Comparison of the Rate of Preoperative Haemoglobin After Administration of Epoetin Alpha Associated With an Oral Medical Supplementation Versus Intravenous Before Surgery of Craniosynostosis at the Child

NCT ID: NCT03231085

Last Updated: 2024-12-30

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

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-10-31

Study Completion Date

2024-10-03

Brief Summary

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Oral iron is commonly used in conjunction with EPO preoperatively for hemorrhagic surgeries in children and especially in the surgery of craniosynostosis. The bioavailability of oral iron is low and compliance with treatment is inconsistent. The aim of this study is to evaluate whether the use of ferric carboxymaltose by injection, which has a much better bioavailability, would make it possible to increase the preoperative hemoglobin level more effectively and thus reduce the risk of perioperative blood transfusion .

Detailed Description

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Prospective study, randomized in two parallel groups (martial treatment versus venous injection) and stratified by center (Montpellier, Nice, Angers).

The number of subjects required is 100 patients, or 50 per group.

Conditions

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Craniosynostosis

Keywords

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Craniosynostosis hemoglobin iron peros iron intravenous

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Caregivers

Study Groups

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Ferrous fumarate or ferrostrane

The oral treatment should begin 21 days before surgery.

Recommended Dosage ferrous fumarate according to the SPC in force:

* 5 to 8 kg: 2 cd rases / d or 200mg of ferrous fumarate
* 8 to 10 kg: 3 cd rases / d or 300mg of ferrous fumarate
* 10 to 12kg: 4 cd rases / d or 400mg of ferrous fumarate

Ferrostrane ® (syrup) Laboratory TEOFARMA SRL Either 34mg of iron per teaspoon

Recommended dosage according to the SPC in force:

* Infant 5 to 8 kg (about 1 to 6 months): 2 teaspoons a day,
* Infant from 8 to 12 kg (about 6 to 30 months): 3 teaspoons a day.

Group Type ACTIVE_COMPARATOR

Ferrous fumarate or ferrostrane

Intervention Type DRUG

Young children operated with craniosynostosis and treated with EPO and ferrous fumarate or ferostrane per os or intravenous ferric carboxymaltose.

Ferric carboxymaltose

The single intravenous treatment the day of the inclusion. Dosage according to: 15mg / kg iron (to dilute in 3 ml / kg of Nacl 0.9% (SSI), to pass in 15 minutes.

Group Type EXPERIMENTAL

Ferrous fumarate or ferrostrane

Intervention Type DRUG

Young children operated with craniosynostosis and treated with EPO and ferrous fumarate or ferostrane per os or intravenous ferric carboxymaltose.

Interventions

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Ferrous fumarate or ferrostrane

Young children operated with craniosynostosis and treated with EPO and ferrous fumarate or ferostrane per os or intravenous ferric carboxymaltose.

Intervention Type DRUG

Other Intervention Names

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Intravenous ferric carboxymaltose.

Eligibility Criteria

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Inclusion Criteria

* Craniosynostosis Surgery
* Age: between 4 and 24 months inclusive
* Weight: less than 12kg
* Hemoglobin: 10 g / dl ≤ Hb 14 ≤ g / dl
* Affiliated patients or beneficiaries of a Social Security scheme
* Signature of the consent of the patient's parents

Exclusion Criteria

* Generalized infection
* Time for consultation of anesthesia with respect to the date of surgery greater than 5 weeks or less than 22 days.
* Initial biological assessment dating more than 3 months before the consultation of anesthesia
* Parents do not understand French
* BMI greater than 20 kg.m-2
* Contraindications to EPO
* Contraindications to ferric carboxymaltose and to ferrous fumarate
Minimum Eligible Age

4 Months

Maximum Eligible Age

24 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Montpellier

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Philippe PIRAT, MD

Role: PRINCIPAL_INVESTIGATOR

Department d'Anesthésie reanimation Lapeyronie

Locations

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University Hospital of Angers

Angers, , France

Site Status

University Hospital of Montpellier

Montpellier, , France

Site Status

Countries

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France

Other Identifiers

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2016-005065-31

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

9769

Identifier Type: -

Identifier Source: org_study_id