Trial Outcomes & Findings for Predictors of Response to Iron and Erythropoietin Stimulating Agents (NCT NCT03658876)

NCT ID: NCT03658876

Last Updated: 2019-07-05

Results Overview

Incrementation of haemoglobin of 5g/l following treatment

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

197 participants

Primary outcome timeframe

Within 2 months

Results posted on

2019-07-05

Participant Flow

There were 197 individuals who consented to the study. These were in the observational phase. There were 184 randomisation episodes from these individuals.

Participant milestones

Participant milestones
Measure
Iron Group
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
EPO Group
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Overall Study
STARTED
88
96
Overall Study
COMPLETED
76
84
Overall Study
NOT COMPLETED
12
12

Reasons for withdrawal

Reasons for withdrawal
Measure
Iron Group
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
EPO Group
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Overall Study
Protocol Violation
3
2
Overall Study
Withdrawal by Subject
2
0
Overall Study
Death
0
1
Overall Study
Intercurrent illness
6
4
Overall Study
Transplantation/other operation
1
5

Baseline Characteristics

Predictors of Response to Iron and Erythropoietin Stimulating Agents

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Iron Group
n=76 Participants
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
EPO Group
n=84 Participants
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Total
n=160 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
37 Participants
n=5 Participants
41 Participants
n=7 Participants
78 Participants
n=5 Participants
Age, Categorical
>=65 years
39 Participants
n=5 Participants
43 Participants
n=7 Participants
82 Participants
n=5 Participants
Age, Continuous
63.22 years
n=5 Participants
63.1 years
n=7 Participants
63.16 years
n=5 Participants
Sex: Female, Male
Female
22 Participants
n=5 Participants
24 Participants
n=7 Participants
46 Participants
n=5 Participants
Sex: Female, Male
Male
54 Participants
n=5 Participants
60 Participants
n=7 Participants
114 Participants
n=5 Participants
Race/Ethnicity, Customized
White
34 Participants
n=5 Participants
41 Participants
n=7 Participants
75 Participants
n=5 Participants
Race/Ethnicity, Customized
Black
9 Participants
n=5 Participants
12 Participants
n=7 Participants
21 Participants
n=5 Participants
Race/Ethnicity, Customized
Asian
31 Participants
n=5 Participants
28 Participants
n=7 Participants
59 Participants
n=5 Participants
Race/Ethnicity, Customized
Other
2 Participants
n=5 Participants
3 Participants
n=7 Participants
5 Participants
n=5 Participants
Region of Enrollment
United Kingdom
76 participants
n=5 Participants
84 participants
n=7 Participants
160 participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 2 months

Incrementation of haemoglobin of 5g/l following treatment

Outcome measures

Outcome measures
Measure
EPO Group
n=84 Participants
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Iron Group
n=76 Participants
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
Hemoglobin Incrementation
61 Participants
53 Participants

Adverse Events

Iron Group

Serious events: 17 serious events
Other events: 2 other events
Deaths: 3 deaths

EPO Group

Serious events: 21 serious events
Other events: 1 other events
Deaths: 2 deaths

Serious adverse events

Serious adverse events
Measure
Iron Group
n=88 participants at risk
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
EPO Group
n=96 participants at risk
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Cardiac disorders
Acute coronary syndrome
1.1%
1/88 • Number of events 1
1.0%
1/96 • Number of events 1
Cardiac disorders
Cardiac arrhythmia
1.1%
1/88 • Number of events 1
2.1%
2/96 • Number of events 2
Infections and infestations
Bacteraemia
1.1%
1/88 • Number of events 1
2.1%
2/96 • Number of events 2
Skin and subcutaneous tissue disorders
Soft tissue infection
3.4%
3/88 • Number of events 3
0.00%
0/96
Musculoskeletal and connective tissue disorders
Cervical discitis
1.1%
1/88 • Number of events 1
1.0%
1/96 • Number of events 1
Gastrointestinal disorders
Dyspepsia
1.1%
1/88 • Number of events 2
1.0%
1/96 • Number of events 1
Immune system disorders
Vasculitis
0.00%
0/88
1.0%
1/96 • Number of events 1
Musculoskeletal and connective tissue disorders
Hip fracture
2.3%
2/88 • Number of events 2
1.0%
1/96 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease
1.1%
1/88 • Number of events 1
1.0%
1/96 • Number of events 1
Infections and infestations
Infection related to catheters
1.1%
1/88 • Number of events 1
1.0%
1/96 • Number of events 1
Respiratory, thoracic and mediastinal disorders
Pleural effusion
2.3%
2/88 • Number of events 2
2.1%
2/96 • Number of events 2
Respiratory, thoracic and mediastinal disorders
Pneumonia
2.3%
2/88 • Number of events 2
6.2%
6/96 • Number of events 6
Infections and infestations
Psoas abscess
1.1%
1/88 • Number of events 1
1.0%
1/96 • Number of events 1
Nervous system disorders
Stroke
0.00%
0/88
1.0%
1/96 • Number of events 1

Other adverse events

Other adverse events
Measure
Iron Group
n=88 participants at risk
Iron Sucrose Solution for Injection: 200mg iron sucrose given on 5 successive haemodialysis sessions
EPO Group
n=96 participants at risk
Epoetin Beta: Uptitration of epoetin beta dose. Scale as follows (in units /session): 0-1000-2000-3000-4000-6000-8000-12000
Blood and lymphatic system disorders
Transfusion
2.3%
2/88 • Number of events 2
1.0%
1/96 • Number of events 1

Additional Information

Dr Damien Ashby

Imperial Healthcare NHS Trust

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place