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Inflammatory Bowel DiseasePhase 3FER-IBD-CORNCT00810030

FERINJECT for Correction of Anaemia in IBD Patients, FER-IBD-COR

A Phase 3 study testing Ferric carboxymaltose and Iron Sucrose in people with Inflammatory Bowel Disease and Anemia, run by Vifor Pharma at 1 site in Austria.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to determine how safe, tolerable and effective the new standardised dosage regimen of FERINJECT® infusions is, compared with a well established intravenous iron treatment. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Ferric carboxymaltose and Iron Sucrose
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
484 participants
Where
1 siteAustria
Study dates
Oct 2008to Apr 2010
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Signed informed consent.
  • Patients ≥18 years of age suffering from mild IBD (CD/UC) or in remission (mild IBD defined as CDAI score <220, or CAI score ≤7, remission defined as CDAI score <150, or CAI score ≤4).
  • Hb 7-12 g/dL (female) or 7-13 g/dL (male).
  • Ferritin <100 μg/L.
  • Normal levels of vitamin B12 and folic acid.
  • Females of child-bearing potential must have a negative urine pregnancy test at screening and be practising an acceptable method of birth control during the study and for up to 1 month after the last dose of study medication.

Who cannot join

  • Chronic alcohol abuse (alcohol consumption >20 g/day).
  • Presence of portal hypertension with oesophageal varices.
  • History of erythropoietin, intravenous or oral iron therapy, or blood transfusion in 4 weeks prior to screening.
  • Known hypersensitivity to FERINJECT®.
  • History of acquired iron overload.
  • Myelodysplastic syndrome.
Show all 16Show fewer
  • Pregnancy or lactation.
  • Known active infection, clinically significant overt bleeding, active malignancy.
  • Known chronic renal failure. Vifor Pharma - Vifor (International) Inc Clinical Study Protocol inc. Amendments 1 and 2 Protocol Number: 93842, FER-IBD-07-COR CONFIDENTIAL Final 20 of 48 10 December 2008
  • Surgery with relevant blood loss (defined as Hb drop <2 g/dL) in the last 3 months prior to screening or planned surgery within the following 3 months.
  • Chronic liver disease or increase of liver enzymes (alanine aminotransferase ([ALT], aspartate aminotransferase [AST]) >3 times the upper limit of normal range.
  • Known human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS), hepatitis B virus (HBV) or hepatitis C virus (HCV) infection.
  • Inability to fully comprehend and/or perform study procedures in the investigator's opinion.
  • Participation in any other interventional study within 1 month prior to screening.
  • Body weight <35 kg.
  • Significant cardiovascular disease, including myocardial infarction within 12 months prior to study inclusion, congestive heart failure NYHA (New York Heart Association) grade III or IV, or poorly controlled hypertension according to the judgment of the investigator.

Trial locations and contacts

1 site in 1 country.

Austria1 site
  • AKH Vienna, University clinic of Int Medizin III

    Vienna, 1090

Other trials in Austria

About this study

Official title: Select A Multi-centre Randomised Prospective Open-label Study to Investigate the Efficacy & Safety of a Standardised Correction Dosage Regimen of i.v. Ferric Carboxymaltose Versus Iron Sucrose for Treatment of Iron Deficiency Anaemia in Patients With Inflammatory Bowel Disease

The purpose of this study is to determine how safe, tolerable and effective the new standardised dosage regimen of FERINJECT® infusions is, compared with a well established intravenous iron treatment.

Read the detailed description

Anaemia in inflammatory bowel disease is mainly attributed to iron deficiency. The main cause of anaemia in IBD patients is chronic blood loss. This means that the iron storage depot in IBD patients is always low and should be replenished. Oral iron therapy is the first choice in many cases because of its safety and economy. However, in patients with gastrointestinal bleeding, the effectiveness of oral therapy is reduced. Additionally, oral iron preparations are frequently associated with gastrointestinal adverse reactions.

According to European Guidelines, the preferred route of iron supplementation in IBD is intravenous. Absolute indications for intravenous iron include severe anaemia (Hb <10 g/dL). The current study is a part of a programme investigating the efficacy and safety of FERINJECT®, a new formulation of parenteral iron (5% weight per volume iron containing ferric carboxymaltose in a solution of water for injection).

The efficacy and safety of FERINJECT® were investigated in a prospective, randomised, controlled study conducted in IBD patients. According to the results of this study, FERINJECT® provides a faster Hb response, a higher increase in iron storage and a better patient tolerance compared to oral preparations. In this study, the iron amount required was calculated according to the Ganzoni formula, where 500 mg is the amount of storage iron. To simplify the treatment and to make the treatment more effective, a new standardised dosage regimen was created. The current study is designed to assess whether this new standardised dosage regimen of i.v. FERINJECT® is as safe and effective as the currently used individually calculated dosage regimen.

The efficacy and safety of the new standardised dosage regimen of FERINJECT® will be compared with an already established, well-known treatment of IDA with iron sucrose (VENOFER®). Iron sucrose (VENOFER®) is assessed to be effective and well-tolerated in the treatment of IDA in IBD patients.

The study is a phase IIIb, multi-centre, randomised, prospective, open-label, controlled study performed at 83 study centres in 14 European countries.

The primary objective of the study is to evaluate the non-inferiority in efficacy of a standardised dosage regimen of FERINJECT® compared to individually calculated dosage regimens of VENOFER® in the correction of IDA in patients with IBD in remission. The secondary objective is to evaluate the safety and tolerability of a standardised correction dose regimen of FERINJECT®.

Approximately 420 patients will be randomised (1:1 randomisation) to receive treatment with either a standardised correction dosage regimen of FERINJECT® or individually calculated dosage regimens of VENOFER®.

Screening will start between 14 and 7 days before the first infusion is administered. Baseline assessments will be performed on Day 1 before the first infusion.

During the screening period, patients will be selected based on eligibility criteria. Patients who meet all of the inclusion criteria and none of the exclusion criteria will undergo baseline assessments at Baseline (Day 1) prior to the first dose of study medication.

Patients randomised to the FERINJECT® group will receive between 500 mg and 2000 mg of FERINJECT®, according to their Hb and body weight, in up to 3 infusions. The maximum infused weekly dose of will be 1000 mg. For patients in the VENOFER® group, the individual iron deficit will be calculated per individual using the modified formula of Ganzoni. Patients will receive one infusion of 200 mg of VENOFER® twice a week, up to 11 infusions, depending on their calculated iron deficit. Due to the relatively large doses of iron being administered, patients will be monitored carefully throughout the study for symptoms of iron overload.

All patients will return for assessment of efficacy and safety at Weeks 4, 8, and 12. The maximum study duration for a patient is 14 weeks. Patients who are not anaemic at Week 12 will be invited to continue to participate in a maintenance study (FER-IBD-07-MAIN), i.e. a study of FERINJECT® versus placebo to determine if the treatment of iron deficiency can prevent the recurrence of anaemia.

Being tested
Ferric carboxymaltose, Iron Sucrose
Keywords
ferric carboxymaltose, iron sucrose, Iron-Deficiency Anemia, Crohn's Disease, Ulcerative Colitis, Ferritin, Transferrin
Medical subject headings
Inflammatory Bowel Diseases, Anemia, Iron Deficiencies, Anemia, Iron-Deficiency, Crohn Disease, Colitis, Ulcerative

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Ferric carboxymaltoseDrug

    Also called FERINJECT®

    Dosage form: 5% w/v iron containing 50 mg iron per mL, as sterile solution of FERINJECT® in water for injection. In case of drip infusion FERINJECT® (10 to 20 ml) must be diluted only in sterile 0.9% sodium chloride (max 250 ml) FERINJECT® will be administered via i.v. drip infusion. Minimum administration time 15 minutes Dosage: 500 mg, 1000 mg, 1500 mg, according to patients' Hb and body weight

  • Iron SucroseDrug

    Also called VENOFER®

    VENOFER® will be administered via i.v. drip infusion, diluted only in sterile 0.9% sodium chloride solution as follows:

    • 10 mL Venofer® (200 mg iron) in maximum 200 mL sterile 0.9% sodium chloride solution in at least 30 minutes.

    The first 25 mL of solution should be infused as a test dose over a period of 15 minutes. If no adverse reactions occur, use infusion rate no more than 50 mL in 15 minutes.

    The individual iron deficit will be calculated using the modified formula of Ganzoni.

    If the patient's body mass index is >25, a normalised weight will be used for the calculation of iron deficit. Normalised weight = 25 x height [m] x height [m].

    The calculated cumulative VENOFER® dose is to be rounded up or down to the nearest 200 mg.

    Patients will receive one 200 mg VENOFER® infusion, twice a week, up to 11 times (max dosage 2200 mg), depending on their calculated iron deficit.

Study groups in NCT00810030
Study groupRoleWhat they receive
FERINJECT® (Ferric carboxymaltose)ExperimentalNot described
Receives: Drug: Ferric carboxymaltose
VENOFER® (Iron Sucrose)Active comparatorNot described
Receives: Drug: Iron Sucrose

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of responders with respect to the baseline Hb value.

    Number of responders (Hb increase ≥2 g/dL) with respect to the baseline Hb value.

    Measured: 12 weeks post baseline

Secondary outcomes (20)
  1. Number of patients whose Hb increased ≥2 g/dL or who reached normal Hb levels at Week 12.

    The number of patients who achieved increase of Hb ≥2 g/dL or the normal range of Hb value of Hb ≥12 (female) or ≥13 (male) g/dL) at Week 12.

    Measured: 12 weeks post baseline

  2. Change in disease activity (CDAI, CAI, C-reactive protein [CRP]).

    Change in disease activity (Crohn's Disease Activity Index [CDAI], Colitis Activity Index [CAI], C-reactive protein [CRP]) at Week 12.

    Measured: 12 weeks post baseline

  3. The number of patients at Week 12: TfS: 20 to 50%.

    The number of patients at Week 12: TfS: 20 to 50%.

    Measured: 12 weeks post baseline

  4. The number of non-anaemic patients at Week 12

    The number of non-anaemic patients at Week 12: Hb ≥12 (female) or ≥13 (male) g/dL.

    Measured: Week 12 post baseline

  5. The number of patients with ferritin >100 µg/L at Week 12.

    The number of patients with ferritin >100 µg/L at Week 12.

    Measured: 12 weeks post baseline

  6. Maximum increase in Hb, serum ferritin and TfS.

    Maximum increase in Hb, serum ferritin and TfS.

    Measured: 12 weeks post baseline

  7. The number of patients at achieving Hb ≥12 (female) or ≥13 (male) g/dL and ferritin >100 µg/L at Week 12.

    The number of patients at Week 12: Hb ≥12 (female) or ≥13 (male) g/dL and ferritin >100 µg/L.

    Measured: 12 weeks post baseline

  8. The number of patients withdrawal from study due to protocol procedure.

    The number of patients withdrawal from study due to protocol procedure.

    Measured: 12 weeks post baseline

  9. The number of responders (Hb increase ≥2 g/dL) with respect to treatment of underlying disease.

    The number of responders (Hb increase ≥2 g/dL) with respect to treatment of underlying disease.

    Measured: 12 weeks post baseline

  10. The number of patients with Hb baseline value ≤10 g/dL who achieved Hb increase ≥2 g/dL and the number of patients with Hb baseline value >10 g/dL who achieved Hb increase ≥2 g/dL.

    The number of patients with Hb baseline value ≤10 g/dL who achieved Hb increase ≥2 g/dL and the number of patients with Hb baseline value >10 g/dL who achieved Hb increase ≥2 g/dL.

    Measured: 12 weeks post baseline

  11. Change in health-related quality of life (QoL) from baseline to Week 12 using the Short Form (SF)-36, version 2 and IBDQ.

    Change in health-related quality of life (QoL) from baseline to Week 12 using the Short Form (SF)-36, version 2 and IBDQ.

    Measured: 12 weeks post baseline

  12. The number of patients out of work due to anaemia or IBD.

    The number of patients out of work due to anaemia or IBD.

    Measured: 12 weeks post baseline

  13. Days out of hospital.

    Days out of hospital.

    Measured: 12 weeks post baseline

  14. Hospitalisation rate

    Hospitalisation rate (hospitalisation due to anaemia and/or IBD).

    Measured: 12 weeks post baseline

  15. Adverse events: type, nature, incidence and outcome.

    Adverse events: type, nature, incidence and outcome.

    Measured: 12 weeks post baseline

  16. Vital signs (blood pressure, pulse rate and bw).

    Vital signs (blood pressure, pulse rate and bw).

    Measured: 12 weeks post baseline

  17. Electrocardiogram.

    Electrocardiogram.

    Measured: 12 weeks post baseline

  18. Change in laboratory parameters (haematology, clinical chemistry, iron status, urinalysis).

    Change in laboratory parameters (haematology, clinical chemistry, iron status, urinalysis).

    Measured: 12 weeks post baseline

  19. Physical examination.

    Physical examination.

    Measured: 12 weeks post baseline

  20. The number of responders (Hb increase ≥2 g/dL) with respect to the baseline Hb value.

    The number of responders (Hb increase ≥2 g/dL) with respect to the baseline Hb value.

    Measured: 12 weeks post baseline

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted17 Dec 2008 (estimated)
  2. Study startOct 2008
  3. Primary completionDec 2009
  4. Study completionApr 2010

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
484 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00810030
Sponsor's protocol ID
FER-IBD-07-COR
Acronym
FER-IBD-COR
Status last verified
Dec 2012
First submitted
16 Dec 2008
Last updated
21 Dec 2012
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Ferric carboxymaltose and Iron Sucrose in people with Inflammatory Bowel Disease and Anemia, run by Vifor Pharma at 1 site in Austria.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 16 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 21 Dec 2012. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Austria. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of responders with respect to the baseline Hb value. (time frame: 12 weeks post baseline). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 21 Dec 2012.

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