Oral Iron Substitution for Orthopedic Surgery

NCT ID: NCT02973074

Last Updated: 2018-08-09

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

TERMINATED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-11-25

Study Completion Date

2017-11-01

Brief Summary

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The aim of this pilot study is to investigate an 4 weeks period of oral iron substitution in the course of Patient Blood Management in preparation for orthopedic surgery.

Detailed Description

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Patient blood management (PBM) is a clinical multidisciplinary, patient orientated concept for treatment of anaemia, reduction of intraoperative blood loss and increasing anaemic tolerance.

In the Kepler University Hospital (former General Hospital Linz) PBM was introduced in 2006. Since then patients for elective orthopedic surgery (knee an hip replacement) are screened for iron deficiency anaemia and if needed treated with the more effective intravenous iron.

Oral iron medications are not as efficient (low bioavailability, more side effects) as the intravenous iron infusion. Although there is risk of anaphylactoid reactions.

In this study the new oral iron supplement OLEOvital Eisen forte (available in Austria) ist tested on its effectivity for treatment of iron deficiency in the course of PBM.

It has a much more higher bioavailability without the typically side effects of the routinely used oral iron medications.

Within this study the investigators want to examine the feasibility of this iron substitution concept OLEOvital and its efficacy. Also the investigators want to get pilot data for a further randomized controlled trial.

The increase of the hemoglobin level in 4 weeks of minimum 1g/dl is going to be expected and monitored.

For comparison of the new oral substitution concept OLEOvital with the standard intravenous iron substitution an historic control group is going to be used.

Conditions

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Iron Deficiency Anemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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OLEOvital

30mg iron are being administered orally twice a day for a period of 4 Weeks it is a granulated powder which is taken orally and then solved with saliva, without taking water

Group Type OTHER

OLEOvital

Intervention Type DIETARY_SUPPLEMENT

2sachets with 30mg iron per day for a 4 weeks period

Interventions

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OLEOvital

2sachets with 30mg iron per day for a 4 weeks period

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* age over 55 years
* indication for patient blood management for elective orthopedic surgery
* listed for a orthopedic surgery (e.g. hip or knee replacement) 5-7 weeks after begin of patient blood management
* Haemoglobin male \< 12-13g/dl, female \<11-12g/dl
* written informed consent after written and verbal information

Exclusion Criteria

* indication for treatment with erythropoietin
* pregnancy
* nursing period
* diarrhea or tendency to diarrhea
* fructose intolerance
* pre - menopause
* permanent or expected blood loss
* participation in other study
* expected compliance problems
* legal incapacity
Minimum Eligible Age

55 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Kepler University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Nina Pauker, MD

Dr. med. univ.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jens Meier, Prof. Dr.

Role: PRINCIPAL_INVESTIGATOR

Kepler University Hospital Linz, Clinic for Anesthesiology and intensive care medicine

Locations

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Kepler University Hospital

Linz, , Austria

Site Status

Countries

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Austria

References

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Gombotz H, Rehak PH, Shander A, Hofmann A. Blood use in elective surgery: the Austrian benchmark study. Transfusion. 2007 Aug;47(8):1468-80. doi: 10.1111/j.1537-2995.2007.01286.x.

Reference Type BACKGROUND
PMID: 17655591 (View on PubMed)

Seicean A, Alan N, Seicean S, Neuhauser D, Weil RJ. The effect of blood transfusion on short-term, perioperative outcomes in elective spine surgery. J Clin Neurosci. 2014 Sep;21(9):1579-85. doi: 10.1016/j.jocn.2014.03.003. Epub 2014 May 19.

Reference Type BACKGROUND
PMID: 24852902 (View on PubMed)

Danninger T, Rasul R, Poeran J, Stundner O, Mazumdar M, Fleischut PM, Poultsides L, Memtsoudis SG. Blood transfusions in total hip and knee arthroplasty: an analysis of outcomes. ScientificWorldJournal. 2014 Jan 21;2014:623460. doi: 10.1155/2014/623460. eCollection 2014.

Reference Type BACKGROUND
PMID: 24587736 (View on PubMed)

Meybohm P, Richards T, Isbister J, Hofmann A, Shander A, Goodnough LT, Munoz M, Gombotz H, Weber CF, Choorapoikayil S, Spahn DR, Zacharowski K. Patient Blood Management Bundles to Facilitate Implementation. Transfus Med Rev. 2017 Jan;31(1):62-71. doi: 10.1016/j.tmrv.2016.05.012. Epub 2016 May 28.

Reference Type BACKGROUND
PMID: 27317382 (View on PubMed)

Other Identifiers

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C-124-16

Identifier Type: -

Identifier Source: org_study_id

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