Trial Outcomes & Findings for 2 Doses of Ferrlecit Versus Oral Iron to Treat Iron-deficiency Anemia in Peritoneal Dialysis Patients. (NCT NCT00223977)

NCT ID: NCT00223977

Last Updated: 2013-07-08

Results Overview

Change from baseline to 1 week after the last oral iron dose or 2 weeks after the last sodium ferric gluconate injection

Recruitment status

COMPLETED

Study phase

PHASE2/PHASE3

Target enrollment

146 participants

Primary outcome timeframe

Baseline to 5 weeks and 9 weeks

Results posted on

2013-07-08

Participant Flow

Participant milestones

Participant milestones
Measure
Sodium Ferric Gluconate Complex 125 mg
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
325 mg ferrous sulfate three times daily x 8 weeks
Overall Study
STARTED
46
58
42
Overall Study
COMPLETED
37
47
39
Overall Study
NOT COMPLETED
9
11
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Sodium Ferric Gluconate Complex 125 mg
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
325 mg ferrous sulfate three times daily x 8 weeks
Overall Study
Adverse Event
7
10
0
Overall Study
Protocol Violation
0
0
1
Overall Study
Withdrawal by Subject
1
1
2
Overall Study
Other
1
0
0

Baseline Characteristics

2 Doses of Ferrlecit Versus Oral Iron to Treat Iron-deficiency Anemia in Peritoneal Dialysis Patients.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=58 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Total
n=146 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
34 Participants
n=5 Participants
53 Participants
n=7 Participants
35 Participants
n=5 Participants
122 Participants
n=4 Participants
Age, Categorical
>=65 years
12 Participants
n=5 Participants
5 Participants
n=7 Participants
7 Participants
n=5 Participants
24 Participants
n=4 Participants
Age Continuous
52.5 years
STANDARD_DEVIATION 14.11 • n=5 Participants
48.1 years
STANDARD_DEVIATION 12.49 • n=7 Participants
51.5 years
STANDARD_DEVIATION 12.88 • n=5 Participants
50.5 years
STANDARD_DEVIATION 13.18 • n=4 Participants
Sex: Female, Male
Female
23 Participants
n=5 Participants
30 Participants
n=7 Participants
27 Participants
n=5 Participants
80 Participants
n=4 Participants
Sex: Female, Male
Male
23 Participants
n=5 Participants
28 Participants
n=7 Participants
15 Participants
n=5 Participants
66 Participants
n=4 Participants
Region of Enrollment
United States
3 participants
n=5 Participants
4 participants
n=7 Participants
3 participants
n=5 Participants
10 participants
n=4 Participants
Region of Enrollment
Mexico
6 participants
n=5 Participants
8 participants
n=7 Participants
9 participants
n=5 Participants
23 participants
n=4 Participants
Region of Enrollment
Poland
8 participants
n=5 Participants
9 participants
n=7 Participants
7 participants
n=5 Participants
24 participants
n=4 Participants
Region of Enrollment
Croatia
4 participants
n=5 Participants
8 participants
n=7 Participants
4 participants
n=5 Participants
16 participants
n=4 Participants
Region of Enrollment
Bulgaria
1 participants
n=5 Participants
3 participants
n=7 Participants
1 participants
n=5 Participants
5 participants
n=4 Participants
Region of Enrollment
Russian Federation
19 participants
n=5 Participants
19 participants
n=7 Participants
14 participants
n=5 Participants
52 participants
n=4 Participants
Region of Enrollment
India
5 participants
n=5 Participants
7 participants
n=7 Participants
4 participants
n=5 Participants
16 participants
n=4 Participants

PRIMARY outcome

Timeframe: Baseline to 5 weeks and 9 weeks

Population: modified intent to treat (mITT) with last observation carried forward (LOCF) imputation

Change from baseline to 1 week after the last oral iron dose or 2 weeks after the last sodium ferric gluconate injection

Outcome measures

Outcome measures
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=55 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Hemoglobin
1.49 ng/mL
Standard Deviation 1.09
0.89 ng/mL
Standard Deviation 1.35
1.02 ng/mL
Standard Deviation 1.55

SECONDARY outcome

Timeframe: Baseline to 5 weeks and 9 weeks

Change from baseline to 1 week after the last oral iron dose or 2 weeks after the last sodium ferric gluconate injection

Outcome measures

Outcome measures
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=55 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Change From Baseline in Hematocrit (Hct)
4.62 percent
Standard Deviation 3.37
2.93 percent
Standard Deviation 4.61
3.07 percent
Standard Deviation 4.59

SECONDARY outcome

Timeframe: Baseline to 5 weeks and 9 weeks

Change from baseline to 1 week after the last oral iron dose or 2 weeks after the last sodium ferric gluconate injection

Outcome measures

Outcome measures
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=55 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Change From Baseline in Transferrin Saturation (TSAT).
8.13 percent
Standard Deviation 8.77
8.2 percent
Standard Deviation 9.31
1.84 percent
Standard Deviation 6.5

SECONDARY outcome

Timeframe: Baseline to 5 weeks and 9 weeks

Change from baseline to 1 week after the last oral iron dose or 2 weeks after the last sodium ferric gluconate injection

Outcome measures

Outcome measures
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=55 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Change From Baseline in Serum Ferritin.
259.88 ng/mL
Standard Deviation 212.73
368.67 ng/mL
Standard Deviation 270.05
26.98 ng/mL
Standard Deviation 86.57

SECONDARY outcome

Timeframe: Baseline to 5 weeks and 9 weeks

Patients were classified as responders to treatment if they had an increase in Hgb of at least 1.0 g/dL assessed at 2 weeks following the final administration of Ferrlecit or 1 week following the last dose of oral iron.

Outcome measures

Outcome measures
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 Participants
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=55 Participants
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 Participants
325 mg ferrous sulfate three times daily x 8 weeks
Responders by Treatment Group
30 participants
22 participants
20 participants

Adverse Events

Sodium Ferric Gluconate Complex 125 mg

Serious events: 3 serious events
Other events: 16 other events
Deaths: 0 deaths

Sodium Ferric Gluconate Complex 250 mg

Serious events: 13 serious events
Other events: 20 other events
Deaths: 0 deaths

Oral Iron

Serious events: 7 serious events
Other events: 12 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 participants at risk
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=58 participants at risk
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 participants at risk
325 mg ferrous sulfate three times daily x 8 weeks
Blood and lymphatic system disorders
ANEMIA
0.00%
0/46
0.00%
0/58
4.8%
2/42 • Number of events 2
Skin and subcutaneous tissue disorders
CELLULITIS
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Vascular disorders
CEREBROVASC ACCID
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Gastrointestinal disorders
DIARRHEA
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Respiratory, thoracic and mediastinal disorders
EDEMA LUNG
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
General disorders
FEVER
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Cardiac disorders
FIBRILLAT ATR
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Gastrointestinal disorders
HEM RECTAL
2.2%
1/46 • Number of events 1
0.00%
0/58
0.00%
0/42
Metabolism and nutrition disorders
HYPERGLYCEM
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Cardiac disorders
HYPERTENS
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 2
Metabolism and nutrition disorders
HYPERVOLEM
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Cardiac disorders
HYPOTENS
0.00%
0/46
8.6%
5/58 • Number of events 5
0.00%
0/42
Cardiac disorders
INFARCT MYOCARD
0.00%
0/46
1.7%
1/58 • Number of events 1
4.8%
2/42 • Number of events 2
Surgical and medical procedures
INJECT SITE REACT
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Metabolism and nutrition disorders
KETOSIS
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Reproductive system and breast disorders
METRORRHAGIA
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Blood and lymphatic system disorders
PANCYTOPENIA
0.00%
0/46
0.00%
0/58
2.4%
1/42 • Number of events 1
Cardiac disorders
PERICARDITIS
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
General disorders
PERITONITIS
4.3%
2/46 • Number of events 2
8.6%
5/58 • Number of events 5
0.00%
0/42
Respiratory, thoracic and mediastinal disorders
PNEUMONIA
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Cardiac disorders
SYNCOPE
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Gastrointestinal disorders
ULCER STOMACH
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42
Gastrointestinal disorders
VOMIT
0.00%
0/46
1.7%
1/58 • Number of events 1
0.00%
0/42

Other adverse events

Other adverse events
Measure
Sodium Ferric Gluconate Complex 125 mg
n=46 participants at risk
125 mg sodium ferric gluconate weekly x 8 weeks
Sodium Ferric Gluconate Complex 250 mg
n=58 participants at risk
250 mg sodium ferric gluconate complex weekly x 4 weeks
Oral Iron
n=42 participants at risk
325 mg ferrous sulfate three times daily x 8 weeks
Blood and lymphatic system disorders
LAB TEST ABNORM
19.6%
9/46 • Number of events 11
13.8%
8/58 • Number of events 8
4.8%
2/42 • Number of events 2
Cardiac disorders
HYPERTENS
8.7%
4/46 • Number of events 4
10.3%
6/58 • Number of events 6
9.5%
4/42 • Number of events 4
Gastrointestinal disorders
DIARRHEA
6.5%
3/46 • Number of events 3
5.2%
3/58 • Number of events 3
7.1%
3/42 • Number of events 4
Cardiac disorders
HYPOTENS
2.2%
1/46 • Number of events 2
6.9%
4/58 • Number of events 6
0.00%
0/42
General disorders
INFECT
4.3%
2/46 • Number of events 2
1.7%
1/58 • Number of events 1
7.1%
3/42 • Number of events 3
Gastrointestinal disorders
PAIN ABDO
2.2%
1/46 • Number of events 1
1.7%
1/58 • Number of events 1
9.5%
4/42 • Number of events 4
General disorders
PAIN
0.00%
0/46
5.2%
3/58 • Number of events 4
2.4%
1/42 • Number of events 1
Gastrointestinal disorders
NAUSEA
0.00%
0/46
5.2%
3/58 • Number of events 3
0.00%
0/42

Additional Information

Gary Hoel, RPh, PhD

Watson Laboratories, Inc

Phone: 801-588-6641

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60