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Iron Sucrose In The Treatment of Restless Legs Syndrome: Safety of Three Dose Regimens as Evaluated by Clinical Assessments

Primary Purpose

Restless Legs Syndrome

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Cohort I
Cohort II
Cohort III
Sponsored by
American Regent, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Restless Legs Syndrome

Eligibility Criteria

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

Inclusion Criteria:

  • Signed consent.
  • Male or female subjects > 18 yrs. old.
  • RLS signs and symptoms affirming diagnosis.
  • A baseline score > or = to 15 is required on the International RLS Study Group Rating Scale (IRLSSG).
  • At least one leg with an average baseline Periodic Leg Movement (PLM) while asleep > or = to 15 movements per hour by actigraphy.
  • Subjects on dopa-adrenergic therapy or other RLS treatments must be off therapy at least one week before any baseline RLS assessments and actigraphy measurement are obtained.
  • Subject has regular sleep hours between 9 p.m. and 9 a.m.
  • Subjects at risk for pregnancy must have a negative pregnancy test at baseline and be practicing an acceptable form of birth control.

Exclusion Criteria:

  • Known intolerance to Venofer.
  • RLS which is ascribed to renal disease.
  • RLS 2° to other CNS disease or injury.
  • Any pain related or sleep related disorders which may confound the outcome measures.
  • History of neuroleptic akinesia.
  • Concurrent use of oral iron supplement.
  • Parenteral iron use within the past 6 months.
  • Active infection.
  • Currently being treated for asthma.
  • Severe peripheral vascular disease with significant skin changes.
  • Seizure disorder currently being treated with medication.
  • Serum ferritin level > 300 ng/mL or a TSAT > or = to 45% at baseline or a history of hemochromatosis.
  • Significant cardiovascular or hepatic disease or any other pre-existing medical condition or disease which in the view of the investigator participation in this study would put the subject's disease management at risk or the subject would be unable to comply with the study requirements.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Experimental

    Experimental

    Experimental

    Arm Label

    Cohort I

    Cohort II

    Cohort III

    Arm Description

    500 mg dose Venofer over 4 hours

    500 mg Venofer infusion over 4-6 hours on Day 0 and repeated on Day 2 to 7

    500 mg Venofer over 6 hours, followed within 24 hours by 500 mg Venofer over 6 hours

    Outcomes

    Primary Outcome Measures

    Mean Change From Baseline to Day 84 for International Restless Leg Syndrome Study Group (IRLSSG) Scale
    Validated rating scale of RLS symptoms (Range 1 [mild] - 40 [severe])

    Secondary Outcome Measures

    Mean Change From Baseline to Day 84 for Total Periodic Limb Movements (PLM's)
    Quantifies amount of leg movement

    Full Information

    First Posted
    May 7, 2009
    Last Updated
    January 22, 2018
    Sponsor
    American Regent, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00895232
    Brief Title
    Iron Sucrose In The Treatment of Restless Legs Syndrome: Safety of Three Dose Regimens as Evaluated by Clinical Assessments
    Official Title
    Iron Sucrose In The Treatment of Restless Legs Syndrome (RLS): The Safety of Three Dose Regimens as Evaluated by Clinical Assessments
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    January 2018
    Overall Recruitment Status
    Completed
    Study Start Date
    November 2003 (undefined)
    Primary Completion Date
    August 2005 (Actual)
    Study Completion Date
    November 2005 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    American Regent, Inc.

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    Non-randomized open label Phase II clinical trial in which subjects meeting criteria for RLS were assigned to 1 of 3 treatment cohorts. The first cohort received one 500 mg IV iron sucrose infusion in 500 mL normal sterile saline (NSS) administered over four hours. The second cohort received two 500 mg IV iron sucrose infusions in 500mL of NSS administered over four to six hours on two separate dates, separated by two to seven days. The third cohort received two 500 mg IV iron sucrose infusions in at least 500 mL of NSS over six hours within 30 hours of the start of the first infusion. Cohorts were enrolled and treated subsequently.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Restless Legs Syndrome

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Non-Randomized
    Enrollment
    21 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    Cohort I
    Arm Type
    Experimental
    Arm Description
    500 mg dose Venofer over 4 hours
    Arm Title
    Cohort II
    Arm Type
    Experimental
    Arm Description
    500 mg Venofer infusion over 4-6 hours on Day 0 and repeated on Day 2 to 7
    Arm Title
    Cohort III
    Arm Type
    Experimental
    Arm Description
    500 mg Venofer over 6 hours, followed within 24 hours by 500 mg Venofer over 6 hours
    Intervention Type
    Drug
    Intervention Name(s)
    Cohort I
    Other Intervention Name(s)
    iron sucrose injection - Venofer
    Intervention Type
    Drug
    Intervention Name(s)
    Cohort II
    Other Intervention Name(s)
    iron sucrose injection - Venofer
    Intervention Type
    Drug
    Intervention Name(s)
    Cohort III
    Other Intervention Name(s)
    iron sucrose injection - Venofer
    Primary Outcome Measure Information:
    Title
    Mean Change From Baseline to Day 84 for International Restless Leg Syndrome Study Group (IRLSSG) Scale
    Description
    Validated rating scale of RLS symptoms (Range 1 [mild] - 40 [severe])
    Time Frame
    Baseline to Day 84
    Secondary Outcome Measure Information:
    Title
    Mean Change From Baseline to Day 84 for Total Periodic Limb Movements (PLM's)
    Description
    Quantifies amount of leg movement
    Time Frame
    Baseline to Day 84

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    19 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Signed consent. Male or female subjects > 18 yrs. old. RLS signs and symptoms affirming diagnosis. A baseline score > or = to 15 is required on the International RLS Study Group Rating Scale (IRLSSG). At least one leg with an average baseline Periodic Leg Movement (PLM) while asleep > or = to 15 movements per hour by actigraphy. Subjects on dopa-adrenergic therapy or other RLS treatments must be off therapy at least one week before any baseline RLS assessments and actigraphy measurement are obtained. Subject has regular sleep hours between 9 p.m. and 9 a.m. Subjects at risk for pregnancy must have a negative pregnancy test at baseline and be practicing an acceptable form of birth control. Exclusion Criteria: Known intolerance to Venofer. RLS which is ascribed to renal disease. RLS 2° to other CNS disease or injury. Any pain related or sleep related disorders which may confound the outcome measures. History of neuroleptic akinesia. Concurrent use of oral iron supplement. Parenteral iron use within the past 6 months. Active infection. Currently being treated for asthma. Severe peripheral vascular disease with significant skin changes. Seizure disorder currently being treated with medication. Serum ferritin level > 300 ng/mL or a TSAT > or = to 45% at baseline or a history of hemochromatosis. Significant cardiovascular or hepatic disease or any other pre-existing medical condition or disease which in the view of the investigator participation in this study would put the subject's disease management at risk or the subject would be unable to comply with the study requirements.

    12. IPD Sharing Statement

    Learn more about this trial

    Iron Sucrose In The Treatment of Restless Legs Syndrome: Safety of Three Dose Regimens as Evaluated by Clinical Assessments

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