Intravenous Ferric Carboxymaltose vs. Oral Iron Substitution in Patients With Metastatic Colorectal Cancer (CRC) and Iron Deficiency Anemia: a Randomized Multicenter Treatment Optimization Study.

NCT ID: NCT02469480

Last Updated: 2020-10-19

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

PHASE2

Total Enrollment

64 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-03-31

Study Completion Date

2020-08-31

Brief Summary

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Iron deficiency has a high prevalence in colorectal cancer patients ranging at ca. 60%. About 70% of these patients suffer from iron deficiency anemia (IDA) which adds both physical and cognitive impediments to an already straining chemotherapy. Moreover, a chronic disease like cancer often results in a reduced availability of iron for the body. In clinical practice iron substitution is usually administered orally. Due to low resorption rates, frequent gastric side effects and thus poor patient compliance a parenteral substitution seems to be a better option in terms of efficacy. In the framework of a randomized multicenter clinical trial ('FerInject') a comparison of efficacy parameters of parenteral vs. oral iron substitution will now be conducted in order to identify the best treatment form for clinical practice in oncology. Furthermore detailed quality of life-data (QoL) will be collected in both treatment arms for effect comparison.

Detailed Description

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Conditions

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Metastatic Colorectal Cancer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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FERRIC CARBOXYMALTOSE

max. 2.000 mg of ferric carboxymaltose over max. 2 weeks (max. 1.000 mg per week).

Group Type EXPERIMENTAL

FerInject

Intervention Type DRUG

FerInject: max. 2.000 mg of ferric carboxymaltose over max. 2 weeks (max. 1.000 mg per week).

ferro sanol(R) duodenal 100 mg

200 mg ferro sanol per day over 12 weeks

Group Type ACTIVE_COMPARATOR

Ferro sanol

Intervention Type DRUG

200 mg ferro sanol per day over 12 weeks

Interventions

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FerInject

FerInject: max. 2.000 mg of ferric carboxymaltose over max. 2 weeks (max. 1.000 mg per week).

Intervention Type DRUG

Ferro sanol

200 mg ferro sanol per day over 12 weeks

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Metastatic or inoperable colorectal carcinoma. No curative therapy available.
2. Current palliative chemotherapy. Patients under conversion therapy must not be enrolled to this study.
3. Iron deficiency anemia: hemoglobin ≤ 10.5 g/dl and transferrin saturation \< 20 % and/or serum ferritin \< 20 ng/ml
4. Male and female patients aged ≥ 18 years; maturity
5. ECOG ≤ 2
6. Written informed consent
7. Life expectancy \> 6 months
8. Body weight ≥ 40 kg

Exclusion Criteria

1. Oral or intravenous iron substitution within the last 4 weeks
2. Age \< 18 years or body weight \< 40 kg
3. Absorption dysfunction due to short bowel syndrome or after gastric resection
4. Therapy with recombinant erythropoietin within the last 4 weeks
5. Chronic diarrhea
6. Chronic inflammatory bowel disease
7. Ferritin \> 800 mg/dl at baseline
8. Hypersensitivity or contraindication to ferric carboxymaltose or iron (II) glycine sulphate complex
9. Known vitamin B12 or folic acid anemia
10. Necessary total parenteral nutrition
11. Participation in another interventional study
12. Pregnancy or lactation
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institut für Klinische Krebsforschung IKF GmbH at Krankenhaus Nordwest

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Krankenhaus Nordwest gGmbH - Institut of Clinical Cancer Research

Frankfurt am Main, Hesse, Germany

Site Status

Klinikum Aschaffenburg

Aschaffenburg, , Germany

Site Status

Klinikum Bayreuth

Bayreuth, , Germany

Site Status

Augusta-Krankenanstalt gGmbH

Bochum, , Germany

Site Status

Medizinische Universitaetsklinik Bochum

Bochum, , Germany

Site Status

Krankenhaus Dresden-Friedrichstadt

Dresden, , Germany

Site Status

Universitätsklinikum Dresden

Dresden, , Germany

Site Status

Kliniken Essen Mitte

Essen, , Germany

Site Status

Universitätsklinikum Frankfurt

Frankfurt am Main, , Germany

Site Status

Universitätsklinik Halle-Wittenberg

Halle, , Germany

Site Status

Universitätskrankenhaus Eppendorf

Hamburg, , Germany

Site Status

NCT Heidelberg

Heidelberg, , Germany

Site Status

Gemeinschaftsklinikum Mittelrhein GmbH

Koblenz, , Germany

Site Status

Universitätsmedizin Mannheim

Mannheim, , Germany

Site Status

Klinikum rechts der Isar

Munich, , Germany

Site Status

Klinikum Bogenhausen

Munich, , Germany

Site Status

Elblandklinikum Riesa

Riesa, , Germany

Site Status

Caritas Klinikum St. Theresia

Saarbrücken, , Germany

Site Status

Countries

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Germany

Related Links

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Other Identifiers

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FERINJECT

Identifier Type: -

Identifier Source: org_study_id

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