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HaematopoiesisPhase 3NCT01160198

A Study to Demonstrate the Efficacy and Tolerability of Ferrous Bisglycinate Chelate in Iron Deficiency Anaemia and to Compare These With Those of Ferrous Ascorbate.

A Phase 3 study testing ferrous ascorbate, ferrous bisglycinate chelate 1 OD and ferrous bisglycinate chelate 2 OD in people with Haematopoiesis, run by GlaxoSmithKline at 7 sites in India.

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

Iron deficiency anaemia (Haemoglobin, Hb < 12gm/dl) is one of India's major public health problems particularly in women. Effective control of iron deficiency anaemia decreases the incidence of fatigue, bodyache, headache, lack of concentration and menstrual complications. Read more about this study

Who is it for?
Ages 18 to 55 years, women only
Conditions the study is for
Haematopoiesis
What is being tested?
ferrous ascorbate, ferrous bisglycinate chelate 1 OD and ferrous bisglycinate chelate 2 OD
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
271 participants
Where
7 sitesIndia
Study dates
13 Oct 2010to 18 Feb 2011
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

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 55 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • Subjects eligible for enrolment to the study must meet all of the following criteria:
  • Signed and dated written informed consent is obtained prior to participation.
  • Female outpatients between 18 to 55 years of age and using effective method of contraception if sexually active.
  • Non use of any iron supplement for 3 months prior to enrolment to the study.
  • Presence of iron deficiency anaemia: low haemoglobin (Hb 6-9 gm/dl) + low serum ferritin (<15 μg/l).
  • No occult blood in stool.
  • Able to comply with the requirements of the protocol.
  • Subjects should have a valid telephone contact.

Who cannot join

  • Subjects meeting any of the following criteria must not be enrolled to the study:
  • Pregnancy (confirmed by urine dipstick method)
  • Desire to conceive within the next 3 months including patients who are receiving treatment to facilitate conception.
  • Lactating women.
  • Medical history of current hematological disorders other than iron deficiency anaemia (e.g. aplastic anaemia, megaloblastic anaemia, sideroblastic anaemia, pernicious anaemia, thalassemia, sickle cell anaemia, etc.).
  • Medical history of thyroid dysfunction.
Show all 16Show fewer
  • Medical history of chronic renal disease.
  • Medical history of malabsorption syndrome, haemochromatosis and haemosiderosis, hypochlorhydria, achlorhydria, gastrectomy, gastrojejunostomy.
  • Inability to withhold prohibited medication.
  • Obvious internal or external bleeding as documented by medical history and/or examination if considered clinically significant in the opinion of the investigator.
  • Clinically significant abnormality in laboratory reports and/or ECG.
  • Medical history of hepatitis B, hepatitis C and/or exposure to HIV.
  • Serious, uncontrolled disease (other than thyroid dysfunction and chronic renal disease) including serious psychological disorders likely to interfere with the study and/or likely to cause death within the study period.
  • Participation in another clinical trial in the last 8 weeks before entry to Visit 0.
  • Evidence of alcohol or drug abuse, that may, in the opinion of the investigator interfere with study compliance or prevent understanding of the objectives, investigational procedures or possible consequences of the study.
  • Known or suspected hypersensitivity to iron or any of the components of ferrous bisglycinate chelate or ferrous ascorbate tablets.

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

India7 sites
  • GSK Investigational Site

    Bhojipura, Bareilly, 243202

  • GSK Investigational Site

    Lucknow, 226003

  • GSK Investigational Site

    Lucknow, 226017

  • GSK Investigational Site

    Nagpur, 440022

  • GSK Investigational Site

    Pune, 411 001

  • GSK Investigational Site

    Surat, 395002

  • GSK Investigational Site

    Thane,Mumbai, 400605

Other trials in India

About this study

Official title: A Multicentre, Randomized, Laboratory-blinded, Parallel-group Study to Demonstrate the Efficacy and Tolerability of Ferrous Bisglycinate Chelate in Iron Deficiency Anaemia and to Compare These With Those of Ferrous Ascorbate.

Iron deficiency anaemia (Haemoglobin, Hb < 12gm/dl) is one of India's major public health problems particularly in women. Effective control of iron deficiency anaemia decreases the incidence of fatigue, bodyache, headache, lack of concentration and menstrual complications. Iron bisglycine chelate has been used successfully to treat iron deficiency anaemia and is also a well tolerated therapy. Use of ferrous bisglycinate chelate one tablet daily as a nutritional supplement is well established in India. For treatment of iron deficiency anaemia, some women may need 1 tablet/day, while some may need 2 tablets/day. In India, ferrous ascorbate, 1 tablet daily is a widely accepted form of treatment for iron deficiency anaemia. The primary purpose of this study is to demonstrate the efficacy and tolerability profile of ferrous bisglycinate chelate to support the registration of this product as a 'drug' in India. Comparative data between ferrous bisglycinate chelate and ferrous ascorbate will also augment our existing knowledge, which will further support appropriate use of ferrous bisglycinate chelate for the treatment of iron deficiency anaemia. Study design and patient population: This will be a multicentre, randomized, laboratory-blinded, parallel- group study. It is projected that the study will randomize 270 women (90 subjects in each treatment arm) with iron deficiency anaemia (Hb 6-9 gm/dl + serum Ferritin <15 μg/l) to either ferrous bisglycinate chelate 1 or 2 tablets/day, or ferrous ascorbate 1 tablet/day for 8 weeks. At fortnightly visits, blood will be collected for Hb (to evaluate efficacy), adverse events will be documented (to evaluate tolerability), the investigational drugs will be dispensed and reasons for non compliance will be recorded. Study endpoints: The primary endpoint is defined as the rise of Hb from baseline after 8 weeks of treatment in each ferrous bisglycinate chelate group (1 tablet/day and 2 tablets/day). The secondary endpoints include the difference in the average change in Hb, difference in the rate of rise of Hb, difference in the proportion of patients who achieve a target Hb ≥12gm/dl and difference in the % incidence of gastrointestinal side effects during 8 week therapy with 2 dosing regimens of ferrous bisglycinate chelate (1 tablet/day and 2 tablets/day) and ferrous ascorbate 1 tablet/day.

Read the detailed description

Rationale Iron deficiency is the most common form of malnutrition globally. In India, nearly 70% of women are estimated to be iron deficient. Iron deficiency anemia (IDA, Hb <12gm/dl) is a very late manifestation of iron deficiency. IDA is a consequence of decreased iron intake, increased iron loss from the body or increased iron requirements Blood loss during menstruation can predispose women to have poor iron stores and the presence of excess menstrual bleeding can contribute to the development of IDA in women. Patients with IDA usually present with fatigue, headache, bodyache, paraesthesia and lack of concentration. IDA can cause menorrhagia, which in turn can aggravate IDA. With severe anemia, there may be amenorrhoea as well.

Iron deficiency anaemia is often treated with iron tablets such as ferrous sulphate, ferrous fumarate and ferrous gluconate. It usually takes about 6-10 weeks for Hb to return to normal after initiation of oral iron therapy. Although efficacious from a haematological point of view, most of these therapies are associated with limiting gastrointestinal side effects (e.g. nausea, vomiting, constipation, diarrhoea and abdominal pain), which eventually reduce patient compliance.

Among the recent alternatives, iron bisglycine chelate has been used successfully to treat iron deficiency anaemia and is also a well tolerated therapy.

Use of ferrous bisglycinate chelate (each tablet contains 60mg of elemental iron as ferrous bisglycinate chelate, 1 mg folic acid, 5 mcg cyanocobalamin and 15 mg zinc bis-glycinate), 1 tablet daily is well established as a nutritional supplement in India. However, for treatment of iron deficiency anaemia, some women may need 1 tablet/day, while some may need 2 tablets /day.

In India, ferrous ascorbate tablets (each tablet contains 100 mg elemental iron as ferrous ascorbate, with 1 mg folic acid) in the recommended dose of 1 tablet daily are a widely accepted form of treatment for iron deficiency anaemia.

The primary purpose of this study is to demonstrate the efficacy and tolerability profile of ferrous bisglycinate chelate to support the registration of this product as a 'drug' in India. Comparative data between ferrous bisglycinate chelate and ferrous ascorbate will also augment our existing knowledge, which will further support the use of ferrous bisglycinate chelate for the treatment of iron deficiency anaemia.

Objective(s)

Primary:

To estimate the mean rise in haemoglobin level in patients with iron deficiency anaemia after 8 weeks of treatment (vs. baseline) with ferrous bisglycinate chelate (1 tablet and 2 tablets daily).

Secondary:

  1. To compare the mean rise in haemoglobin in patients with iron deficiency anaemia after 8 weeks treatment with ferrous bisglycinate chelate, 1 tablet and 2 tablets daily vs. ferrous ascorbate 1 tablet daily.
  2. To compare the average rate of rise of haemoglobin during 8 weeks of treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily and ferrous ascorbate 1 tablet daily.
  3. To compare the proportion of patients who achieve a target Hb ≥ 12gm/dl after 8 weeks of treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily and ferrous ascorbate 1 tablet daily.
  4. To compare the % incidence of gastrointestinal side effects during 8 weeks treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily and ferrous ascorbate 1 tablet daily.

Study Design This will be a multicentre, randomized, laboratory-blinded, parallel-group study. It is projected that the study will randomize 270 women (90 subjects in each treatment arm) with iron deficiency anaemia (Hb 6-9 gm/dl + serum Ferritin <15 μg/l) to either ferrous bisglycinate chelate 1 tablet/day, ferrous bisglycinate chelate 2 tablets/day or ferrous ascorbate 1 tablet/day for 8 weeks. At fortnightly visits, blood will be collected for Hb (to evaluate efficacy), adverse events will be documented (to evaluate tolerability), the investigational drugs will be dispensed and reasons for non compliance will be recorded.

The total study duration consists of an 8-week treatment period and will involve 6 clinic visits.

Study Endpoints/Assessments Primary Endpoint(s) Rise of haemoglobin from baseline to 8 weeks in each ferrous bisglycinate chelate group (1 tablet daily and 2 tablets daily).

Secondary Endpoint(s)

  1. The difference in the average change in Hb from baseline to 8 weeks with ferrous bisglycinate chelate 1 and 2 tablets daily, and ferrous ascorbate 1 tablet daily.
  2. The difference in the average rate of rise of Hb during 8 weeks of treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily, and ferrous ascorbate 1 tablet daily.
  3. The difference in proportion of patients who achieve a target Hb ≥12gm/dl after 8 weeks of treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily, and ferrous ascorbate 1 tablet daily.
  4. The difference in % incidence of gastrointestinal side effects during 8 weeks treatment with ferrous bisglycinate chelate 1 tablet daily, ferrous bisglycinate chelate 2 tablets daily and ferrous ascorbate 1 tablet daily.
Conditions
Haematopoiesis
Being tested
ferrous ascorbate, ferrous bisglycinate chelate 1 OD, ferrous bisglycinate chelate 2 OD

What participants receive

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

  • ferrous ascorbateDrug

    100 mg elemental iron

  • ferrous bisglycinate chelate 1 ODDietary supplement

    60 mg elemental iron

  • ferrous bisglycinate chelate 2 ODDietary supplement

    120 mg elemental iron

Study groups in NCT01160198
Study groupRoleWhat they receive
ferrous bisglycinate chelate 1 ODExperimentalferrous bisglycinate chelate 1 tablet daily
Receives: Dietary Supplement: ferrous bisglycinate chelate 1 OD
ferrous ascorbateActive comparatorferrous ascorbate, 1 tablet daily
Receives: Drug: ferrous ascorbate
ferrous bisglycinate chelate 2 ODExperimentalferrous bisglycinate chelate 2 tablets daily
Receives: Dietary Supplement: ferrous bisglycinate chelate 2 OD

What is being measured

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

  1. Change From Baseline in Hemoglobin (Hb) After 8 Weeks of Treatment in Each Ferrous Bisglycinate Chelate Group (1 Tablet Daily and 2 Tablets Daily)

    At fortnightly visits, blood was collected for Hb. Baseline (Visit 0) was not more than 5 days from Week 1 or randomization. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values.

    Measured: Baseline and Week 8

Secondary outcomes (4)
  1. Mean Change in Hb From Baseline to 8 Weeks

    At fortnightly visits, blood was collected for Hb. Baseline (Visit 0) was not more than 5 days from Week 1 or randomization. Change from Baseline was calculated by subtracting Baseline values from post-Baseline values.

    Measured: Baseline to Week 8

  2. Percentage of Participants Who Achieved a Target Hb More Than or Equal to 12 gm/dL After 8 Weeks of Treatment

    At fortnightly visits, blood was collected for Hb. Number of participants who achieved a target Hb of more than or equal to 12 gm/dL is presented.

    Measured: Up to Week 8

  3. Mean Change in Hb During 8 Weeks Therapy

    At fortnightly visits, blood was collected for Hb. Mean change in Hb at Week 2, Week 4, Week 6 and Week 8 are presented.

    Measured: Up to Week 8

  4. Difference in Percentage of Participants With Gastrointestinal Side Effects During 8 Weeks Treatment With Ferrous Bisglycinate Chelate and Ferrous Ascorbate

    The comparison in percentage of participants with gastrointestinal side effects during 8 week treatment period is reported. Gastrointestinal side effects during 8 weeks treatment included abdominal discomfort, gastritis, nausea, dyspepsia, change in bowel habit, constipation, faeces discolored, diarrhea and flatulence.

    Measured: Up to Week 8

Timeline

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

  1. First posted12 Jul 2010 (estimated)
  2. Study start13 Oct 2010
  3. Primary completion18 Feb 2011
  4. Study completion18 Feb 2011

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
Other
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
271 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01160198
Sponsor's protocol ID
114204
Status last verified
Sep 2017
First submitted
1 Jul 2010
Last updated
13 Apr 2018
Data monitoring committee
No

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing ferrous ascorbate, ferrous bisglycinate chelate 1 OD and ferrous bisglycinate chelate 2 OD in people with Haematopoiesis, run by GlaxoSmithKline at 7 sites in India.

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 8 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 13 Apr 2018. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in India. 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?

Yes. Results are posted in the registry (first posted 13 Apr 2018). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

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?

Change From Baseline in Hemoglobin (Hb) After 8 Weeks of Treatment in Each Ferrous Bisglycinate Chelate Group (1 Tablet Daily and 2 Tablets Daily) (time frame: Baseline and Week 8). 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 13 Apr 2018.

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