Intravenous Treatment of Anemia in Pregnancy

NCT ID: NCT03317210

Last Updated: 2017-11-06

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

PHASE4

Total Enrollment

50 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-09-01

Study Completion Date

2006-07-31

Brief Summary

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The investigators assess and compare the efficacy of anemia treatment in pregnant women with anemia of chronic disease with true iron deficiency and in women with iron deficiency anemia.

Detailed Description

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Fifty anemic pregnant women with moderate anemia were prospectively observed and treated in the Anemia clinic at the Department of Obstetrics, University Hospital Zurich. All patients had singleton pregnancies. All pregnant women fulfilled criteria of moderate iron deficiency anemia defined as hemoglobin (Hb) between 8.0 and 9.9 g/dl and serum ferritin \<15 μg/l. In all women, the analyses of a blood count, iron status, erythropoietin, cross reactive protein (CRP), folic acid and vitamin B12 were conducted. According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly. Patients with an Hb level between 9.0 and 9.9 g/dl (33 patients) received 200 mg iron sucrose (VENOFER®, Vifor Int., St. Gallen, Switzerland) intravenously twice weekly (group A). If response to therapy was poor (i.e. Hb increase \<0.7 g/dl) after 2 weeks (13 patients), patients additionally received rhEPO (10,000 U EPREX®, Janssen-Cilag, Baar, Switzerland) (group B). This cut-off for adequate primary response the investigators choose on the basis of previous experience. Patients with an Hb between 8.0 and 8.9 g/dl (17 patients) received iron sucrose (Venofer) and rhEPO (Eprex) twice weekly from the start of therapy (group C).

Sufficient overall response to therapy (the difference of baseline hemoglobin and after therapy) was defined as Hb increase \>1.0 g/dl. The maximum total iron dose was 1,600 mg, therefore therapy was stopped if the maximal iron sucrose dose was administered, or target Hb \> 10.5 g/dL was achieved.

Conditions

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Anemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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iron therapy with good response

Patients with an Hb level between 9.0 and 9.9 g/dl received 200 mg iron sucrose intravenously twice weekly. The maximum total iron dose was 1,600 mg, therefore therapy was stopped if the maximal iron sucrose dose was administered, or target Hb \> 10.5 g/dL was achieved.

Group Type OTHER

iron sucrose (200 mg VENOFER®)

Intervention Type DRUG

According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly.

iron therapy with poor response

Patients with an Hb level between 9.0 and 9.9 g/dl received 200 mg iron sucrose intravenously twice weekly. If response to therapy with iron sucrose was poor (i.e. Hb increase \<0.7 g/dl after 2 weeks), patients additionally received recombinant human erythropoietin (10,000 U EPREX®, Janssen-Cilag, Baar, Switzerland).

Group Type OTHER

iron sucrose (200 mg VENOFER®)

Intervention Type DRUG

According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly.

recombinant human erythropoietin (10,000 U EPREX®)

Intervention Type DRUG

According to hemoglobin level at the start of the therapy, the women were treated with rhEPO twice weekly.

iron therapy and erythropoietin

Patients with an Hb between 8.0 and 8.9 g/dl received 200mg iron sucrose and recombinant human erythropoietin intravenously twice weekly.

Group Type OTHER

iron sucrose (200 mg VENOFER®)

Intervention Type DRUG

According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly.

recombinant human erythropoietin (10,000 U EPREX®)

Intervention Type DRUG

According to hemoglobin level at the start of the therapy, the women were treated with rhEPO twice weekly.

Interventions

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iron sucrose (200 mg VENOFER®)

According to hemoglobin level at the start of the therapy, the women were either treated with intravenous iron and rhEPO or with intravenous iron only twice weekly.

Intervention Type DRUG

recombinant human erythropoietin (10,000 U EPREX®)

According to hemoglobin level at the start of the therapy, the women were treated with rhEPO twice weekly.

Intervention Type DRUG

Other Intervention Names

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Venofer Eprex

Eligibility Criteria

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Inclusion Criteria

* pregnant women with hemoglobin between 8.0 and 9.9 g/dl and serum ferritin \<15 μg/l

Exclusion Criteria

* vitamin B12 deficiency anemia
* folic acid deficiency anemia
* hemoglobinopathy
* multiples
* liver disease
* kidney disease
Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Zurich

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Roland Zimmermann, Prof.

Role: STUDY_DIRECTOR

University of Zurich

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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34130203

Identifier Type: -

Identifier Source: org_study_id