Acute Effects of Intravenous Iron on Oxidative Stress and Endothelial Dysfunction in Non-dialysis CKD

NCT ID: NCT03388385

Last Updated: 2022-08-16

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

40 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-20

Study Completion Date

2022-12-20

Brief Summary

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The purpose of this study is to investigate the effects of acute intravenous iron administration on the endothelial function in non-dialysis Chronic Kidney Disease stages G3-G5 patients with anemia and iron deficiency, in relation to changes in oxidative and nitrosative status.

Detailed Description

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Conditions

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Renal Anemia Iron Toxicity Oxidative Stress Endothelial Dysfunction

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Placebo

Intervention: 250 mL Sodium Chloride 0.9% Intravenous Solution, representing control infusion, over 30 minutes.

Group Type PLACEBO_COMPARATOR

Sodium Chloride 0.9% Intravenous Solution

Intervention Type DRUG

Physiologic saline infusion will be infused in day 1.

Ferinject

Intervention Type DRUG

Ferric carboxymaltose will be infused in day 2.

Ferric carboxymaltose

Intervention: 1000 mg Ferinject in 250 mL 0.9%NaCl, representing medication in study infusion, over 30 minutes.

Group Type ACTIVE_COMPARATOR

Sodium Chloride 0.9% Intravenous Solution

Intervention Type DRUG

Physiologic saline infusion will be infused in day 1.

Ferinject

Intervention Type DRUG

Ferric carboxymaltose will be infused in day 2.

Interventions

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Sodium Chloride 0.9% Intravenous Solution

Physiologic saline infusion will be infused in day 1.

Intervention Type DRUG

Ferinject

Ferric carboxymaltose will be infused in day 2.

Intervention Type DRUG

Other Intervention Names

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Physiologic saline Ferric carboxymaltose

Eligibility Criteria

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Inclusion Criteria

* Chronic kidney disease stages G3-G5 (defined according to KDIGO criteria);
* Anemia (defined according to KDIGO criteria) and iron deficiency defined as serum ferritin \< 100 ng/mL and/or TSAT \< 20% (KDIGO).

Exclusion Criteria

* contraindications of intravenous iron therapy: iron allergy, active infection, hemochromatosis, iron overload (serum ferritin \> 500 ng/mL and/or transferrin saturation \> 50%);
* treatment with iron and erythropoiesis-stimulating agents (at the time of recruitment and 6 months previously);
* active smoker status;
* antioxidant food supplements treatment in the last 3 months;
* clinically manifest bleeding;
* another cause of anemia (hemoglobinopathies, vitamin B12 and/or folic acid deficiency suggested by the megaloblastic peripheral blood smears's appearance, multiple myeloma and other paraproteinemias);
* severe anemia (Hb \< 7 g/dl);
* baseline FMD \< 7% (the existence of atherosclerosis which limits arterial reactivity);
* cancer (currently or in the past 6 months);
* hepatopathies (increased serum transaminases ≥ 3 x normal value) or hepatic impairment ≥ grade Child B;
* autoimmune disorders or significant inflammation (as defined by C-reactive protein \> 5 mg/L);
* pregnancy or lactation;
* participation in other clinical trials over the upast 3 months;
* patient unwillingness.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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S.C. Sanador S.R.L

OTHER

Sponsor Role collaborator

Carol Davila University of Medicine and Pharmacy

OTHER

Sponsor Role lead

Responsible Party

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Ana-Maria Mehedinti

Teaching Assistent

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Gabriel Mircescu, Professor

Role: STUDY_CHAIR

Carol Davila University of Medicine and Pharmacy

Cristina Capusa, Assoc. Prof.

Role: STUDY_DIRECTOR

Carol Davila University of Medicine and Pharmacy

Locations

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"Dr. Carol Davila" Teaching Hospital of Nephrology

Bucharest, , Romania

Site Status

Countries

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Romania

Other Identifiers

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10488/19.04.2016

Identifier Type: -

Identifier Source: org_study_id

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