmos.com
+4559485959

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
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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