ClinicalTrials.gg
Not yet recruitingNCT07822607IRON-RLSUpdated Sep 16, 2026

Intravenous Iron in the Management of Drug-resistant Restless Legs syndromeI

A Phase 2 interventional study of Ferric Carboxymaltose Injection [Ferinject] and Ferric Carboxymaltose Injection [Ferinject] in Restless Legs Syndrome (RLS), sponsored by University Hospital, Montpellier. Not yet recruiting at 1 site in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-16.

Sponsored by University Hospital, Montpellier · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
66
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

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

Among 17 studies in Restless Legs Syndrome with a site in France — 7 open to participants now, 7 under way, none of them phase 3. Restless Legs Syndrome · France.

Planned enrollment
5th of 13
66 · median 55
Started
2026
the only one that year
Phase 2
3 of 17
1 open now
Registered
17th of 17
by date
Lead sponsor
7 of 17
University Hospital, Montpellier

Among the 17 studies in Restless Legs Syndrome with a site in France, this one is the 5th largest by planned enrollment of the 13 interventional ones, is the only one that started in 2026, is one of 3 in phase 2, and was the 17th registered.

By phase

17 studies; the count open now beside each. This study's row is marked.

No phase5 · 4 open
Observational4 · 2 open
Phase 2this study3 · 1 open
Phase 32 · 0 open
Phase 42 · 0 open
Phase 11 · 0 open

By the year they started

First in 2005; this study’s year is marked. 1 started in 2026.

Size and results

Median enrollment 55 across the 13 interventional studies, 410 across the 4 observational. Of the 10 that completed or were terminated, 1 (10%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 17 studies in Restless Legs Syndrome with a site in France, or all of them as a file.
02

Study summary

The pathophysiology of restless legs syndrome (RLS) is not well understood: it is thought to involve intracerebral iron deficiency and dopaminergic dysregulation.

This study aims to evaluate the use of intravenous ferric carboxymaltose in patients with restless legs syndrome (RLS).

This study plans to include individuals with RLS, who will be divided into two groups:

  • One group will receive intravenous iron immediately after the baseline polysomnography
  • The second group will receive intravenous iron 3 months after randomization. In total, participants will be followed for 6 months, during which time they will be required to complete questionnaires regularly, undergo blood draws, and have two polysomnography tests.
03

Conditions studied

  • Restless Legs Syndrome (RLS)

Keywords

  • Ferric carboxymaltose
  • periodic legs movements
  • intractable restless legs
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

  • Age ≥ 18 years;
  • Weight ≥ 50 kg;
  • Drug-resistant RLS;
  • Severe to very severe RLS (IRLSSG-Q score > 20), persistent or recurrent for more than one month;
  • Treatment with dopamine agonists without exceeding the recommended doses (ropinirole ≤ 2 mg/day, pramipexole ≤ 0.54 mg/day, rotigotine ≤ 3 mg/day);
  • Treatment with dopamine agonists and/or α2δ ligands and/or opioids that has been stable for at least 3 months;
  • In cases of sleep apnea syndrome, treatment with continuous positive airway pressure (CPAP);
  • Participants were required to be fluent in spoken and written French, be enrolled in a health insurance plan, agree to the automated processing of anonymized confidential data, and have provided written, for the study.

Exclusion criteria

Exclusion Criteria:

  • Iron supplementation (oral or intravenous) within 3 months prior to enrollment and throughout the study period
  • Serum ferritin \< 50 µg/L or > 300 µg/L;
  • Transferrin saturation \< 20% or > 45%;
  • Hemochromatosis;
  • RLS augmentation syndrome ;
  • Treatment with neuroleptics or antidepressants;
  • Allergy to iron;
  • Severe infectious or inflammatory disease within the past 3 months;
  • RLS associated with chronic kidney disease, pregnancy, or a neurological or psychiatric disorder;
  • Severe sleep apnea syndrome (AHI > 30/h) that is untreated, or in cases where treatment is refused or has failed;
  • Known allergy, inflammatory, or immune disorder;
  • History of severe asthma, eczema, or any other atopic allergy;
  • Pregnancy or breastfeeding;
  • Also excluded are patients participating in another research study, those deprived of their liberty by judicial or administrative order, those living in a medical facility, those subject to a legal protection order, or those from whom consent could not be obtained.
Terms in these criteria, in plain language(2)

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.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
66 participants (estimated)

Study arms

  • Experimental
    Immediate treatment

    The treatment will be administered at at baseline (V1), immediately after the baseline polysomnography

    Drug: Ferric Carboxymaltose Injection [Ferinject] · Other: Randomization · Other: Questionnaire and Physical Exam · Procedure: lumbar puncture · Procedure: urine pregnancy test

  • Active comparator
    Delayed-onset treatment

    The treatment will be administered at 12 weeks

    Drug: Ferric Carboxymaltose Injection [Ferinject] · Other: Randomization · Other: Questionnaire and Physical Exam · Procedure: lumbar puncture · Procedure: urine pregnancy test

Interventions

  • administration of 1 g of CMF for 2 hours under medical monitoring

  • Administration of 1 g of CMF for 2 hours under medical monitoring

  • OtherRandomization

    Randomization in the arm "Immediate treatment" or "Delayed-onset treatment"

  • OtherQuestionnaire and Physical Exam

    Completion of questionnaires and scales: European Quality of Life 5 Dimensions (EQ-5D), Epworth Sleepiness Scale (ESS), Clinical Global Impression (CGI), Patient Global Impression (PGI), Beck Depression Inventory-II (BDI-II), Augmentation Severity Rating Scale (ASRS), International Restless Legs Study Group Severity Rating Scale (IRLSSG-Q), International Restless Legs Syndrome (IRLS), Insomnia Severity Index (ISI)

  • Procedurelumbar puncture

    Lumbar puncture performed according to standard practice

  • Procedureurine pregnancy test

    During inclusion visit (Day 0) only for women of childbearing age

06

What researchers measure

Primary outcomes

  1. IRLSSG-Q score

    IRLSSG-Q : International Restless Legs Study Group Severity Rating Scale allows for the quantification of the severity of restless legs syndrome

    Time frame: From Day 0 to Week 12

Secondary outcomes

  1. Periodic Limb Movements during Sleep (PLMS) index

    The PLMS Index measures the average number of involuntary leg movements per hour of sleeping during polysomnography. 15 or more per hour: Considered abnormal for adults and may suggest a condition called Periodic Limb Movement Disorder (PLMD) if it disrupts your sleep.

    Time frame: From V1 (Day 0) to V5 (week 24)

  2. Total sleep time

    Total sleep time measured in minutes during polysomnography.

    Time frame: From day 0 to week 24

  3. Sleep latency

    Length of time in minutes it takes to transition from full wakefulness to the lightest stage of sleep after the lights are turned off.

    Time frame: From Day 0 to week 24

  4. Sleep time at stage 1-2 during polysomnography

    Time spent in stage 1-2 sleep measured in hours and minutes during polysomnography

    Time frame: From Day 0 to week 24

  5. Sleep time at stage 3 during polysomnography

    Time spent in stage 3 sleep measured in hours and minutes during polysomnography

    Time frame: From Day 0 to week 24

  6. Micro-awakenings index (MAI)

    The Micro-awakenings index measures the number of brief awakenings that the person does not notice per hour of sleep.

    Time frame: From Day 0 to week 24

  7. Apnea-hypopnea index (AHI)

    The apnea-hypopnea index (AHI) measures the average number of interruptions or reductions in breathing per hour of sleep to assess the severity of sleep apnea.

    Time frame: From Day 0 to week 24

  8. Average arterial oxygen saturation (SaO2)

    The unit of measurement for SaO2 is the percentage (%).

    Time frame: From Day 0 to Week 24

  9. Oxygen desaturation index (IDO)

    The oxygen desaturation index (IDO) measures the number of significant drops in blood oxygen levels per hour of sleep.

    Time frame: From Day 0 to week 24

  10. Serum ferritin

    Time frame: From Day 0 to week 24

  11. Transferrin saturation coefficient

    Time frame: From Day 0 to Week 24

  12. Epworth Sleepiness Scale (ESS)

    A measure of excessive daytime sleepiness that quantifies the impact of the condition on alertness throughout the day. Eight everyday situations are rated (for example, watching television, riding as a passenger in a car, sitting quietly in a public place). Each situation is scored from 0 to 3 based on the likelihood of falling asleep. Total score 0-24; a score of ≥10 suggests excessive sleepiness

    Time frame: From Day 0 to Week 24

  13. European Quality of Life 5 Dimensions (EQ-5D)

    EQ-5D: this self-administered questionnaire assesses five dimensions (mobility, daily activities, self-care, pain/discomfort, anxiety/depression) as well as overall health status on a visual scale from 0 to 100

    Time frame: From Day 0 to Week 24

  14. Clinical Global Impression (CGI)

    The clinician's overall assessment of the illness, including CGI-S (severity) and CGI-I (change). 7-point scale: CGI-S 1 = normal, 7 = extremely ill; CGI-I 1 = markedly improved, 7 = markedly worsened

    Time frame: From Day 0 to Week 24

  15. Patient Global Impression (PGI)

    Patient's overall perception of the severity of their illness or change; a simple 7-point scale, self-reported. A high score is associated with patients perceiving their symptoms as severe

    Time frame: From Day 0 to Week 24

  16. Beck Depression Inventory-II (BDI-II)

    BDI-II: a self-administered questionnaire consisting of 21 items that assess the severity of depressive symptoms over the past two weeks; score range: 0-63; thresholds: 0-13 (mild), 14-19 (moderate), 20-28 (severe), ≥29 (severe)

    Time frame: From Day 0 to Week 24

  17. Augmentation Severity Rating Scale (ASRS)

    A 7-item self-administered questionnaire used to quantify the severity of the augmentation syndrome in patients treated with dopamine agonists. It assesses the worsening or early onset of RLS symptoms and their impact on sleep and daily activities

    Time frame: From Day 0 to Week 24

  18. Insomnia Severity Index (ISI)

    To assess the severity of the patient's insomnia, taking into account both the quantity and quality of sleep, as well as its impact on daily functioning (fatigue, concentration, mood). A 7-item self-report questionnaire scored from 0 to 4, with a total score of 0-28; 0-7 indicates no insomnia, 8-14 mild, 15-21 moderate, and 22-28 severe insomnia

    Time frame: From Day 0 to week 24

07

Study locations

1 site
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 reached

Start is estimated for Oct 2026; primary completion for Apr 2029, 30 months later.

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

Registered
Aug 28, 2026
First posted
Sep 16, 2026
StartEst.
Oct 2026
Primary completionEst.
Apr 2029
CompletionEst.
Oct 2030
Last update
Sep 16, 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 Sep 16, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07822607
Responsible party
Sponsor
First posted
Sep 16, 2026
Start date
Oct 2026 (estimated)
Primary completion
Apr 2029 (estimated)
Completion
Oct 2030 (estimated)
Last update
Sep 16, 2026

Study contacts

Yves DAUVILLIERS, MD - PhD
Contact
y-dauvilliers@chu-montpellier.fr
0033 467 3374 78

Oversight

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 Sep 2026. 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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