Single Dose Intravenous Iron Isomaltoside in Combination With Oral Iron vs Oral Iron Monotherapy in Patients With Anemia After Postpartum Haemorrhage

NCT ID: NCT04505514

Last Updated: 2020-08-12

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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-01

Study Completion Date

2022-12-31

Brief Summary

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The investigator's study is going to compare effectiveness of single dose intravenous iron in combination with oral iron versus oral iron monotherapy in correcting haemoglobin deficit, replenishing iron stores and improving clinical symptoms in women with post-partum anaemia after postpartum hemorrhage without increasing the rate of adverse outcomes.

Detailed Description

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Conditions

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Post Partum Hemorrhage Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Intravenous Iron Group

Group Type EXPERIMENTAL

Iron Isomaltoside 1000

Intervention Type DRUG

single dose of 1000 mg iron isomaltoside diluted in 100 ml of 0.9% sodium chloride, infused intravenously over ≥ 20 minutes.

\- infusion set will be covered for blinding

Iberet-Folic-500

Intervention Type DRUG

once a day dose, to start 5 days after the intervention

Oral Iron Group

Group Type ACTIVE_COMPARATOR

Placebo

Intervention Type DRUG

100 ml of 0.9% sodium chloride, infused intravenously over ≥ 20 minutes.

\- infusion set will be covered for blinding

Iberet-Folic-500

Intervention Type DRUG

once a day dose, to start 5 days after the intervention

Interventions

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Iron Isomaltoside 1000

single dose of 1000 mg iron isomaltoside diluted in 100 ml of 0.9% sodium chloride, infused intravenously over ≥ 20 minutes.

\- infusion set will be covered for blinding

Intervention Type DRUG

Placebo

100 ml of 0.9% sodium chloride, infused intravenously over ≥ 20 minutes.

\- infusion set will be covered for blinding

Intervention Type DRUG

Iberet-Folic-500

once a day dose, to start 5 days after the intervention

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* women who underwent spontaneous vaginal delivery with Post partum hemorrhage (PPH) ≥ 500ml OR women who underwent lower segment caesarean section with PPH ≥ 1000 ml
* post PPH haemoglobin level ≤ 10.0 g/dl measured within 48hrs after delivery and stabilisation \& resuscitation.
* ≥ 18 years of age
* Proficient in Malaysian language or English language
* Willingness to consent for blood taking and attending follow-up at 2 weeks and 6 weeks

Exclusion Criteria

* refused consent to participate in trial
* history of hemolytic anemia, Thalassemia , and sickle cell anemia
* women with signs of sepsis (clinical or laboratory evidence-intrapartum fever \>38.5 degrees with abnormal vital signs, positive blood culture)
* clinical or laboratory evidence of hepatic or renal, cardiovascular and hemolytic abnormalities
* history of active severe acid peptic disorder, esophagitis or hiatus hernia and malabsorption syndrome.
* Severe symptoms of anemia including dyspnoea at rest, angina pectoris, syncope or transient ischemic attacks.
* history of severe asthma, eczema or other atopic allergy
* known allergy to iron
* patients with known immune or inflammatory conditions (e.g. systemic lupus erythematosus, rheumatoid arthritis).
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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University of Malaya

OTHER

Sponsor Role lead

Responsible Party

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Dr Carolyn Yim Chue Wai

Consultant Anaesthesiologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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University of Malaya Medical Centre

Petaling Jaya, Kuala Lumpur, Malaysia

Site Status RECRUITING

Countries

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Malaysia

Central Contacts

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Carolyn Yim Chue Wai, MBBS

Role: CONTACT

+603-79493133

Facility Contacts

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Carolyn Yim Chue Wai, MBBS

Role: primary

+603-79493133

Other Identifiers

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2020121-8204

Identifier Type: -

Identifier Source: org_study_id

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