ClinicalTrials.gg
Not yet recruitingNCT05708170FERIDAUpdated Feb 1, 2023

Impact of Intravenous Iron on Musculoskeletal Function in Older Adults

A Phase 4 interventional study of Ferinject and Ferrous Sulfate 200 MG in Iron Deficiency Anemia, sponsored by Liverpool Hope University. Not yet recruiting. Open to participants aged 60 Years to 85 Years. Per ClinicalTrials.gov, last updated 2023-02-01.

Sponsored by Liverpool Hope University · Phase 4, Interventional, and Basic science

From the registry’s dates

  • Primary completion was expected by Aug 2026, 3 months ago, but the record still lists the study as not yet recruiting.
Phase
Phase 4
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
60 Years to 85 Years
Sex
All
01

Where this study stands

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

Among 57 studies testing ferric carboxymaltose in Anemia, Iron-Deficiency — 7 open to participants now, 7 under way, none of them phase 3. ferric carboxymaltose · Anemia, Iron-Deficiency.

Planned enrollment
28th of 57
100 · median 100
Started
2023
with 1 other
Phase 4
24 of 57
6 open now
Registered
49th of 57
by date

Among the 57 studies testing ferric carboxymaltose in Anemia, Iron-Deficiency, this one is the 28th largest by planned enrollment, is one of 2 that started in 2023, is one of 24 in phase 4, and was the 49th 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

7 of the 57 studies testing ferric carboxymaltose in Anemia, Iron-Deficiency are open now, in 1 country. Recruiting first, the newest first:

1 more — sign in →

By country, each count listing its studies:

All 7 open studies →

About ferric carboxymaltose

ferric carboxymaltose: first FDA approval 2013 (INJECTAFER). What it is approved for, and 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: 60 Years to 85 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 57 studies testing ferric carboxymaltose in Anemia, Iron-Deficiency, or all of them as a file.
02

Study summary

Anaemia is a risk factor for functional decline and frailty in older adults including decreased physical performance and muscle strength, increased hospitalisation risk and mortality, falls, and poorer recovery from activities of daily living. Despite a major gap in human studies, research in animals has demonstrated an interrelationship between iron deficiency anaemia and deteriorated functional capacity and physical performance particularly in older adults. Iron deficiency and associated anaemia is a frequent accompanier of debilitating chronic diseases such as heart failure and chronic lung diseases. These conditions, more commonly seen in older patients, are strongly linked to deterioration in physical function, reduced skeletal muscle mass and quality, frailty, and poor quality of life. Exercise intolerance is also a common feature of these conditions as iron deficiency impairs the capacity of carrying oxygen leading to inability to sustain physical activities. Furthermore, the age-related decline in the muscle mass and quality (so called sarcopenia) and associated frailty has rapidly become a major health concern in the older adults particularly when accompanied by other chronic diseases. Recently, there has been an increasing interest in exploring the role of iron as a causative factor in the development of sarcopenia and related frailty.

In summary, there is a substantial gap of evidence whether Iron repletion leads to meaningful enhancements in the skeletal muscle function and physical performance in older adults suffering from iron deficiency anaemia. This study will investigate the impact of a standard care intervention (intravenous iron therapy) on muscular function and physical performance in older patients through a range of laboratory assessments.

Read the detailed description

The study will recruit two groups of stable patients (although likely with chronic diseases) with established iron deficiency anaemia through Aintree Hospital NHS Trust clinics. Fifty patients aged 60-85 years will be recruited into each group:

  1. Intravenous iron therapy group: This group will receive intravenous iron calculated based on body weight and level of anaemia (hemoglobin concentration), as per the iron therapy's SPC
  2. Active Control Group: This group will receive oral ferrous sulphate prescribed by their GP Randmisation: Simple randomisation/parallel assignment/single-blinded

Identified patients with iron deficiency anaemia will receive an invitation to participate in the study together with a Patient Information Sheet clearly explaining different aspects of the research project. Each participant will require to attend the School of Health Sciences' laboratories (Liverpool Hope University) on four different occasions (once before the intervention and three times after receiving the iron therapy) throughout a 3-year period to complete multiple assessments in relation to basic blood tests and musculoskeletal function and physical performance. In addition to this, participants in the first group will require to attend the Aintree Hospital NHS Trust clinics on one occasion to receive a single-dose intravenous iron.

The study will broadly investigate musculoskeletal function (health) and physical performance by means of muscle quality, muscle mass, muscle strength, muscle activation and fatigue levels, gait quality, muscle physiology (level of oxygen carried into the muscles), and functional questionnaires prior to, during, and after iron therapy. In addition to this, changes in patients' quality of life in each group will be assessed through administration of validated questionnaires.

The data will be analysed at the end of the study to identify any significant and clinically meaningful changes in the musculoskeletal function, physical performance, and health-related quality of life resulted from the iron therapy in each group while also comparing such changes between the two study groups.

03

Conditions studied

  • Iron Deficiency Anemia

Keywords

  • Iron Deficiency Anaemia
  • Skeletal Muscle Function
  • Musculoskeletal
  • Ageing
04

Who can participate

Ages eligible
60 Years to 85 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

  • Anaemia attributable to iron deficiency
  • \< 120 g/L in women, Hb \< 130 g/L in men
  • Ferritin ≤100 ng/mL or ≤300 ng/mL if transferrin saturation (TSAT) ≤30%
  • Age ≥ 60 to 85 years
  • Ambulatory individuals
  • Written

Exclusion criteria

Exclusion Criteria:

  • Patients already taking intravenous or oral iron
  • > 40 kg/m²
  • Uncontrolled hypertension/ diabetes
  • Potential medication interactions
  • Hemochromatosis or iron storage disorders
  • Recent treatment with IV antibiotics or red blood cell transfusion
  • Dialysis dependent
  • History of
  • Pregnant or lactating women
  • Severe hepatic and renal dysfunction
  • Advanced cardiovascular disease and
  • Advanced Neuromuscular disorder
  • Obvious cognitive disability and psychological illness
  • Current treatment with systemic or any other substantive medication
  • Alcohol or any other drug abuse
Terms in these criteria, in plain language(6)

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.

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).

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.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

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.

COPD

Chronic obstructive pulmonary disease: long-term lung disease that makes it hard to breathe out, including emphysema and chronic bronchitis.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

05

Study design

Phase
Phase 4
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
100 participants (estimated)

Study arms

  • Experimental
    Intravenous iron therapy group

    This group will receive intravenous iron calculated based on body weight and level of anaemia (hemoglobin concentration), as per the iron therapy's SPC.

    Drug: Ferinject

  • Active comparator
    Active Control Group

    This group will receive oral ferrous sulphate prescribed by their GP Randmisation: Simple randomisation/parallel assignment/single-blinded

    Drug: Ferrous Sulfate 200 MG

Interventions

  • Ferinject Therapy Group: each patient's Iron need for repletion by the Ferinject will be determined using product SPC dosing based on patient's body weight and Hb level. Accordingly, the appropriate dose of Ferinject will be administered while ensuring that a single administration will not exceed: * 15 mg iron/kg body weight (for administration by intravenous injection) or 20 mg iron/kg body weight (for administration by intravenous infusion) * 1,000 mg of iron (20 mL Ferinject) The cumulative dose of Ferinject per week will not exceed 1,000 mg of iron (20 mL Ferinject).

    Also known as: ferric carboxymaltose

  • Active Control Group (standard care excl. IV Iron): Oral Ferrous sulphate 200 mg three times daily.

    Also known as: oral iron

06

What researchers measure

Primary outcomes

  1. Muscle Quality Index (MQI)

    Muscle strength relative to volume of the muscle mass generating the force

    Time frame: "through study completion, an average of 2 year"

Secondary outcomes

  1. Health-history Questionnaire

    Questionnaire to document participant health history

    Time frame: Baseline

  2. International Physical Activity Questionnaire-IPAQ)

    Questionnaire to determine the level of physical activity

    Time frame: Baseline

  3. Blood Iron Profile

    Blood analysis including Hemoglobin, Iron, Ferritin, and Transferrin

    Time frame: "Through study completion, an average of 2 year"

  4. Upper Extremity Strength (in Newtons)

    Dynamometry to measure upper extremity (Grip and shoulder forward flexion) strength

    Time frame: "Through study completion, an average of 2 year"

  5. Lower Extremity Muscle Strength (in Newtons)

    Dynamometry to measure lower extremity (Knee extension) strength

    Time frame: "Through study completion, an average of 2 year"

  6. Skeletal Muscle Mass (kg)

    Bio-Impedance (BIA) to measure the skeletal muscle mass (kg)

    Time frame: "Through study completion, an average of 2 year"

  7. Muscle Fatigue

    Electromyographic (EMG) assessment of localised muscle fatigue

    Time frame: "Through study completion, an average of 2 year"

  8. Muscle Activation

    Electromyographic (EMG) assessment of muscle activity level

    Time frame: "through study completion, an average of 2 year"

  9. Gait Analysis

    3-Dimensional Motion Capture to assess gait quality

    Time frame: "Through study completion, an average of 2 year"

  10. Short Battery of Physical Performance (SBPP)

    A validated test for assessing physcial and functional capacity

    Time frame: "through study completion, an average of 2 year"

  11. Mitochondrial Function

    Near-infrared spectroscopy (NIRS) to investigate quality of oxidation in muscles

    Time frame: "through study completion, an average of 2 year"

  12. The 12-Item Short Form Health Survey (SF-12)

    A patient-rated questionnaire to assess the Quality of Life

    Time frame: "Through study completion, an average of 2 year"

  13. The Hospital Anxiety and Depression Scale (HADS)

    A patient-rated questionnaire to assess anxiety and Depression

    Time frame: "Through study completion, an average of 2 year"

  14. The Sarcopenia Quality of Life (SarQoL)

    A patient-rated questionnaire to assess Sarcopenia-specific quality of life

    Time frame: "through study completion, an average of 2 year"

  15. The Upper Extremity Functional Index (UEFI)

    A patient-rated questionnaire to assess Upper Extremity Function

    Time frame: "through study completion, an average of 2 year"

  16. The Lower Extremity Functional Index (UEFI)

    A patient-rated questionnaire to assess Lower Extremity Function

    Time frame: "through study completion, an average of 2 year"

07

Study locations

No study locations are listed for this record.

08

References and documents

Individual participant data

Plan to share: Undecided — NK

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 Jan 2023; primary completion for Aug 2026, 43 months later.

Of 43 non-industry phase 4 interventional studies under Anemia, Iron-Deficiency, half reached primary completion within 20 months of starting (the median), counting those still running; a quarter within 14 and three quarters within 35. This study's planned 43 months is above that.

Counting every sponsor, half of 51 studies reached it within 22 months; a quarter within 15 and three quarters within 35.

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

Registered
Oct 17, 2022
First posted
Feb 1, 2023
StartEst.
Jan 2023
Primary completionEst.
Aug 2026
CompletionEst.
Jan 2027
Last update
Feb 1, 2023
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 Feb 1, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05708170
Lead sponsor
Liverpool Hope University
Collaborators
Liverpool University Hospitals NHS Foundation Trust
Responsible party
Sponsor
First posted
Feb 1, 2023
Start date
Jan 2023 (estimated)
Primary completion
Aug 2026 (estimated)
Completion
Jan 2027 (estimated)
Last update
Feb 1, 2023

Study contacts

Professor Khaiyat
Contact
alizado@hope.ac.uk
00441512913262
Mrs Smylie
Contact
smylieg@hope.ac.uk
00441512913996

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 not yet recruiting, as verified in Aug 2022. You cannot join it, but the record below documents what was studied.

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Studies of the drug tested here: Ferric carboxymaltose

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