ClinicalTrials.gg
Status unknownNCT05467319FORGEUpdated Jul 20, 2022

Ferric Derisomaltose/Iron Isomaltoside and Outcomes in the Recovery of Gynecologic Oncology ERAS

A Phase 3 interventional study of Ferric Derisomaltose Injection and Normal saline in Gynecologic Cancer, Anemia, Iron Deficiency and Surgery, sponsored by Alberta Health Services, Calgary. Status unknown. Open to female participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-07-20.

Sponsored by Alberta Health Services, Calgary · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2022), so the status shown — last known as Not yet recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
82
Allocation
Randomized
Ages
18 Years and older
Sex
Female
01

Where this study stands

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

Among 32 studies testing iron isomaltoside 1000 in Anemia, Iron-Deficiency — 9 open to participants now, 9 under way, 4 of them phase 3. iron isomaltoside 1000 · Anemia, Iron-Deficiency.

Planned enrollment
23rd of 32
82 · median 121
Started
2022
with 1 other
Phase 3
18 of 32
4 open now
Registered
27th of 32
by date
Lead sponsor
1 of 32
Alberta Health Services, Calgary

Among the 32 studies testing iron isomaltoside 1000 in Anemia, Iron-Deficiency, this one is the 23rd largest by planned enrollment, is one of 2 that started in 2022, is one of 18 in phase 3, and was the 27th registered.

Anemia, Iron-Deficiency

600 studies on the registry are indexed under Anemia, Iron-Deficiency; 95 are open to participants now.

Browse Anemia, Iron-Deficiency studies →

Open to participants now

9 of the 32 studies testing iron isomaltoside 1000 in Anemia, Iron-Deficiency are open now, in 6 countries. Recruiting first, the newest first:

4 more — sign in →

By country, each count listing its 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 54 Anemia, Iron-Deficiency studies recruiting now, 19 (35%) set no upper age limit and 31 (57%) stop at 75 or younger; 15 take children under 18; 17 take healthy volunteers.

This study: 18 Years and older · female · healthy volunteers too.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 32 studies testing iron isomaltoside 1000 in Anemia, Iron-Deficiency, or all of them as a file.
02

Study summary

Iron deficiency has been reported in up to 35% of patients with a gynecologic malignancy. These patients often require surgical intervention to determine the stage and to treat their illness. Blood transfusions occur in approximately 14% of these surgeries and carry immediate and long-term risks, including surgical site infection, cancer recurrence, and increased surgical length of stay. Intravenous iron formulations have the potential to rapidly correct anemia in patients with gynecologic malignancy and potentially decrease blood transfusion and complications following surgery. This prospective, randomized, placebo-controlled, double blind study aims to assess the effectiveness of preoperative ferric derisomaltose/iron isomaltoside compared to placebo in correcting preoperative hemoglobin in patients undergoing surgery for gynecologic malignancy. The primary outcome is to assess the effectiveness of this formulation on pre-operative hemoglobin, and the feasibility of a larger, outcomes based, study in the future. Exploratory outcomes are to assess the effect of preoperative intravenous iron on surgical length of stay, complications, and patient-reported quality of life.

03

Conditions studied

  • Gynecologic Cancer
  • Anemia, Iron Deficiency
  • Surgery

Keywords

  • Ferric derisomaltose
  • iron isomaltoside
  • intravenous iron
04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

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. At least 18 years of age and signed written
  2. Patients undergoing elective major surgery on the gynecologic oncology service with the following criteria will be considered for inclusion:

    1. The indication for the operation may be for suspected or proven gynecologic .
    2. Major surgery is defined as an operation of a duration of 1 hour or greater, with an Aletti complexity score of at least 1[19].
    3. The expected time from recruitment to surgery is at least 28 days.
  3. Screening less than 120g/L and transferrin saturation (TSAT) \<20%
  4. Randomization and administration of study infusion a minimum of 21 days and maximum 90 days before planned operation.
  5. Negative pregnancy test for women of (within last 7 days), and agree to use effective form of until 6 weeks post treatment (if applicable)
  6. Laboratory data used for determination of eligibility at the baseline visit must not be older than 4 weeks.

Exclusion criteria

Exclusion Criteria:

  1. Known history of acquired iron overload, or family history of haemochromatosis or thalassemia, or TSAT >50%
  2. Known alternative cause for anemia (e.g. B12 or folate deficiency, or haemoglobinopathy)
  3. Known to FDI or its
  4. Temperature >38 C or patient on non-prophylactic antibiotics
  5. Known chronic liver disease or active hepatitis
  6. Received erythropoietin or IV iron therapy in previous 12 weeks
  7. If LFT's are ordered, either clinically indicated or for chemotherapy, and screening (ALT) or aspartate transaminase (AST) is above three times the (ULN) range
  8. therapy (for solid organ transplant), or renal dialysis (current, or planned within next 12 months)
  9. Unfit for elective surgery
  10. Pregnancy or lactation
  11. Unable to fully comprehend and/or perform study procedures
  12. Cervical cancer with a clinical stage of 2A or greater.
Terms in these criteria, in plain language(10)

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.

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.

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.

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.

Excipients

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

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

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.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
82 participants (estimated)

Study arms

  • Experimental
    Ferric derisomaltose

    1000mg of intravenous Ferric derisomaltose/Iron isomaltoside in 100mL of normal saline will be administered 21-90 days prior to planned surgery for gynecologic malignancy as a single dose.

    Drug: Ferric Derisomaltose Injection

  • Placebo comparator
    Placebo

    100mL of normal saline will be administered 21-90 days prior to planned surgery for gynecologic malignancy as a single dose.

    Drug: Normal saline

Interventions

  • 1000mg of ferric derisomaltose in 100mL of normal saline by intravenous infusion

    Also known as: iron isomaltoside, Monoferric, Monofer

  • DrugNormal saline

    100 mL of 0.9% normal saline (w/v) by intravenous infusion

06

What researchers measure

Primary outcomes

  1. Preoperative hemoglobin level

    Hemoglobin measured, in g/L, following intervention prior to planned gynecologic surgery.

    Time frame: 0 to 3 days prior to planned surgical intervention

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided

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

Start is estimated for Sep 2022; primary completion for Sep 2023, 12 months later.

Of 48 phase 3 interventional studies under Anemia, Iron-Deficiency, half reached primary completion within 23 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 41. This study's planned 12 months is below that.

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

Registered
Jul 18, 2022
First posted
Jul 20, 2022
StartEst.
Sep 30, 2022
Primary completionEst.
Sep 2023
CompletionEst.
Dec 2023
Last update
Jul 20, 2022
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 Jul 20, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05467319
Lead sponsor
Alberta Health Services, Calgary
Collaborators
Pharmacosmos A/S
Responsible party
Steven Bisch (Principal Investigator, Alberta Health Services, Calgary) — Principal investigator
First posted
Jul 20, 2022
Start date
Sep 30, 2022 (estimated)
Primary completion
Sep 2023 (estimated)
Completion
Dec 2023 (estimated)
Last update
Jul 20, 2022

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 status unknown, as verified in Jul 2022. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Iron isomaltoside 1000

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