Early Antenatal Support for Iron Deficiency Anemia

NCT ID: NCT04278651

Last Updated: 2025-12-02

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-09-29

Study Completion Date

2026-12-30

Brief Summary

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This is a randomized, controlled multi-site trial of iron therapy in pregnancy. The purpose of this research is to see if second trimester initiation of intravenous (IV) iron therapy is better than oral iron therapy for treatment of anemia in pregnancy by improving blood count, quality of life and reducing side effects.

Detailed Description

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Pregnant singletons diagnosed with iron deficiency anemia will be enrolled between 14-24 weeks and will be randomized 1:1 to either a course of ferumoxytol (510mg x 2 doses 3-8 days apart) or oral iron (325mg) twice daily.

Conditions

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Pregnancy Related Anemia, Iron Deficiency Anemia of Pregnancy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Randomized controlled trial
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Oral Iron

325mg oral iron (ferrous sulfate) twice daily

Group Type ACTIVE_COMPARATOR

Ferrous Sulfate

Intervention Type DRUG

325mg oral twice daily

Intravenous Iron

510mg ferumoxytol intravenous infusion for two doses total; second dose 3-8 days after first dose.

Group Type EXPERIMENTAL

Ferumoxytol

Intervention Type DRUG

510mg infusion x 2 doses 3-8 days apart

Interventions

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Ferumoxytol

510mg infusion x 2 doses 3-8 days apart

Intervention Type DRUG

Ferrous Sulfate

325mg oral twice daily

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Singleton gestation
* Gestational age \<24 weeks
* Baseline Hb ≥9.0 and \<11.0 with evidence of iron deficiency anemia

Iron deficiency anemia diagnosed (at any point in patient history) by:

* Hb\<11.0
* Ferritin\<30 and/or total iron saturation \<20

Exclusion Criteria

* Sickle cell Disease (NOT sickle cell trait)
* Evidence of acute anemia requiring transfusion or IV iron therapy
* Major congenital or chromosomal anomaly
* Previous use of IV iron in this pregnancy
* Severe cardiac, renal, or liver disease
* Autoimmune disease (ie Systemic Lupus Erythematosus (SLE)
* Allergy or contraindication to either study drug
* History of medication allergy, reaction to IV infusion, or reaction to Feraheme or other IV iron products
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Auerbach Hematology and Oncology

UNKNOWN

Sponsor Role collaborator

Thomas Jefferson University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Rupsa C Boelig, MD

Role: CONTACT

215-955-9196

Facility Contacts

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Rupsa C Boelig, MD

Role: primary

Other Identifiers

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19G.929

Identifier Type: -

Identifier Source: org_study_id

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