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
About this trial
This is an interventional treatment trial for Inflammatory Bowel Disease focused on measuring Inflammatory Bowel Disease, IBD
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
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
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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