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Treatment of (IDA) by (FPC) Delivered Via Infusion Pump in Patients Receiving Home Infusion Therapy

Primary Purpose

Iron Deficiency Anemia

Status
Unknown status
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Triferic AVNU
Placebo
Sponsored by
Rockwell Medical Technologies, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Iron Deficiency Anemia focused on measuring Ferric Pyrophosphate Citrate

Eligibility Criteria

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

Inclusion Criteria:

  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Receiving a home infusion therapy requiring IV administration of fluid via an indwelling access device for up to 12 hours daily, 7 days a week, for >4 weeks
  • Diagnosed with Iron deficiency anemia (Hgb <11.5 g/dL Female and <12 g/dL Male)
  • CHr <29 pg./mL
  • Serum Ferritin <100 ng/mL
  • TSAT <20%
  • Ability and willingness to adhere to the home infusion administration of FPC/Placebo.
  • For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation
  • Agreement to adhere to Lifestyle Considerations (see section 5.3) throughout study duration

Exclusion Criteria:

  • Use of oral or intravenous iron within 4 weeks prior to randomization.
  • Pregnancy or lactation
  • Any febrile illness (oral temperature > 100.4°F, 38°C) during screening.
  • Treatment with another investigational drug within 30 days of Randomization
  • Current smoker or tobacco use within ≥3 months
  • Known cause of anemia other than iron deficiency (e.g., sickle cell disease, thalassemia, pure red cell aplasia, hemolytic anemia, myelodysplastic syndrome, Vitamin B12 deficiency …etc.)
  • Vitamin deficiency at Screening Visit
  • Iron overload that contraindicates further iron supplementation as deemed by the PI.
  • Prior documented hypersensitivity reaction (anaphylaxis) to IV iron administration
  • History of drug or alcohol abuse within the last 6 months.
  • Known active tuberculosis, fungal, viral, or parasitic infection requiring anti-microbial therapy or anticipated to require anti-microbial therapy during the patient's participation in this study.
  • Known positive status for hepatitis B surface antigen (hepatitis B testing is not required as part of this protocol).
  • Known human immunodeficiency virus (HIV) infection (HIV testing is not required as part of this protocol).
  • Cirrhosis of the liver based on histological criteria or clinical criteria (e.g., presence of ascites, esophageal varices, spider nevi, or history of hepatic encephalopathy).
  • Hepatitis C infection if ALT and/or AST levels are consistently greater than twice the upper limit of normal at any time during the 2 months prior to randomization.
  • Subjects who are anticipated to be unable to complete the entire study (e.g., due to a concurrent disease).

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Placebo Comparator

    Arm Label

    FPC 20 mg Fe IV by infusion over 12 hours every other day

    Placebo

    Arm Description

    Patients in the FPC arm will receive FPC 20 mg Fe IV by infusion over 12 hours every other day (qOD), for a total duration of up to 12 weeks plus a one-week follow-up after the last study drug treatment.For patients whose duration of therapy is >10 hours, patients will receive a 12-hour infusion of FPC.

    Patients in the placebo arms will receive IV placebo on the same schedule for 12 weeks. All patients are eligible to receive Rescue conventional IV iron if criteria are met and the patient's principal physician agrees.

    Outcomes

    Primary Outcome Measures

    The efficacy of FPC in treating Iron deficiency anemia (IDA) by FPC infusion in patients receiving Home Infusion therapies (HI).
    The efficacy will be done by assessing the change from baseline in serum iron to end of treatment (EoT). EoT is defined as the average of the last 2 bi-weekly Hgb values obtained at end of study or if the patient is prematurely terminated for any reason.

    Secondary Outcome Measures

    The proportion of "patient responders,"
    ≥ 1 g/dL increase from baseline in Hgb.
    Iron delivery to the erythron.
    estimated by change in serum reticulocyte count, reticulocyte hemoglobin (CHr) and soluble transferrin receptor (sTfR) levels.
    Need for rescue therapy
    The number of patients requiring oral iron, intravenous iron and/or blood /packed RBC transfusions and the amount of intravenous iron and blood/packed cell transfusions.
    Treatment (Patient) failure.
    Incidence and time to development of iron deficiency defined as serum ferritin < 100 µg/L and TSAT< 20% confirmed by a consecutive repeat value (any time ≥ 1 day and ≤ 2 weeks after the first value).

    Full Information

    First Posted
    October 15, 2021
    Last Updated
    October 26, 2021
    Sponsor
    Rockwell Medical Technologies, Inc.
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05110768
    Brief Title
    Treatment of (IDA) by (FPC) Delivered Via Infusion Pump in Patients Receiving Home Infusion Therapy
    Official Title
    A Randomized, Placebo-controlled Study of the Treatment of Iron Deficiency Anemia (IDA) by Ferric Pyrophosphate Citrate (FPC) Delivered Via Infusion Pump in Patients Receiving Home Infusion Therapy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2021
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 30, 2021 (Anticipated)
    Primary Completion Date
    April 30, 2022 (Anticipated)
    Study Completion Date
    May 30, 2022 (Anticipated)

    3. Sponsor/Collaborators

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

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    Yes
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    The main purpose is to determine whether FPC, administered via infusion, is safe and effective for the treatment of iron deficiency anemia (IDA) in patients receiving Home Infusion therapies (HI).
    Detailed Description
    This is a prospective, randomized, placebo-controlled, multi-center, clinical trial of the safety and efficacy of FPC infusion for patients diagnosed with IDA receiving therapy home infusion therapy. The study will be open label placebo-controlled using an objective endpoint (Hgb). A total of 75 home infusion patients will be enrolled. Subjects will be randomized to receive FPC starting at Day 1; Patients in the FPC arm will receive FPC 20 mg Fe IV by infusion over 12 hours every other day (qOD), for a total duration of up to 12 weeks plus a one-week follow-up after the last study drug treatment. For patients whose duration of therapy is >10 hours, patients will receive a 12-hour infusion of FPC. Patients in the placebo arms will receive IV placebo on the same schedule for 12 weeks.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Iron Deficiency Anemia
    Keywords
    Ferric Pyrophosphate Citrate

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    75 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    FPC 20 mg Fe IV by infusion over 12 hours every other day
    Arm Type
    Experimental
    Arm Description
    Patients in the FPC arm will receive FPC 20 mg Fe IV by infusion over 12 hours every other day (qOD), for a total duration of up to 12 weeks plus a one-week follow-up after the last study drug treatment.For patients whose duration of therapy is >10 hours, patients will receive a 12-hour infusion of FPC.
    Arm Title
    Placebo
    Arm Type
    Placebo Comparator
    Arm Description
    Patients in the placebo arms will receive IV placebo on the same schedule for 12 weeks. All patients are eligible to receive Rescue conventional IV iron if criteria are met and the patient's principal physician agrees.
    Intervention Type
    Drug
    Intervention Name(s)
    Triferic AVNU
    Other Intervention Name(s)
    Ferric Pyrophosphate Citrate (FPC)
    Intervention Description
    Triferic AVNU is an iron salt that is approved for the maintenance of Hgb in chronic kidney disease patients on hemodialysis. It is experimental in this study because it has not yet been approved for patients receiving home infusion therapy
    Intervention Type
    Other
    Intervention Name(s)
    Placebo
    Intervention Description
    normal TPN solution without FPC on alternate days with TPN supplemented with multivitamins.
    Primary Outcome Measure Information:
    Title
    The efficacy of FPC in treating Iron deficiency anemia (IDA) by FPC infusion in patients receiving Home Infusion therapies (HI).
    Description
    The efficacy will be done by assessing the change from baseline in serum iron to end of treatment (EoT). EoT is defined as the average of the last 2 bi-weekly Hgb values obtained at end of study or if the patient is prematurely terminated for any reason.
    Time Frame
    Change from Baseline in serum iron at 17 weeks
    Secondary Outcome Measure Information:
    Title
    The proportion of "patient responders,"
    Description
    ≥ 1 g/dL increase from baseline in Hgb.
    Time Frame
    Change from Baseline in HgB at 17 weeks.
    Title
    Iron delivery to the erythron.
    Description
    estimated by change in serum reticulocyte count, reticulocyte hemoglobin (CHr) and soluble transferrin receptor (sTfR) levels.
    Time Frame
    Change from Baseline in CHr and sTfR levels at 17 weeks
    Title
    Need for rescue therapy
    Description
    The number of patients requiring oral iron, intravenous iron and/or blood /packed RBC transfusions and the amount of intravenous iron and blood/packed cell transfusions.
    Time Frame
    up to 17 weeks
    Title
    Treatment (Patient) failure.
    Description
    Incidence and time to development of iron deficiency defined as serum ferritin < 100 µg/L and TSAT< 20% confirmed by a consecutive repeat value (any time ≥ 1 day and ≤ 2 weeks after the first value).
    Time Frame
    up to 17 weeks

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Provision of signed and dated informed consent form Stated willingness to comply with all study procedures and availability for the duration of the study Receiving a home infusion therapy requiring IV administration of fluid via an indwelling access device for up to 12 hours daily, 7 days a week, for >4 weeks Diagnosed with Iron deficiency anemia (Hgb <11.5 g/dL Female and <12 g/dL Male) CHr <29 pg./mL Serum Ferritin <100 ng/mL TSAT <20% Ability and willingness to adhere to the home infusion administration of FPC/Placebo. For females of reproductive potential: use of highly effective contraception for at least 1 month prior to screening and agreement to use such a method during study participation Agreement to adhere to Lifestyle Considerations (see section 5.3) throughout study duration Exclusion Criteria: Use of oral or intravenous iron within 4 weeks prior to randomization. Pregnancy or lactation Any febrile illness (oral temperature > 100.4°F, 38°C) during screening. Treatment with another investigational drug within 30 days of Randomization Current smoker or tobacco use within ≥3 months Known cause of anemia other than iron deficiency (e.g., sickle cell disease, thalassemia, pure red cell aplasia, hemolytic anemia, myelodysplastic syndrome, Vitamin B12 deficiency …etc.) Vitamin deficiency at Screening Visit Iron overload that contraindicates further iron supplementation as deemed by the PI. Prior documented hypersensitivity reaction (anaphylaxis) to IV iron administration History of drug or alcohol abuse within the last 6 months. Known active tuberculosis, fungal, viral, or parasitic infection requiring anti-microbial therapy or anticipated to require anti-microbial therapy during the patient's participation in this study. Known positive status for hepatitis B surface antigen (hepatitis B testing is not required as part of this protocol). Known human immunodeficiency virus (HIV) infection (HIV testing is not required as part of this protocol). Cirrhosis of the liver based on histological criteria or clinical criteria (e.g., presence of ascites, esophageal varices, spider nevi, or history of hepatic encephalopathy). Hepatitis C infection if ALT and/or AST levels are consistently greater than twice the upper limit of normal at any time during the 2 months prior to randomization. Subjects who are anticipated to be unable to complete the entire study (e.g., due to a concurrent disease).
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    Marc Hoffman
    Phone
    2489609009
    Email
    mhoffman@rockwellmed.com
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Raymond D Pratt, MD, FACP
    Organizational Affiliation
    Rockwell Medical
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Plan to Share IPD
    Yes

    Learn more about this trial

    Treatment of (IDA) by (FPC) Delivered Via Infusion Pump in Patients Receiving Home Infusion Therapy

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