Iron Deficiency Anemia Clinical Trial
Official title:
CONTROLLED RANDOMIZED PILOT STUDY TO COMPARE THE EFFICACY OF DIFFERENT IRON FORMULATIONS: SUCROSOMAL FERRIC PYROPHOSPHATE, SUNACTIVE Fe AND INTRAVENOUS FERRIC GLUCONATE
The purpose of the study is to evaluate the effects of martial therapy, comparing different formulations, sucrosomal ferric pyrophosphate, SunActive®Fe micronized and ferric gluconate and different ways of administration, orally and intravenous, in subjects affected by sideropenic microcytic hypochromic anemia identified by the simultaneous presence of anemia, microcytosis and hypoferremia.
Background: Iron deficiency anemia (IDA) still remains universally a worldwide problematics.
Anemia is defined as a hemoglobin value <12.0 g/dL (7.45 mmol/L). Management of IDA is based
on martial iron supplementation. The purpose of the study is to evaluate the effects of
martial therapy, comparing different formulations, sucrosomal ferric pyrophosphate,
SunActive®Fe micronized and ferric gluconate and different ways of administration, orally and
intravenous, in subjects affected by sideropenic microcytic hypochromic anemia identified by
the simultaneous presence of anemia, microcytosis and hypoferremia.
Trial Design, Methods and Findings: Clinical data from 106 outpatients (82.8% female and
17.2% male, mean age 50.4 years) were collected at Department of Internal Medicine, National
Relevance and High Specialization Hospital Trust, ARNAS Civico-Di Cristina-Benfratelli,
Palermo, Italy. The study envisaged five arms (2 + 3). At the first two arms were assigned
patients with non-severe anemia Hb> 10 g/dl (Hb <12 g/dl for women and Hb <13 g/dl for men),
treated with SunActive®Fe micronized or Lipofer®. At the other three arms were assigned
patients with severe anemia (Hb <10 g/dl) treated respectively with SunActive®Fe micronized,
Lipofer® or with intravenous ferric gluconate infusions according to departmental protocols.
The followed methodology is defined in the PROBE project (acronym of Prospective Randomized
Open Blinded End-point). The end points will be blinded with respect to the three treatments,
as it will be the statistical analysis.
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