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Iron Oligosaccharide in Inflammatory Bowel Disease Subjects With Iron Deficiency Anaemia

Primary Purpose

Inflammatory Bowel Disease

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Monofer
Iron Sulphate
Sponsored by
Pharmacosmos A/S
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Inflammatory Bowel Disease focused on measuring Inflammatory Bowel Disease, Iron deficiency, Iron deficiency anaemia, Anaemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Subjects with a diagnosis of IBD with iron deficiency anaemia will be included if they meet all of the following criteria:

  1. Men and women, aged more than 18 years.
  2. Subjects diagnosed with inflammatory bowel disease and mild to moderate disease activity (defined as a score of less than or equal to 5 on the Harvey-Bradshaw index for Crohn's disease and a Mayo score (subscore without endoscopy) of less than or equal to 6 for ulcerative colitis).
  3. Hb <12.0 g/dL (7.45 mmol/L).
  4. Transferrin saturation (TfS) <20 %.

Exclusion Criteria:

  1. Anaemia predominantly caused by other factors than iron deficiency anaemia.
  2. Iron overload or disturbances in utilisation of iron (e.g. haemochromatosis and haemosiderosis).
  3. Drug hypersensitivity (i.e. previous hypersensitivity to Iron Dextran or iron mono- or disaccharide complexes or to iron sulphate).
  4. Known hypersensitivity to any excipients in the investigational drug products.
  5. Subjects with a history of multiple allergies.
  6. Active Intestinal Tuberculosis.
  7. Active Intestinal amoebic infections.
  8. Decompensated liver cirrhosis and hepatitis (alanine aminotransferase (ALT) > 3 times upper limit normal).
  9. Acute infections (assessed by clinical judgement), supplied with white blood cells (WBC) and C-reactive protein (CRP)).
  10. Rheumatoid arthritis with symptoms or signs of active joint inflammation.
  11. Pregnancy and nursing
  12. Extensive active bleeding necessitating blood transfusion.
  13. Planned elective surgery during the study.
  14. Participation in any other clinical study within 3 months prior to screening.
  15. Intolerance to oral iron treatment.
  16. Untreated B12 or folate deficiency.
  17. Other I.V. or oral iron treatment or blood transfusion within 4 weeks prior to screening visit.
  18. Erythropoetin treatment within 8 weeks prior to screening visit.
  19. Diagnosis of Hepatitis B and/or C, confirmed by appropriate lab test.
  20. Any other medical condition that, in the opinion of Investigator, may cause the patient to be unsuitable for the completion of the study or place the patient at potential risk from being in the study. Example, Uncontrolled Hypertension, Unstable Ischemic Heart Disease or Uncontrolled Diabetes Mellitus.
  21. History of immunocompromise, including positive HIV test result

Sites / Locations

  • Research Site
  • Research Site
  • Research Site
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Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

Monofer

Iron Sulphate

Arm Description

administered as intravenous infusions (A1) administered as intravenous bolus injections (A2)

tablets administered orally

Outcomes

Primary Outcome Measures

Change in Hb concentration from baseline to week 8.

Secondary Outcome Measures

Number of subjects who achieve target limits of Hb (men 13-18 g/dL, women 12-16 g/dL) and have change in Hb concentration > 1.0 g/dL and have serum ferritin (100-800µg/L) and have achieved Transferrin saturation (TfS) (20-50 %) at week 2, 4 and 8.

Full Information

First Posted
November 19, 2009
Last Updated
November 22, 2012
Sponsor
Pharmacosmos A/S
Collaborators
Max Neeman International
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1. Study Identification

Unique Protocol Identification Number
NCT01017614
Brief Title
Iron Oligosaccharide in Inflammatory Bowel Disease Subjects With Iron Deficiency Anaemia
Official Title
A Phase III, Randomized, Comparative, Open-label Study of Intravenous Iron Oligosaccharide (Monofer®) Administered by Infusions or Repeated Bolus Injections in Comparison With Oral Iron Sulphate in Inflammatory Bowel Disease Subjects With Iron Deficiency Anaemia
Study Type
Interventional

2. Study Status

Record Verification Date
November 2012
Overall Recruitment Status
Completed
Study Start Date
October 2009 (undefined)
Primary Completion Date
July 2012 (Actual)
Study Completion Date
August 2012 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Pharmacosmos A/S
Collaborators
Max Neeman International

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of the trial is to demonstrate that intravenous iron oligosaccharide is non-inferior to oral iron sulphate in reducing iron deficiency anaemia secondary to inflammatory bowel disease (IBD), evaluated as the ability to increase haemoglobin (Hb).
Detailed Description
The study is designed to determine the effects of an investigational drug Monofer in subjects with Inflammatory Bowel Disease (IBD) (an intestinal disease characterized by swelling, redness and sometimes ulcers in intestine) and with Iron Deficiency Anaemia (IDA) (Anaemia is a condition characterized by deficiency of blood in the body).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Inflammatory Bowel Disease
Keywords
Inflammatory Bowel Disease, Iron deficiency, Iron deficiency anaemia, Anaemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
350 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Monofer
Arm Type
Experimental
Arm Description
administered as intravenous infusions (A1) administered as intravenous bolus injections (A2)
Arm Title
Iron Sulphate
Arm Type
Active Comparator
Arm Description
tablets administered orally
Intervention Type
Drug
Intervention Name(s)
Monofer
Intervention Description
administered as intravenous infusions (A1)repeated weekly until total iron repletion is obtained administered as intravenous bolus injections (A2)as repeated bolus injections weekly until total iron repletion is obtained
Intervention Type
Drug
Intervention Name(s)
Iron Sulphate
Intervention Description
200 mg daily
Primary Outcome Measure Information:
Title
Change in Hb concentration from baseline to week 8.
Time Frame
8 weeks
Secondary Outcome Measure Information:
Title
Number of subjects who achieve target limits of Hb (men 13-18 g/dL, women 12-16 g/dL) and have change in Hb concentration > 1.0 g/dL and have serum ferritin (100-800µg/L) and have achieved Transferrin saturation (TfS) (20-50 %) at week 2, 4 and 8.
Time Frame
8 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Subjects with a diagnosis of IBD with iron deficiency anaemia will be included if they meet all of the following criteria: Men and women, aged more than 18 years. Subjects diagnosed with inflammatory bowel disease and mild to moderate disease activity (defined as a score of less than or equal to 5 on the Harvey-Bradshaw index for Crohn's disease and a Mayo score (subscore without endoscopy) of less than or equal to 6 for ulcerative colitis). Hb <12.0 g/dL (7.45 mmol/L). Transferrin saturation (TfS) <20 %. Exclusion Criteria: Anaemia predominantly caused by other factors than iron deficiency anaemia. Iron overload or disturbances in utilisation of iron (e.g. haemochromatosis and haemosiderosis). Drug hypersensitivity (i.e. previous hypersensitivity to Iron Dextran or iron mono- or disaccharide complexes or to iron sulphate). Known hypersensitivity to any excipients in the investigational drug products. Subjects with a history of multiple allergies. Active Intestinal Tuberculosis. Active Intestinal amoebic infections. Decompensated liver cirrhosis and hepatitis (alanine aminotransferase (ALT) > 3 times upper limit normal). Acute infections (assessed by clinical judgement), supplied with white blood cells (WBC) and C-reactive protein (CRP)). Rheumatoid arthritis with symptoms or signs of active joint inflammation. Pregnancy and nursing Extensive active bleeding necessitating blood transfusion. Planned elective surgery during the study. Participation in any other clinical study within 3 months prior to screening. Intolerance to oral iron treatment. Untreated B12 or folate deficiency. Other I.V. or oral iron treatment or blood transfusion within 4 weeks prior to screening visit. Erythropoetin treatment within 8 weeks prior to screening visit. Diagnosis of Hepatitis B and/or C, confirmed by appropriate lab test. Any other medical condition that, in the opinion of Investigator, may cause the patient to be unsuitable for the completion of the study or place the patient at potential risk from being in the study. Example, Uncontrolled Hypertension, Unstable Ischemic Heart Disease or Uncontrolled Diabetes Mellitus. History of immunocompromise, including positive HIV test result
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Pharmacosmos A/S
Organizational Affiliation
Pharmacosmos A/S, Roervangsvej 30, DK 4300 Holbaek, Denemark
Official's Role
Study Chair
Facility Information:
Facility Name
Research Site
City
Aalborg
Country
Denmark
Facility Name
Research Site
City
Copenhagen
Country
Denmark
Facility Name
Research Site
City
Århus
Country
Denmark
Facility Name
Research Site
City
Hyderabad
Country
India
Facility Name
Research Site
City
Jaipur
Country
India
Facility Name
Research Site
City
Mumbai
Country
India
Facility Name
Research Site
City
Nasik
Country
India
Facility Name
Research Site
City
New Delhi
Country
India
Facility Name
Research Site
City
Pune
Country
India
Facility Name
Research Site
City
London
Country
United Kingdom

12. IPD Sharing Statement

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Iron Oligosaccharide in Inflammatory Bowel Disease Subjects With Iron Deficiency Anaemia

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