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Open-label PK Study of Iron Isomaltoside 1000 (Monofer) Administered by 500 mg IV Injection or 1000 mg IV Infusion to Patients With Inflammatory Bowel Disease

Primary Purpose

Inflammatory Bowel Disease

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Monofer (iron isomaltoside 1000)
Monofer
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, IBD

Eligibility Criteria

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

Inclusion 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. Weight above 50 kg
  4. Hb <12 g/dL (7.45 mmol/L)
  5. Transferrin saturation (TfS) <20%
  6. Life expectancy beyond 12 months by investigator's judgment
  7. Willingness to participate after informed consent -

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. History of immunocompromise and/or history of Hepatitis B and/or C
  10. Acute infections (assessed by clinical judgment), supported by white blood cells (WBC) and C-reactive protein (CRP))
  11. Rheumatoid arthritis with symptoms or signs of active joint inflammation
  12. Pregnancy and nursing (To avoid pregnancy, women have to be postmenopausal (at least 12 months must have elapsed since last menstruation), surgically sterile, or women of child bearing potential must use one of the following contraceptives during the whole study period and after the study has ended for at least 5 times plasma biological half-life of the investigational medicinal product: Contraceptive pills, intrauterine devices (IUD), contraceptive depot injections (prolonged-release gestagen), subdermal implantation, vaginal ring, and transdermal patches)
  13. Extensive active bleeding necessitating blood transfusion
  14. Planned elective surgery during the study
  15. Participation in any other clinical study within 3 months prior to screening
  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. Erythropoietin treatment within 4 weeks prior to screening visit
  19. 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

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Active Comparator

    Active Comparator

    Arm Label

    1000 mg iron isomaltoside as intravenous infusion

    500 mg iron isomaltoside 1000 as bolus injection

    Arm Description

    Outcomes

    Primary Outcome Measures

    Total serum iron pharmakokinetic parameters

    Secondary Outcome Measures

    Total urine-iron pharmakokinetic parameters

    Full Information

    First Posted
    October 1, 2010
    Last Updated
    November 13, 2013
    Sponsor
    Pharmacosmos A/S
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    1. Study Identification

    Unique Protocol Identification Number
    NCT01213680
    Brief Title
    Open-label PK Study of Iron Isomaltoside 1000 (Monofer) Administered by 500 mg IV Injection or 1000 mg IV Infusion to Patients With Inflammatory Bowel Disease
    Official Title
    Open-label Pharmakokinetic Study of Iron Isomaltoside 1000 (Monofer)Administered by 500 mg IV Injection or 1000 mg Intravenous Infusion to Patients With Inflammatory Bowel Disease (PK-IBD-02)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    November 2013
    Overall Recruitment Status
    Completed
    Study Start Date
    February 2012 (undefined)
    Primary Completion Date
    August 2012 (Actual)
    Study Completion Date
    November 2012 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Pharmacosmos A/S

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The purpose of this study is to assess the pharmakokinetic properties of higher doses (500 mg and 1000 mg) of Monofer(R)in patients suffering from inflammatory bowel disease

    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, IBD

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    16 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    1000 mg iron isomaltoside as intravenous infusion
    Arm Type
    Active Comparator
    Arm Title
    500 mg iron isomaltoside 1000 as bolus injection
    Arm Type
    Active Comparator
    Intervention Type
    Drug
    Intervention Name(s)
    Monofer (iron isomaltoside 1000)
    Intervention Description
    1000 mg iron isomaltoside administered as a infusion over 15 minutes
    Intervention Type
    Drug
    Intervention Name(s)
    Monofer
    Intervention Description
    500 mg iron isomaltoside 1000 given as bolus injection over 2 minutes
    Primary Outcome Measure Information:
    Title
    Total serum iron pharmakokinetic parameters
    Time Frame
    24, 48 and72 hours
    Secondary Outcome Measure Information:
    Title
    Total urine-iron pharmakokinetic parameters
    Time Frame
    24, 48 and 72 hours

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion 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) Weight above 50 kg Hb <12 g/dL (7.45 mmol/L) Transferrin saturation (TfS) <20% Life expectancy beyond 12 months by investigator's judgment Willingness to participate after informed consent - 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) History of immunocompromise and/or history of Hepatitis B and/or C Acute infections (assessed by clinical judgment), supported by white blood cells (WBC) and C-reactive protein (CRP)) Rheumatoid arthritis with symptoms or signs of active joint inflammation Pregnancy and nursing (To avoid pregnancy, women have to be postmenopausal (at least 12 months must have elapsed since last menstruation), surgically sterile, or women of child bearing potential must use one of the following contraceptives during the whole study period and after the study has ended for at least 5 times plasma biological half-life of the investigational medicinal product: Contraceptive pills, intrauterine devices (IUD), contraceptive depot injections (prolonged-release gestagen), subdermal implantation, vaginal ring, and transdermal patches) Extensive active bleeding necessitating blood transfusion Planned elective surgery during the study Participation in any other clinical study within 3 months prior to screening Untreated B12 or folate deficiency Other I.V. or oral iron treatment or blood transfusion within 4 weeks prior to screening visit Erythropoietin treatment within 4 weeks prior to screening visit 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
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Lars Lykke Thomsen, MD
    Organizational Affiliation
    Pharmacosmos A/S
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Learn more about this trial

    Open-label PK Study of Iron Isomaltoside 1000 (Monofer) Administered by 500 mg IV Injection or 1000 mg IV Infusion to Patients With Inflammatory Bowel Disease

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