Hypophosphatemia With Ferric Carboxymaltose Vs. Iron Dextran in Iron Deficiency Secondary to Heavy Uterine Bleeding

Iron Deficiency Anemia Clinical Trial

Official title:

A Randomized, Controlled Study to Investigate the Safety and Explore the Mechanism of Hypophosphatemia With Intravenous Ferric Carboxymaltose (FCM) Versus Iron Dextran in Women With Iron Deficiency Secondary to Heavy Uterine Bleeding

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01307007
• Other study ID #: 1VIT08023
• Status: Completed
• Phase: Phase 2
• First received: October 4, 2010
• Last updated: January 19, 2018
• Start date: September 2010
• Est. completion date: August 2013

Study information

• Verified date: January 2018
• Source: Luitpold Pharmaceuticals
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The primary objective of this study is to assess the safety of an investigational intravenous iron (ferric carboxymaltose [FCM]) or an equal dose of iron dextran and explore the mechanism of hypophosphatemia following administration of FCM or that of an equal dose of iron dextran when treating women with iron deficiency anemia due to heavy uterine bleeding (HUB).

Description:

To assess the safety of an investigational intravenous iron (ferric carboxymaltose [FCM]) or an equal dose of iron dextran and explore the mechanism of hypophosphatemia following administration of FCM or that of an equal dose of iron dextran when treating women with iron deficiency anemia due to heavy uterine bleeding (HUB).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 69
• Est. completion date: August 2013
• Est. primary completion date: May 2011
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Female subjects > or = to 18 years of age

• History of Heavy Uterine Bleeding within the past 6 months

• Screening visit central laboratory Hgb < 12 g/dL

• Screening Visit ferritin < or = to 100 ng/mL or < or = to 300 when transferrin saturation (TSAT) is < or = to 30%

• Demonstrate the ability to understand the requirements of the study, willingness to abide by study restrictions and to return for the required assessments

Exclusion Criteria:

• Known hypersensitivity reaction to any component of ferric carboxymaltose or iron dextran

• Previously randomized in a clinical study of ferric carboxymaltose

• Requires dialysis for treatment of chronic kidney disease

• Chronic kidney disease, marked by estimated glomerular filtration rate < 60 ml/min/1.73m squared

• Previous kidney transplant

• History of primary hypophosphatemic disorder

• Hypophosphatemia < 2.6 mg/dl

• No evidence of iron deficiency

• During the 10 day period prior to screening has been treated with intravenous iron

• During the 30 day period prior to screening or during the study period has or will be treated with erythropoiesis stimulating agents (ESA) in a regimen that is off label

• During the 30 day period prior to screening or during the study period has or will be treated with a red blood cell transfusion, radiotherapy and/or chemotherapy

• During the 30 day period prior to screening or during the study period has or will require a surgical procedure that necessitates general anesthesia

• Any non-viral infection

• Aspartate aminotransferase (AST) or Alanine Aminotransferase (ALT) at screening, as determined by central labs, greater than 1.5 times the upper limit of normal

• Known positive hepatitis with evidence of active disease

• Received an investigational drug within 30 days of screening

• Alcohol or drug abuse within the past 6 months

• Hemochromatosis or other iron storage disorders

• Malignancy history within the past 5 years other than basal or squamous cell skin cancer

• Any other laboratory abnormality, medical condition or psychiatric disorders which in the opinion of the investigator would put the subject's disease management at risk or may result in the subject being unable to comply with study requirements

• Pregnant or sexually-active female subjects who are of childbearing potential and who are not willing to use an acceptable form of contraception

• Untreated primary hyperparathyroidism

• Untreated gastrointestinal malabsorption (e.g., sprue)

Related Conditions & MeSH terms

• Anemia, Iron-Deficiency
• Hypophosphatemia
• Iron Deficiency Anemia
• Uterine Hemorrhage

Intervention

Drug:
• Ferric Carboxymaltose (FCM)
15 mg/kg up to a maximum of 1000 mg intravenous diluted in 250 cc normal saline solution administered over 15 minutes on Day 0
• Iron Dextran Injection
Test dose of 25 mg administered over 5 minutes, if no reaction occurs then the remainder of the dose (15 mg/kg or 1000 mg including the test dose) will be administered as per investigator. The infusion must be given only when resuscitative techniques for the treatment of anaphylactic reactions are readily available.

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Luitpold Pharmaceuticals

References & Publications (1)

Wolf M, Koch TA, Bregman DB. Effects of iron deficiency anemia and its treatment on fibroblast growth factor 23 and phosphate homeostasis in women. J Bone Miner Res. 2013 Aug;28(8):1793-803. doi: 10.1002/jbmr.1923. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Changes in Blood Markers	Changes in blood markers of phosphate	Day 35

External Links

•   FGF23; IRON; PHOSPHATE; PTH; VITAMIN D