Efficacy of Ferric Carboxymaltose in Gastrointestinal Stromal Tumor (GIST) Patients With Iron Deficiency Anemia (IDA) Receiving Systemic Therapy

NCT ID: NCT02949947

Last Updated: 2020-04-06

Basic Information

• Recruitment Status: TERMINATED
• Clinical Phase: PHASE2
• Total Enrollment: 3 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2017-12-18
• Study Completion Date: 2019-03-06

Brief Summary

The goal of this clinical research study is to compare Injectafer® (ferric carboxymaltose) with an iron supplement to learn which may be more effective in improving red blood cell counts in patients who have iron-deficiency anemia (a low red blood cell count) because of a gastrointestinal stromal tumor (GIST) and/or systemic therapy.

The safety of ferric carboxymaltose will also be studied.

This is an investigational study. Ferric carboxymaltose is FDA approved and commercially available to treat iron deficiency anemia; however, it is considered investigational to use in patients who have cancer-related or systemic therapy-related anemia.

Up to 50 participants will take part in this study. All will be enrolled at MD Anderson.

Detailed Description

Study Groups and Study Drug Administration:

If you are found to be eligible to take part in this study, you will be randomly assigned (as in the flip of a coin) to 1 of 2 study groups. This is done because no one knows if one group is better, the same, or worse than the other.

• If you are in Group A, you will receive ferric carboxymaltose injection by vein over about 15 minutes. You will receive 2 injections about 7 days apart (for example, on Days 0 [the day you are assigned to a study group] and 7).
• If you are in Group B, you will take iron supplements by mouth every day. This is considered standard of care for iron deficiency anemia and the study staff will discuss with you which iron supplements you will take and their risks.

You and the study staff will know to which group you are assigned.

Length of Study:

You may receive up to 2 injections of ferric carboxymaltose (if you are in Group A) or up to 3 months of oral iron supplements (if you are in Group B). You will no longer be able to take the study drug if intolerable side effects occur or if you are unable to follow study directions.

Your participation on the study will be over after you have completed the Week 24 visit.

Study Visits:

Baseline (within 1 week after you have been assigned to a study group):

• You will have a physical exam.
• You will complete a questionnaire about your health. It should take about 5 minutes to complete.
• Blood (about 1 tablespoon) will be drawn for routine tests and to test the level of iron in your blood.

One (1) time every week during Months 1-3, blood (about 1 tablespoon) will be drawn for routine tests.

At about Weeks 4, 8, 12, and 24 (the end-of-study visit):

• You will have a physical exam (Weeks 12 and 24 only).
• You will complete the same questionnaire you did at baseline.
• Blood (about 1 tablespoon) will be drawn for routine tests and to test the level of iron in your blood.

During Weeks 16 and 20, blood (less than 1 tablespoon) will be drawn to test the level of iron in your blood.

If you leave the study before Week 24, you will have the Week 24 study visits as soon as possible after you leave the study.

Conditions

Malignant Neoplasms of Mesothelial and Soft Tissue; Gastrointestinal Stromal Tumor With Neurogenic Differentiation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SUPPORTIVE_CARE
• Blinding Strategy: NONE

Study Groups

Group A - Ferric Carboxymaltose

Participants receive a Ferric Carboxymaltose injection by vein. Dose repeated 1 week later.

Health questionnaire completed at Baseline and at Weeks 4, 8, 12, and 24.

Group Type: EXPERIMENTAL

Ferric Carboxymaltose

Intervention Type: DRUG

15 mg/kg by vein (up to 750 mg) over 15 min infusion. Dose repeated 1 week later.

Questionnaire

Intervention Type: BEHAVIORAL

Health questionnaire completed at Baseline and at Weeks 4, 8, 12, and 24.

Group B - Iron Supplement

Participants take iron supplements by mouth every day for up to 3 months.

Health questionnaire completed at Baseline and at Weeks 4, 8, 12, and 24.

Group Type: ACTIVE_COMPARATOR

Iron Supplements

Intervention Type: DIETARY_SUPPLEMENT

Participants take iron supplements by mouth every day for up to 3 months.

Questionnaire

Intervention Type: BEHAVIORAL

Health questionnaire completed at Baseline and at Weeks 4, 8, 12, and 24.

Interventions

Ferric Carboxymaltose

15 mg/kg by vein (up to 750 mg) over 15 min infusion. Dose repeated 1 week later.

Intervention Type: DRUG

Iron Supplements

Participants take iron supplements by mouth every day for up to 3 months.

Intervention Type: DIETARY_SUPPLEMENT

Questionnaire

Health questionnaire completed at Baseline and at Weeks 4, 8, 12, and 24.

Intervention Type: BEHAVIORAL

Other Intervention Names

Injectafer; Survey

Eligibility Criteria

Inclusion Criteria

1. GIST patients with IDA planned to start or are receiving systemic therapy with TKIs.

2. Evidence of iron deficiency anemia including, Hgb < 11 g/dL, but > 8 g/dL; and transferrin saturation (TSAT) < 20%.

3. No H/O allergic reaction to iron therapy.

4. No clinical signs active of bleeding.

5. Adequate hematologic (ANC > 1500/mm^3, platelet count > 100,000/mm^3), renal (serum creatinine < 1.5mg/dL), and hepatic (serum bilirubin count < 1.5 x normal and serum glutamic-oxaloacetic transaminase (SGOT) or serum glutamic pyruvic transaminase (SGPT) < 3 x normal) functions.

6. Patients must have Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2.

7. Signed informed consent to the study.

8. Male and Females of child bearing potential must use acceptable methods of birth control which include oral contraceptives, spermicide with either a condom, diaphragm or cervical cap, use of an intrauterine device (IUD) or abstinence.

9. Patients are required to read and understand English to comply with protocol requirements.

10. Age >=18 years old.

11. Life expectancy of at least 6 months.

Exclusion Criteria

1. Pregnant or lactating women.

2. Patients with any co-morbid condition which renders patients at high risk of treatment complication.

3. Patient has uncontrolled angina, congestive heart failure (New York Heart Association > class II or known ejection fraction < 40%), uncontrolled cardiac arrhythmia or hypertension, or acute myocardial infarction within 3 months.

4. Patient has an active seizure disorder. (Patients with a previous history of seizure disorders will be eligible for the study, if they have had no evidence of seizure activity, and they have been free of antiseizure medication for the previous 5 years).

5. Psychological, social, familial, or geographical reasons that would prevent scheduled visits and follow-up.

6. Prior surgery or radiotherapy (RT) within 2 weeks of study entry.

7. Known hypersensitivity reaction to any component of ferric carboxymaltose.

8. Any anemia treatment within 4 weeks before inclusion (oral iron, IV iron, or erythropoiesis-stimulating agents), or transfusion of PRBCs in 2 weeks.

9. Hemochromatosis or other iron storage disorders.

10. Known positive hepatitis with evidence of active disease.

11. Patients with overt bleeding.

12. Ferritin >/= 800 ng/mL.

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

American Regent, Inc.

INDUSTRY

Sponsor Role: collaborator

M.D. Anderson Cancer Center

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Saroj Vadhan-Raj, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

University of Texas MD Anderson Cancer Center

Houston, Texas, United States

Countries

United States

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

http://www.mdanderson.org

University of Texas MD Anderson Cancer Center Website

Other Identifiers

NCI-2016-01925

Identifier Type: REGISTRY

Identifier Source: secondary_id

2015-0588

Identifier Type: -

Identifier Source: org_study_id