Do Iron And Vitamin B12 Injections Given Together, Improve Hemoglobin In Patients On Hemodialysis?

NCT ID: NCT04627181

Last Updated: 2021-01-29

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

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-11-18

Study Completion Date

2021-03-31

Brief Summary

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A parallel group, quadruple blind, placebo-controlled, randomized control trial with 2x2 factorial design to determine the effect of simultaneous IV ferric carboxymaltose and IM hydroxycobalamin supplementation in anemic Indian HD patients

Detailed Description

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Conditions

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Iron Deficiency Anemia B12 Deficiency Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Participants will be randomized to one of four arms: IV ferric carboxymaltose + placebo, IM hydroxycobalamin + placebo, IV ferric carboxymaltose + IM hydroxycobalamin, placebo + placebo
Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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FCM + placebo

1. Ferric carboxymaltose: Single dose, 500 mg
2. Placebo: Single dose

Group Type EXPERIMENTAL

Ferric carboxymaltose

Intervention Type DRUG

Single dose of ferric carboxymaltose (Encicarb, Emcure Pharmaceuticals Ltd., Pune, India) 500 mg administered intravenously in 100 ml normal saline over 1 hour via the dialysis blood line immediately following HD

Placebo

Intervention Type DRUG

Single dose of 1 ml of distilled water injected intramuscularly in the deltoid of the non-fistula arm immediately following HD

B12 + placebo

1. Hydroxycobalamine: Single dose, 1000 mcg
2. Placebo: Single dose

Group Type EXPERIMENTAL

Hydroxycobalamin

Intervention Type DRUG

Single dose of hydroxycobalamine (Trineurosol Hp, Tridoss Laboratories, Mumbai, India) 1000 mcg administered intramuscularly in the deltoid of the non-fistula arm immediately following HD

Placebo

Intervention Type DRUG

Single dose of 100 ml normal saline administered intravenously over 1 hour via the dialysis blood line immediately following HD

FCM +B12

1. Ferric carboxymaltose: Single dose, 500 mg
2. Hydroxycobalamine: Single dose, 1000 mcg

Group Type EXPERIMENTAL

Ferric carboxymaltose

Intervention Type DRUG

Single dose of ferric carboxymaltose (Encicarb, Emcure Pharmaceuticals Ltd., Pune, India) 500 mg administered intravenously in 100 ml normal saline over 1 hour via the dialysis blood line immediately following HD

Hydroxycobalamin

Intervention Type DRUG

Single dose of hydroxycobalamine (Trineurosol Hp, Tridoss Laboratories, Mumbai, India) 1000 mcg administered intramuscularly in the deltoid of the non-fistula arm immediately following HD

Placebo + placebo

1. Placebo: Single dose
2. Placebo: Single dose

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Single dose of 1 ml of distilled water injected intramuscularly in the deltoid of the non-fistula arm immediately following HD

Placebo

Intervention Type DRUG

Single dose of 100 ml normal saline administered intravenously over 1 hour via the dialysis blood line immediately following HD

Interventions

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Ferric carboxymaltose

Single dose of ferric carboxymaltose (Encicarb, Emcure Pharmaceuticals Ltd., Pune, India) 500 mg administered intravenously in 100 ml normal saline over 1 hour via the dialysis blood line immediately following HD

Intervention Type DRUG

Hydroxycobalamin

Single dose of hydroxycobalamine (Trineurosol Hp, Tridoss Laboratories, Mumbai, India) 1000 mcg administered intramuscularly in the deltoid of the non-fistula arm immediately following HD

Intervention Type DRUG

Placebo

Single dose of 1 ml of distilled water injected intramuscularly in the deltoid of the non-fistula arm immediately following HD

Intervention Type DRUG

Placebo

Single dose of 100 ml normal saline administered intravenously over 1 hour via the dialysis blood line immediately following HD

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* All adult prevalent HD patients on HD for at least 3 months with hemoglobin \< 11 g/dL

Exclusion Criteria

* Blood transfusion, blood loss, infection, surgery or change in haemoglobin by \> 1 g/dL in the last 1 month
* Hemoglobinopathy
* Cirrhosis
* Hematological malignancy or myeloproliferative disorder
* HIV, HBV or HCV infection
* Any chronic inflammatory disorder
* IV iron or oral/IM B12 received in the last 3 months
* Severe hyperparathyroidism (intact parathyroid hormone \> 1,000 pg/mL)
* Pregnancy
* Age \< 18 years
* History of asthma or eczema, any history of drug allergy, including allergy to iron preparations
* History of exposure to chemotherapy or cytotoxic drugs - 5-FU, hydroxyurea, hydroxycarbamide, methotrexate, trimethoprim, colchicine, azathioprine
* History of G-CSF use in the last 1 month
* General anaesthesia with nitrous oxide in the last 1 month
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Christian Medical College, Vellore, India

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Anna T Valson, MD, DM

Role: STUDY_DIRECTOR

Christian Medical College, Vellore, India

Rizwan Alam, MD

Role: PRINCIPAL_INVESTIGATOR

Christian Medical College, Vellore, India

Locations

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Christian Medical College, Vellore

Vellore, Tamil Nadu, India

Site Status RECRUITING

Countries

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India

Central Contacts

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Anna T Valson, MD, DM

Role: CONTACT

Phone: +91-416-2282683

Email: [email protected]

Rizwan Alam, MD

Role: CONTACT

Phone: +91-416-2282053

Email: [email protected]

Facility Contacts

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Anna T Valson, MD, DM

Role: primary

Rizwan Alam, MD

Role: backup

Other Identifiers

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12564 (INTERVEN) 29.01.2020

Identifier Type: -

Identifier Source: org_study_id