Effect of IV Iron Isomaltoside on Postoperative Anemia in Total Knee Arthroplasty Patients

NCT ID: NCT03470649

Last Updated: 2019-04-18

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

2018-03-29

Study Completion Date

2019-04-17

Brief Summary

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Postoperative anemia is a frequent complication after total knee arthroplasty, with an incidence of 87%. Iron supplementation is known to be effective in treatment and prevention of postoperative anemia. The investigators examined the effect of intravenous iron isomaltoside (MonoferĀ®) administration on postoperative anemia and transfusion requirements in patients undergoing total knee arthroplasty.

Participants undergoing total knee arthroplasty will be randomly assigned to treatment group or control group. After main procedure of total knee arthroplasty, iron isomaltoside 1000 (MonoferĀ®) or normal saline will be intravenously administered depending on the group assigned. The dose of iron isomaltoside will be determined based on patient's body weight using the manufacturer's recommendation. Serum hemoglobin, hematocrit, iron, ferritin, transferrin saturation, and phosphorus level will be checked at preoperative day, postoperative day 1, 7, and 30.

The primary outcome is the incidence of postoperative anemia at 30 days after surgery. Secondary outcomes included the incidence and amount of red blood cell transfusion during admission period, hospital length of stay, the incidence of surgical site infection, and quality of life during postoperative period.

Detailed Description

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Conditions

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Anemia Knee Arthropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial
Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Treatment

Patients in this group would receive Iron Isomaltoside 1000 (MonoferĀ®) after main procedure of total knee arthroplasty. The dose of iron isomaltoside would be determined based on the patient's body weight.

Group Type EXPERIMENTAL

Iron Isomaltoside 1000

Intervention Type DRUG

Iron Isomaltoside 1000 would be intravenously administrated to treatment group after main procedure of total knee arthroplasty.

Control

Patients in this group would receive 100ml of normal saline after main procedure of total knee arthroplasty.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Iron Isomaltoside 1000

Iron Isomaltoside 1000 would be intravenously administrated to treatment group after main procedure of total knee arthroplasty.

Intervention Type DRUG

Other Intervention Names

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treatment

Eligibility Criteria

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Inclusion Criteria

* Adult patients undergoing total knee arthroplasty

Exclusion Criteria

* bilateral total knee arthroplasty
* hematochromatosis or hemosiderosis
* hemolytic anemia
* history of drug allergy
* liver cirrhosis or hepatitis
* systematic lupus erythematosus
* rheumatic arthritis
* allergic disease
* history of transfusion within one month from surgery
* parturient
Minimum Eligible Age

19 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Seoul National University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Jin-Tae Kim

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Jin-Tae Kim, Pf.

Role: PRINCIPAL_INVESTIGATOR

Seoul National University Hospital

Locations

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Seoul National University Hospital

Seoul, , South Korea

Site Status

Countries

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South Korea

References

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Yoo S, Bae J, Ro DH, Han HS, Lee MC, Park SK, Lim YJ, Bahk JH, Kim JT. Efficacy of intra-operative administration of iron isomaltoside for preventing postoperative anaemia after total knee arthroplasty: A randomised controlled trial. Eur J Anaesthesiol. 2021 Apr 1;38(4):358-365. doi: 10.1097/EJA.0000000000001389.

Reference Type DERIVED
PMID: 33259451 (View on PubMed)

Other Identifiers

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H-1709-079-885

Identifier Type: -

Identifier Source: org_study_id

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