Iron Substitution After Total Knee Arthroplasty

NCT ID: NCT01611181

Last Updated: 2014-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

72 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-05-31

Study Completion Date

2007-06-30

Brief Summary

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Hemoboost is a registered natural product containing specially processed haemolysed haemoglobin and iron dextran. It is marketed for human use on the basis of many years' use and documented effect in veterinary medicine. Iron dextran was introduced for use in human medicine in 1954.

Krauterblut is a registered natural product made from a number of herbs where the active substance is ferrous gluconate. Both drugs have been available for a number of years and have become increasingly popular among patients and healthcare staff due to a reduction in adverse effects.

The objective of this study is to determine the effect and adverse effects of the natural products Hemoboost and Kräuterblut compared with the usually administered ferrous sulphate in knee arthroplasty.

Detailed Description

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Hip and knee arthroplasties are performed with increasing frequency in the western world, and in Denmark approximately 12,000 operations are performed annually (2/1000/year). The perioperative and postoperative blood loss generally constitutes ½ -1½ litres which is frequently associated with symptom-producing anaemia which obstructs mobilisation and increases the risk of complications.

Postoperative iron supplementation for a period of up to 12 weeks is therefore a frequently adopted practice. However, there is no consensus or evidence that support postoperative iron supplementation and the effects of iron deficiency are unclear. It is well-known that iron supplementation causes gastrointestinal adverse effects in up to 25% of cases.

Conditions

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Haemodynamic Rebound

Keywords

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Iron supplementation Iron deficiency Hip arthroplasty Knee arthroplasty

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Hemoboost (iron supplementation)

A registered natural product containing specially haemolysed haemoglobin and iron dextran.

Group Type ACTIVE_COMPARATOR

Hemoboost

Intervention Type DRUG

200 mg specially processed haemoglobin and 30 mg iron dextran equivalent to 10.5 mg organically bound iron in 1 tablet twice daily.

Kräuterblut (iron supplementation)

A registered natural product made from a number of herbs with ferrous gluconate as the active substance.

Group Type ACTIVE_COMPARATOR

Kräuterblut

Intervention Type DRUG

40 mg iron, 20 ml twice daily.

Ferrofumerat (iron supplementation)

Ferrous sulphate

Group Type ACTIVE_COMPARATOR

Ferrofumerat

Intervention Type DRUG

200 mg ferrous sulphate as 1 tablet twice daily.

Interventions

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Hemoboost

200 mg specially processed haemoglobin and 30 mg iron dextran equivalent to 10.5 mg organically bound iron in 1 tablet twice daily.

Intervention Type DRUG

Kräuterblut

40 mg iron, 20 ml twice daily.

Intervention Type DRUG

Ferrofumerat

200 mg ferrous sulphate as 1 tablet twice daily.

Intervention Type DRUG

Other Intervention Names

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No other names. No other names. No other names.

Eligibility Criteria

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Inclusion Criteria

* age \> 18 years
* ASA group I-II

Exclusion Criteria

* malignant disorder
* chronic renal insufficiency
* urinary tract infection
* haemorrhagic diathesis
* haemoglobin \< 7 mmol/l
* dementia or mental disorder incompatible with survey participation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Aalborg University

OTHER

Sponsor Role collaborator

Northern Orthopaedic Division, Denmark

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sten Rasmussen, M.D.Sci.

Role: PRINCIPAL_INVESTIGATOR

Orthopaedic Division, North Denmark Region, Aalborg University Hospital, Denmark

Søren Lundbye-Christensen, Ph.d.

Role: STUDY_CHAIR

Aalborg University

Mogens B. Joergensen, M.D.

Role: STUDY_CHAIR

Orthopaedic Division, North Denmark Region, Aalborg University Hospital, Denmark

Ole Simonsen, M.D.

Role: STUDY_CHAIR

Orthopaedic Division, North Denmark Region, Aalborg University Hospital, Denmark

Locations

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Frederikshavn Hospital, Aalborg Hospital/Aarhus University

Frederikshavn, , Denmark

Site Status

Countries

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Denmark

Other Identifiers

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VN 2004/30

Identifier Type: -

Identifier Source: org_study_id