AzTrials
AzTrials

ThrombocytosisPhase 2NCT00882414

Ferinject® in Patient With Thrombocytosis Secondary to Inflammatory Bowel Disease (IBD)

A Phase 2 study testing FERINJECT® (Ferric carboxymaltose) in people with Thrombocytosis and Iron-Deficiency Anemia, run by Vifor Pharma at 1 site in Austria.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The aim of this study is to show the benefits for patients, with a high platelet count, iron deficiency and IBD, receiving intravenous iron therapy. Read more about this study

Who is it for?
Ages 18 to 60 years
Conditions the study is for
Thrombocytosis, Iron-Deficiency Anemia
What is being tested?
FERINJECT® (Ferric carboxymaltose)
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
26 participants
Where
1 siteAustria
Study dates
Dec 2006to Jan 2010
Phase
Phase 2
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 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Male or female, inpatient or outpatient, aged at least 18 years and not more than 60 years.
  • Have a platelet count >450G/l
  • Transferrin saturation (TfS) <20% or ferritin < 100µg/l
  • Previously diagnosed inflammatory bowel disease (Crohn's disease or ulcerative colitis)
  • Females of child-bearing potential must have a negative urine pregnancy test at screening and be practicing a highly effective method of birth control during the study and for up to 1 month after the last dose of the study medication. A highly effective method of birth control is defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomised partner. Non-childbearing potential includes being surgically sterilized at least 6 months prior to the study or postmenopausal, defined as amenorrhoea for at least 12 months.
  • Demonstrate the ability to understand the requirements of the study, provide written informed consent, abide by the study restrictions, and agree to undergo the required assessments.

Who cannot join

  • CDAI >220, CAI>6
  • Significant anemia (hemoglobin <10.5 g/dl), or anaemia not caused by iron deficiency (e.g. anaemia due to cancer or infection)
  • Blood transfusions or iron therapy during the previous 4 weeks, or erythropoietin treatment within the 8 weeks prior to enrollment.
  • Concomitant therapy with prednisolone above 20mg/d, 6-mercaptopurine, infliximab or azathioprine must have been initiated at least 4 months prior to study and the dose must be stable for at least 8 weeks. Other drugs with known effects on megakaryopoiesis (e.g. interferon-alpha).
  • Severe concomitant disease or need for surgery within 8 weeks
  • Hemochromatosis or other iron-storage disorders (e.g. thalassemia, siderosis, lead poisoning anaemia, porphyria cutanea tarda)
Show all 13Show fewer
  • Treatment with an investigational drug within the 30 days prior to enrollment
  • Active severe infection or malignancy other than carcinoma in situ of the cervix and non-melanoma skin cancer.
  • Bone Marrow Disease (MDS, thalassemia, etc)
  • Active or chronic liver or kidney disease. Serum albumin <25 g/L or serum creatinine >20 mg/L
  • 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. Known hypersensitivity to FERINJECT®
  • Positive for HIV 1/HIV 2 antibodies (anti HIV) (HIV: human immunodeficiency virus).
  • Positive for hepatitis B surface-antigen (HBsAg), hepatitis C virus antibody (anti HCV) and evidence for active hepatitis, i.e., abnormal liver function test (LFT) results.

Trial locations and contacts

1 site in 1 country.

Austria1 site
  • Univ. clinic for Internal Medicine

    Vienna, 1090

Other trials in Austria

About this study

Official title: A Multi-centre, Randomized, Controlled, Single-blinded, Phase II Study to Investigate the Safety and Efficacy of Intravenous Infusions of FERINJECT® Versus Placebo in Patients With Thrombocytosis Secondary to Iron Deficiency and Chronic Inflammatory Bowel Disease

The aim of this study is to show the benefits for patients, with a high platelet count, iron deficiency and IBD, receiving intravenous iron therapy.

Read the detailed description

For the first time a platelet abnormality in IBD was reported in 1968, with a description of an increased platelet count in patients having an exacerbation of clinical activity 1. Since then it has been established that thrombocytosis and platelet activation are common features in IBD2. Both features are strongly connected to thromboembolic events, which are a major cause of patient morbidity and mortality 3. In vitro studies have so far shown that spontaneous platelet aggregation is present in more than 30% of IBD patients compared to none of the controls and besides independent of disease severity 4.

Unfortunately the mechanisms behind the abnormal megakaryopoiesis are not completely understood. Nevertheless platelets can store and produce a large amount of inflammatory mediators and are activated by multiple proinflammatory substances. Therefore, platelets are regarded as a major target in the therapy of inflammatory bowel diseases 5. An increase in systemic cytokine levels such as IL-6 or IL-11 may contribute to enhanced platelet production. Also intestinal bleeding and iron deficiency, which are major symptoms of IBD, may have stimulatory effects on megakaryopoiesis 6.

Previously, we observed a normalization of elevated platelet counts in IBD patients with iron deficiency anemia (IDA) upon treatment with intravenous iron sucrose 7. We therefore believe that iron deficiency is causatively involved in the pathogenesis of thrombocytosis in IBD and intend to investigate the effect of intravenous iron therapy on platelet levels and platelet activation markers in patients with IBD and iron deficiency.

Vifor (International) Inc. has developed a new formulation of parenteral iron, FERINJECT® (5% w/v iron carboxymaltose in a solution of water for injection). Based on preclinical toxicity data and clinical experience, FERINJECT® does not cause anaphylactic reactions or liver toxicity. Based on human pharmacokinetic data, the estimated terminal half-life of FERINJECT® is 16 hours. The analysis of a FERINJECT® positron emission tomography (PET) study in six patients each receiving a single dose of 100mg iron as FERINJECT® demonstrated that, during the initial distribution phase, a major proportion of the dose was distributed to the bone marrow . Red cell utilization of iron was found to be high. After 24 days, patients with IDA showed a red cell utilization of 91% to 99%. Various studies demonstrated that FERINJECT® could be safely administered at doses of up to 1000mg, which is a significant advantage of FERINJECT® over iron sucrose.

A multiple-dose phase I/II study in patients with IBD investigating the safety, efficacy, and kinetics of repeated doses of FERINJECT® has been completed. Patients who were treated at our unit (Medical University of Vienna) were also analyzed regarding the effect of VIT45 on platelet counts. Similar to our experience with iron sucrose, we observed a significant drop in thrombocytosis within 8 weeks pointing again to the direct effect of iron on regulating megakaryopoiesis in vivo8.

This study tries to show the benefits for patients, with a high platelet count, iron deficiency and IBD, receiving intravenous iron therapy.

As with all iron preparations, overdosing with respect to the total amount should be avoided. The maximum infused weekly dose of FERINJECT® will be 500 mg. Based on animal toxicity data and patient experience, FERINJECT® does not cause anaphylactic reactions or liver toxicity at the doses intended for use in this study. However, due to the relatively large doses of iron being administered, patients will be monitored carefully throughout the study for symptoms of iron overload.

Potential benefits to the patients include a decrease of the platelet counts, besides a increase in hemoglobin levels and normalization of iron stores.

Primary Objective:

To evaluate the efficacy of FERINJECT® in reducing elevated platelet counts

Secondary Objectives:

To evaluate the effect of FERINJECT® on coagulation and platelet activation parameters To evaluate the efficacy of FERINJECT® in normalizing iron deficiency To evaluate the change of quality in life and disease activity To evaluate the safety of FERINJECT®

Being tested
FERINJECT® (Ferric carboxymaltose), Placebo
Keywords
ferric carboxymaltose, platelet, thrombocyte, ferritin, hemoglobin, transferrin
Medical subject headings
Thrombocytosis, Anemia, Iron-Deficiency

What participants receive

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

  • FERINJECT® (Ferric carboxymaltose)Drug

    Also called FERINJECT®

    FERINJECT® will be administered i.v. into a peripheral vein in the arm. 500 mg FERINJECT® will be diluted to a total volume of 100mL in 0.9% saline for infusion and administered over 15 minutes duration.

  • PlaceboDrug

    Also called NaCl 0.9%, saline

    Placebo will be administered i.v. into a peripheral vein in the arm. A total volume of 100mL 0.9% saline will be administered over 15 minutes duration.

Study groups in NCT00882414
Study groupRoleWhat they receive
ThromboVIT PlaceboPlacebo comparatorPatients will receive 1 placebo infusion of 100ml 0.9% sodium chloride every 7 days for a total of 3 infusions.
Receives: Drug: Placebo
ThromboVIT 1000ExperimentalThromboVIT 1000: Patients will receive 1 infusion of 500mg Ferinject® diluted in 100ml 0.9% sodium chloride every 7 days for a total of 2 infusions (1000 mg) followed by 1 placebo infusion of 100ml 0.9% sodium chloride.
Receives: Drug: FERINJECT® (Ferric carboxymaltose)
ThromboVIT 1500ExperimentalPatients will receive 1 infusion of 500mg Ferinject® diluted in 100ml 0.9% sodium chloride every 7 days for a total of 3 infusions (1500 mg).
Receives: Drug: FERINJECT® (Ferric carboxymaltose)
ThromboVIT 500ExperimentalThromboVIT 500: Patients will receive 1 infusion of 500mg Ferinject® diluted in 100ml 0.9% sodium chloride (500 mg) followed by 2 placebo infusions of 100ml 0.9% sodium chloride every 7 days.
Receives: Drug: FERINJECT® (Ferric carboxymaltose)

What is being measured

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

  1. To evaluate the efficacy of FERINJECT® in reducing elevated platelet counts

    The primary efficacy endpoint is a decrease of the platelet counts >25% after 6 weeks.

    Measured: 6 weeks post baseline

Secondary outcomes (13)
  1. Normalization of platelet levels

    Normalization of platelet levels

    Measured: 6 weeks post baseline

  2. Change in platelet activation markers (p-selectin, sCD40L), thrombopoietin and reticulated thrombocytes

    Change in platelet activation markers (p-selectin, sCD40L), thrombopoietin and reticulated thrombocytes

    Measured: 6 weeks post baseline

  3. Change in coagulation parameters (PTT, PT, factors of the intrinsic coagulation pathway)

    Change in coagulation parameters (PTT, PT, factors of the intrinsic coagulation pathway)

    Measured: 6 weeks post baseline

  4. Change in iron parameters (ferritin, hemoglobin, transferrin, transferrin saturation, soluble transferrin-receptor, hepcidin)

    Change in iron parameters (ferritin, hemoglobin, transferrin, transferrin saturation, soluble transferrin-receptor, hepcidin)

    Measured: 6 weeks post baseline

  5. Change in quality of life (IBDQ, SF-36, FACT-An or similar) and disease activity

    Change in quality of life (IBDQ, SF-36, FACT-An or similar) and disease activity (CDAI, CAI=Clinical activity scores (Rachmilewitz) without endoscopy)

    Measured: 6 weeks post baseline

  6. Change in C-reactive protein, ESR, IL-3, IL-6 and IL-11 and calprotectin.

    Change in C-reactive protein, ESR, IL-3, IL-6 and IL-11 and calprotectin.

    Measured: 6 weeks post baseline

  7. Adverse Events

    Adverse Events (AE): type, nature, incidence and outcome.

    Measured: 6 weeks post baseline

  8. Vital signs

    Vital signs (axillary temperature, blood pressure and heart rate).

    Measured: 6 weeks post baseline

  9. Physical examinations

    Physical examinations

    Measured: 6 weeks post baseline

  10. Clinical laboratory panels

    Clinical laboratory panels (haematology/coagulation, clinical chemistry/inflammation, urinalysis).

    Measured: 6 weeks post baseline

  11. Discontinuation of treatment due to AEs

    • Discontinuation of treatment due to AEs

    Measured: 6 weeks post baseline

  12. Pregnancy test

    Pregnancy test

    Measured: Visit 4

  13. CDAI/CAI

    CDAI/CAI

    Measured: 6 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 posted16 Apr 2009 (estimated)
  2. Study startDec 2006
  3. Primary completionJan 2010
  4. Study completionJan 2010

Why it stopped: Main objective of study was met. Further recruitment was difficult.

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 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00882414
Sponsor's protocol ID
THROMBOVIT
Status last verified
Apr 2010
First submitted
15 Apr 2009
Last updated
8 Apr 2010
Results posted
No
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing FERINJECT® (Ferric carboxymaltose) in people with Thrombocytosis and Iron-Deficiency 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 13 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: stopped early, as of the sponsor's last update on 8 Apr 2010. 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. Some participants in this study may receive a placebo. 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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 was stopped early (reason given: Main objective of study was met. Further recruitment was difficult.). Results are not available in the source record.

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?

To evaluate the efficacy of FERINJECT® in reducing elevated platelet counts (time frame: 6 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 8 Apr 2010.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in