Comparing the Efficacy of Different Iron Formulations: Sucrosomal Ferric Pyrophosphate, SunActive®Fe and Intravenous Ferric Gluconate

NCT ID: NCT03771092

Last Updated: 2018-12-10

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

148 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-11-02

Study Completion Date

2018-10-30

Brief Summary

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The purpose of the study is to evaluate the effects of martial therapy, comparing different formulations, sucrosomal ferric pyrophosphate, SunActive®Fe micronized and ferric gluconate and different ways of administration, orally and intravenous, in subjects affected by sideropenic microcytic hypochromic anemia identified by the simultaneous presence of anemia, microcytosis and hypoferremia.

Detailed Description

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Background: Iron deficiency anemia (IDA) still remains universally a worldwide problematics. Anemia is defined as a hemoglobin value \<12.0 g/dL (7.45 mmol/L). Management of IDA is based on martial iron supplementation. The purpose of the study is to evaluate the effects of martial therapy, comparing different formulations, sucrosomal ferric pyrophosphate, SunActive®Fe micronized and ferric gluconate and different ways of administration, orally and intravenous, in subjects affected by sideropenic microcytic hypochromic anemia identified by the simultaneous presence of anemia, microcytosis and hypoferremia.

Trial Design, Methods and Findings: Clinical data from 106 outpatients (82.8% female and 17.2% male, mean age 50.4 years) were collected at Department of Internal Medicine, National Relevance and High Specialization Hospital Trust, ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy. The study envisaged five arms (2 + 3). At the first two arms were assigned patients with non-severe anemia Hb\> 10 g/dl (Hb \<12 g/dl for women and Hb \<13 g/dl for men), treated with SunActive®Fe micronized or Lipofer®. At the other three arms were assigned patients with severe anemia (Hb \<10 g/dl) treated respectively with SunActive®Fe micronized, Lipofer® or with intravenous ferric gluconate infusions according to departmental protocols. The followed methodology is defined in the PROBE project (acronym of Prospective Randomized Open Blinded End-point). The end points will be blinded with respect to the three treatments, as it will be the statistical analysis.

Conditions

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Iron Deficiency Anemia

Keywords

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Iron Iron Deficiency Anemia Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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Patients with non-severe anemia treated with SunActive®Fe

Patients with non-severe anemia Hb\> 10 g/dl (Hb \<12 g/dl for women and Hb \<13 g/dl for men), treated with SunActive®Fe micronized

Group Type EXPERIMENTAL

SunActive®Fe

Intervention Type DIETARY_SUPPLEMENT

SunActive® Fe is a colorless, odorless, tasteless iron fortifier in a powder form. This product is most commonly used to increase the amount of iron in food, beverage, and dietary supplement applications.

Patients with non-severe anemia treated with Lipofer®

Patients with non-severe anemia Hb\> 10 g/dl (Hb \<12 g/dl for women and Hb \<13 g/dl for men), treated with Lipofer®

Group Type EXPERIMENTAL

Lipofer®

Intervention Type DIETARY_SUPPLEMENT

Lipofer® is a micronized and microencapsulated source of iron, enhances the bioavailability of iron and does not taste metallic or oxidize unsaturated fats.

Patients with severe anemia with Lipofer®

Patients with severe anemia (Hb \<10 g/dl) treated respectively with Lipofer®

Group Type EXPERIMENTAL

Lipofer®

Intervention Type DIETARY_SUPPLEMENT

Lipofer® is a micronized and microencapsulated source of iron, enhances the bioavailability of iron and does not taste metallic or oxidize unsaturated fats.

Patients with severe anemia with SunActive®Fe

Patients with severe anemia (Hb \<10 g/dl) treated respectively with SunActive®Fe micronized

Group Type EXPERIMENTAL

SunActive®Fe

Intervention Type DIETARY_SUPPLEMENT

SunActive® Fe is a colorless, odorless, tasteless iron fortifier in a powder form. This product is most commonly used to increase the amount of iron in food, beverage, and dietary supplement applications.

Patients with severe anemia with intravenous ferric gluconate

Patients with severe anemia (Hb \<10 g/dl) treated respectively with intravenous ferric gluconate according to departmental protocols

Group Type EXPERIMENTAL

Intravenous ferric gluconate

Intervention Type DIETARY_SUPPLEMENT

Sodium ferric gluconate complex is an iron replacement product for treatment of iron deficiency anemia. The stable macromolecular complex is negatively charged at alkaline pH with an apparent molecular weight of 289,000 - 440,000 daltons on gel chromatography. It is composed of iron (III) oxide hydrate directly bonded to sucrose with a chelating gluconate function in a molar ratio of two iron molecules to one gluconate.

Interventions

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SunActive®Fe

SunActive® Fe is a colorless, odorless, tasteless iron fortifier in a powder form. This product is most commonly used to increase the amount of iron in food, beverage, and dietary supplement applications.

Intervention Type DIETARY_SUPPLEMENT

Lipofer®

Lipofer® is a micronized and microencapsulated source of iron, enhances the bioavailability of iron and does not taste metallic or oxidize unsaturated fats.

Intervention Type DIETARY_SUPPLEMENT

Intravenous ferric gluconate

Sodium ferric gluconate complex is an iron replacement product for treatment of iron deficiency anemia. The stable macromolecular complex is negatively charged at alkaline pH with an apparent molecular weight of 289,000 - 440,000 daltons on gel chromatography. It is composed of iron (III) oxide hydrate directly bonded to sucrose with a chelating gluconate function in a molar ratio of two iron molecules to one gluconate.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of iron deficiency anemia, microcytic and hypochromic
* Age \>18

Exclusion Criteria

* Diagnosis of Celiac Disease
* Patients who refuse to sign the informed consent
* Clinically relevant cognitive Turbe
* Hemodynamic instability defined by the presence of low blood pressure SBP \<100 FC\> 100
* Dyspnea after modest effort worsening over the past 10 days
* Oxygen peripheral saturation values \<94%
* Ischemic heart Recent and / or lower limbs
* Acute conditions with subacute or at recruitment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Palermo

OTHER

Sponsor Role lead

Responsible Party

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Salvatore Corrao, MD

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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CREAM-IRON

Identifier Type: -

Identifier Source: org_study_id