The Effects of Intravenous Iron on Mobility in Elderly Patients Following Hip Fracture Surgery

NCT ID: NCT06898814

Last Updated: 2025-12-10

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

RECRUITING

Clinical Phase

PHASE4

Total Enrollment

210 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-06-09

Study Completion Date

2027-09-14

Brief Summary

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The primary aim of this clinical trial is to investigate the effects of intravenous iron on recovery in mobility compared to the pre-fracture level in patients with a hip fracture

The main questions it aims to answer are:

It is hypothesize that intravenous iron will enhance gains in mobility and hereby recovery of mobility, increase hemoglobin (Hgb), lower fatigue, have a positive effect on skeletal muscles in the weeks and months after administration.

The primary objective is to compare the effect of a single dose of ferric derisomaltose (FDI) (20 mg/kg body weight) relative to placebo on patients' recovery of functional mobility, measured as the change from baseline in the New Mobility Score.

Participants will:

\- Receive either a single dose of intravenous FDI (20 mg/kg body weight) (and saline) or placebo (saline) at 1-5 days after surgery.

This trial will be conducted at three hospitals in Denmark, involving an anticipated 210 participants.

Detailed Description

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Conditions

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Hip Fracture Anemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors
Participant: Blinded Primary Investigators: Blinded Coordinating Investigator: Blinded Project Manager: Blinded Database Manager: Not Blinded Obtaining baseline values (dedicated staff): Blinded Department Health Care Prof. (giving intervention): Not blinded Outcome Assessor (dedicated staff): Blinded IronHip steering committee: Blinded Sponsor: Blinded Statistician: Blinded

Study Groups

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Active Investigational Medicinal Product

Group Type ACTIVE_COMPARATOR

Ferric Derisomaltose

Intervention Type DRUG

The active intervention is a single dose of Ferric Derisomaltose, 20mg/kg body weight, diluted in 100 mL isotonic sodium chloride 0.9%

Placebo

Group Type PLACEBO_COMPARATOR

Saline (NaCl 0,9 %) (placebo)

Intervention Type DRUG

Single dose of 100 mL isotonic sodium chloride 0.9%

Interventions

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Ferric Derisomaltose

The active intervention is a single dose of Ferric Derisomaltose, 20mg/kg body weight, diluted in 100 mL isotonic sodium chloride 0.9%

Intervention Type DRUG

Saline (NaCl 0,9 %) (placebo)

Single dose of 100 mL isotonic sodium chloride 0.9%

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. 65 years of age or older
2. Acute proximal femur fracture surgery
3. A hemoglobin measurement ≤6.5 mmol/L (10.5 g/dL) on day 1 to 5 postoperatively
4. Independent prefracture indoor walking ability, indoor NMS ≥ 2
5. Ability to speak and understand Danish
6. Able to provide informed consent on the participants own behalf

Exclusion Criteria

1. Known allergy to intravenous iron
2. Residing permanently at a nursing home
3. Hematological conditions with a risk of iron overload e.g. haemochromatosis, hemosiderosis, or where alternative treatments are necessary e.g. haematological malignancies
4. Other contraindication to iron treatment, e.g. severe liver cirrhosis and hepatitis
5. Severe uncontrolled infection as assessed by the responsible clinician (e.g. bacteraemia or sepsis)
6. Plasma sodium levels below 125 or above 150 mmol/L on the day of inclusion
7. Renal replacement therapy
8. Severe dementia assessed by physician
9. Recent intravenous iron injection, 4 weeks prior to surgery
10. Patient declared terminally ill
11. Pathologic Fracture
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Soren Overgaard

OTHER

Sponsor Role lead

University Hospital Bispebjerg and Frederiksberg

OTHER

Sponsor Role collaborator

Copenhagen University Hospital at Herlev

OTHER

Sponsor Role collaborator

Odense University Hospital

OTHER

Sponsor Role collaborator

Musculoskeletal Statistics Unit, The Parker Institute

UNKNOWN

Sponsor Role collaborator

Svendborg Hospital

OTHER

Sponsor Role collaborator

Responsible Party

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Soren Overgaard

Clinical Professor, DMSc

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Nicolas Tekin Jones, MD

Role: PRINCIPAL_INVESTIGATOR

Copenhagen University Hospital Bispebjerg, Department of Orthopaedic Surgery and Traumatology

Locations

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Department of Orthopedic Surgery and Traumatology, Bispebjerg, Copenhagen University Hospital

Copenhagen NV, , Denmark

Site Status RECRUITING

Department of Orthopedic Surgery and Traumatology, Herlev, Copenhagen University Hospital

Herlev, , Denmark

Site Status RECRUITING

Department of Orthopaedic Surgery, Odense and Svendborg University Hospital

Odense C, , Denmark

Site Status RECRUITING

Countries

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Denmark

Central Contacts

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Nicolas Tekin Jones, MD

Role: CONTACT

+4520491890

Søren Overgaard, MD, DMSc

Role: CONTACT

Facility Contacts

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Thomas Giver Jensen, MD

Role: primary

+4538635320

Nicolas Tekin Jones, MD

Role: backup

Jens Peter Alva-Jørgensen, MD

Role: primary

+ 45 3868 3868

Nicolas Tekin Jones, MD

Role: backup

+4520491890

Bjarke Viberg, MD, PhD, Professor

Role: primary

+ 45 3868 3868

Nicolas Tekin Jones, MD

Role: backup

+4520491890

Other Identifiers

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2024-515116-42-00

Identifier Type: CTIS

Identifier Source: secondary_id

IronHip Trial

Identifier Type: -

Identifier Source: org_study_id

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