search
Back to results

Pharmacokinetics and Absolute Bioavailability of Fer-In-Sol and Triferic Administered Orally With Shohl's Solution in Healthy Volunteers

Primary Purpose

Iron-refractory, Iron-deficiency Anemia (IRIDA)

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Triferic
Fer-In-Sol
Shohl's solution
Sponsored by
Rockwell Medical Technologies, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Iron-refractory, Iron-deficiency Anemia (IRIDA) focused on measuring pharmacokinetics, healthy adult volunteer

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. The patient must be able to provide informed consent and have personally signed and dated the study written informed consent document before completing any study-related procedures.
  2. The patient has hemoglobin, MCV and reticulocyte values within the reference range for gender. (Male: Hgb ≥13.0 g/dL; Female Hgb ≥ 12.0 g/dL) at Screening.
  3. The patient must have transferrin saturation (TSAT) of ≥20% at Screening.
  4. The patient must have a total iron binding capacity (TIBC) of ≥250 ug/dL at Screening.
  5. The patient must have a serum ferritin within the following reference range for gender at Screening: (Males: 23-336 ng/mL; Females: 11-306 ng/mL).
  6. The patient must agree to discontinue all iron preparations for 14 days prior to Baseline.
  7. If the patient is female, she must be non-pregnant and non-lactating, and be at least 90 days post-partum (if applicable) at Screening. Women of childbearing potential must be willing to use appropriate birth control during the entire duration of the study.
  8. The patient must be willing and able to comply with all study procedures and restrictions.
  9. The patient must have no clinically significant abnormal findings on medical history, vital signs, physical examination, or clinical laboratory results during Screening.
  10. The patient must have a body mass index (BMI) of ≤35.0 kg/m2 at Screening.

Exclusion Criteria:

  1. The patient has had administration of oral iron supplements within 14 days prior to Baseline.
  2. The patient has received IV iron within 6 months prior to Screening.
  3. The patient has a serum CRP concentration above the upper limit of normal at Screening or Baseline (> 6.0 mg/L).
  4. The patient has concurrent or recurrent disease (e.g., cardiovascular, renal, hepatic, gastrointestinal, malignant, etc.) that could affect the action or disposition of the investigational product utilized in this study, or could affect clinical or laboratory assessments.
  5. The patient has an acute illness within 14 days prior to Baseline.
  6. The patient is currently using any medication (including prescription, over-the-counter (OTC), herbal, or homeopathic preparations) within 14 days prior to Baseline. Exceptions are contraceptives, hormone replacement therapy, acetaminophen, and non-steroidal anti-inflammatory drugs.
  7. The patient has known or suspected intolerance or hypersensitivity to iron-containing products.
  8. The patient has a history of alcohol or substance abuse within the past year.
  9. The patient has a positive screen for cotinine or drugs of abuse.
  10. The patient is positive for HIV, hepatitis B, or hepatitis C by history.
  11. The patient donated blood or blood products (e.g., plasma or platelets) within 30 days prior to Screening.
  12. The patient has participated in an investigational drug study within 30 days prior to Screening.
  13. The patient is pregnant or intends to become pregnant before completing the study.
  14. The patient's current medical status, in the investigator's opinion, would preclude participation in the study.

Sites / Locations

  • Jasper Clinic

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

No Intervention

Arm Label

Fer-In-Sol Orally

Shohl's solution followed by Fer-In-Sol Orally

Triferic Orally

Shohl's solution followed by Triferic Orally

Shohl's solution followed immediately by Triferic

Triferic via IV

Baseline

Arm Description

Patients will receive A single oral dose of Fer-In-Sol at 3 mg Fe/kg body weight (bw).

Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7ml/kg bw) followed after 10 minutes by Fer-In-Sol at 3 mg Fe/kg bw.

Patients will receive a single oral dose of Triferic at 3 mg Fe/kg bw.

Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) administered 10 minutes prior to a single oral dose of Triferic at 3 mg Fe/kg bw.

Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) followed immediately by a single oral dose of Triferic at 3 mg Fe/kg bw.

Patients will receive IV Triferic iron 6.6 mg diluted in an appropriate amount of D5W administered as a 120 mL infusion intravenously for 4 hours.

baseline serum iron profile will be determined for each patient. no study drug will be administered.

Outcomes

Primary Outcome Measures

Pharmacokinetics (PK) of Total Iron From Triferic Administered Orally in Adult Healthy Patients: Cmax
The outcome will be measured by assessing the Cmax of total iron with multiple different oral iron treatment. The following oral iron dosing treatments will be measured: Treatment A (Fer-in-Sol 3 mg iron/kg), Treatment B (Shohl's solution followed after 10 minutes by Fer-In-Sol, 3 mg/kg), Treatment C (Triferic 3 mg iron/kg), Treatment D (Shohl's solution followed after 10 minutes by Triferic 3 mg/kg), Treatment E (Shohl's solution followed immediately by Triferic 3 mg/kg), Treatment F (Triferic 6.6 mg IV over 4 hours)

Secondary Outcome Measures

Number of Participants With Treatment Emergent Adverse Events (TEAEs)
The number of participants in each treatment group who experienced treatment emergent adverse events will be quantified.
Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs)
The number of participants in each treatment group who experienced treatment emergent serious adverse events will be quantified.

Full Information

First Posted
May 5, 2016
Last Updated
August 27, 2018
Sponsor
Rockwell Medical Technologies, Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT02767128
Brief Title
Pharmacokinetics and Absolute Bioavailability of Fer-In-Sol and Triferic Administered Orally With Shohl's Solution in Healthy Volunteers
Official Title
Pharmacokinetics and Absolute Bioavailability of Fer-In-Sol (Ferrous Sulfate) and Triferic (Ferric Pyrophosphate Citrate) Administered Orally With Shohl's Solution in Healthy Volunteers
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
April 2016 (undefined)
Primary Completion Date
April 2016 (Actual)
Study Completion Date
April 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Rockwell Medical Technologies, Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The main purpose is to determine the pharmacokinetics (PK) of Triferic iron administered orally in healthy adult volunteers. It is a randomized multiple treatments, single dose study.
Detailed Description
This is a Phase 1/2, randomized multiple treatments, single dose study assessing the pharmacokinetics (PK) and absolute bioavailability of Fer-In-Sol ( Ferrous Sulfate) and Triferic (ferric pyrophosphate citrate, or FPC) administered orally with Shohl's solution in healthy volunteers. Total participation in the study is approximately six weeks and is comprised of a screening visit, 6 treatment periods, and a follow-up visit. The study will be conducted over a 13 day period: Day 1 will used to determine the baseline serum iron profile for each subject. Each subject will subsequently receive in a randomized sequence between Day 2 and 10: A single oral dose of Fer-In-Sol at 3 mg Fe/kg body weight (bw). A single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) followed after 10 minutes by Fer-In-Sol at 3 mg Fe/kg bw a single oral dose of Triferic PO at 3 mg Fe/kg bw a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) administered 10 minutes prior to a single oral dose of Triferic at 3 mg Fe/kg bw. a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) followed immediately by a single oral dose of Triferic at 3 mg Fe/kg bw. All subjects will receive a single dose of 6.6 mg Triferic as a 4 hour IV infusion (to mimic the 4 hour iron tolerance test) on Day 12. Blood samples will be obtained at various times to analyze for serum iron parameters and for safety.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Iron-refractory, Iron-deficiency Anemia (IRIDA)
Keywords
pharmacokinetics, healthy adult volunteer

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
Fer-In-Sol Orally
Arm Type
Experimental
Arm Description
Patients will receive A single oral dose of Fer-In-Sol at 3 mg Fe/kg body weight (bw).
Arm Title
Shohl's solution followed by Fer-In-Sol Orally
Arm Type
Experimental
Arm Description
Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7ml/kg bw) followed after 10 minutes by Fer-In-Sol at 3 mg Fe/kg bw.
Arm Title
Triferic Orally
Arm Type
Experimental
Arm Description
Patients will receive a single oral dose of Triferic at 3 mg Fe/kg bw.
Arm Title
Shohl's solution followed by Triferic Orally
Arm Type
Experimental
Arm Description
Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) administered 10 minutes prior to a single oral dose of Triferic at 3 mg Fe/kg bw.
Arm Title
Shohl's solution followed immediately by Triferic
Arm Type
Experimental
Arm Description
Patients will receive a single oral dose of Oracit Shohl's solution 0.67 mEq/L (0.7 ml/kg bw) followed immediately by a single oral dose of Triferic at 3 mg Fe/kg bw.
Arm Title
Triferic via IV
Arm Type
Experimental
Arm Description
Patients will receive IV Triferic iron 6.6 mg diluted in an appropriate amount of D5W administered as a 120 mL infusion intravenously for 4 hours.
Arm Title
Baseline
Arm Type
No Intervention
Arm Description
baseline serum iron profile will be determined for each patient. no study drug will be administered.
Intervention Type
Drug
Intervention Name(s)
Triferic
Other Intervention Name(s)
ferric pyrophosphate citrate, FPC
Intervention Type
Drug
Intervention Name(s)
Fer-In-Sol
Other Intervention Name(s)
Ferrous Sulfate
Intervention Type
Drug
Intervention Name(s)
Shohl's solution
Other Intervention Name(s)
Oracit
Primary Outcome Measure Information:
Title
Pharmacokinetics (PK) of Total Iron From Triferic Administered Orally in Adult Healthy Patients: Cmax
Description
The outcome will be measured by assessing the Cmax of total iron with multiple different oral iron treatment. The following oral iron dosing treatments will be measured: Treatment A (Fer-in-Sol 3 mg iron/kg), Treatment B (Shohl's solution followed after 10 minutes by Fer-In-Sol, 3 mg/kg), Treatment C (Triferic 3 mg iron/kg), Treatment D (Shohl's solution followed after 10 minutes by Triferic 3 mg/kg), Treatment E (Shohl's solution followed immediately by Triferic 3 mg/kg), Treatment F (Triferic 6.6 mg IV over 4 hours)
Time Frame
0, 1, 2, 4, 6, 8, 12, 16, and 24 hours
Secondary Outcome Measure Information:
Title
Number of Participants With Treatment Emergent Adverse Events (TEAEs)
Description
The number of participants in each treatment group who experienced treatment emergent adverse events will be quantified.
Time Frame
13 days
Title
Number of Participants With Treatment Emergent Serious Adverse Events (TESAEs)
Description
The number of participants in each treatment group who experienced treatment emergent serious adverse events will be quantified.
Time Frame
13 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: The patient must be able to provide informed consent and have personally signed and dated the study written informed consent document before completing any study-related procedures. The patient has hemoglobin, MCV and reticulocyte values within the reference range for gender. (Male: Hgb ≥13.0 g/dL; Female Hgb ≥ 12.0 g/dL) at Screening. The patient must have transferrin saturation (TSAT) of ≥20% at Screening. The patient must have a total iron binding capacity (TIBC) of ≥250 ug/dL at Screening. The patient must have a serum ferritin within the following reference range for gender at Screening: (Males: 23-336 ng/mL; Females: 11-306 ng/mL). The patient must agree to discontinue all iron preparations for 14 days prior to Baseline. If the patient is female, she must be non-pregnant and non-lactating, and be at least 90 days post-partum (if applicable) at Screening. Women of childbearing potential must be willing to use appropriate birth control during the entire duration of the study. The patient must be willing and able to comply with all study procedures and restrictions. The patient must have no clinically significant abnormal findings on medical history, vital signs, physical examination, or clinical laboratory results during Screening. The patient must have a body mass index (BMI) of ≤35.0 kg/m2 at Screening. Exclusion Criteria: The patient has had administration of oral iron supplements within 14 days prior to Baseline. The patient has received IV iron within 6 months prior to Screening. The patient has a serum CRP concentration above the upper limit of normal at Screening or Baseline (> 6.0 mg/L). The patient has concurrent or recurrent disease (e.g., cardiovascular, renal, hepatic, gastrointestinal, malignant, etc.) that could affect the action or disposition of the investigational product utilized in this study, or could affect clinical or laboratory assessments. The patient has an acute illness within 14 days prior to Baseline. The patient is currently using any medication (including prescription, over-the-counter (OTC), herbal, or homeopathic preparations) within 14 days prior to Baseline. Exceptions are contraceptives, hormone replacement therapy, acetaminophen, and non-steroidal anti-inflammatory drugs. The patient has known or suspected intolerance or hypersensitivity to iron-containing products. The patient has a history of alcohol or substance abuse within the past year. The patient has a positive screen for cotinine or drugs of abuse. The patient is positive for HIV, hepatitis B, or hepatitis C by history. The patient donated blood or blood products (e.g., plasma or platelets) within 30 days prior to Screening. The patient has participated in an investigational drug study within 30 days prior to Screening. The patient is pregnant or intends to become pregnant before completing the study. The patient's current medical status, in the investigator's opinion, would preclude participation in the study.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Raymond D Pratt, MD, FACP
Organizational Affiliation
Rockwell Medical, Inc
Official's Role
Study Director
Facility Information:
Facility Name
Jasper Clinic
City
Kalamazoo
State/Province
Michigan
ZIP/Postal Code
49071
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

Pharmacokinetics and Absolute Bioavailability of Fer-In-Sol and Triferic Administered Orally With Shohl's Solution in Healthy Volunteers

We'll reach out to this number within 24 hrs