Roux-en-Y Gastric Bypass Clinical Trial
— IVORYOfficial title:
Intravenous Iron-induced Hypophosphatemia in Patients With Roux-en-Y Gastric Bypass: a Single-blind, Randomized Clinical Trial Comparing Iron Isomaltoside (Monofer®) and Ferric Carboxymaltose (Ferinject®)
Verified date | April 2024 |
Source | Centre Hospitalier Universitaire Vaudois |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The primary objective of the study is to compare the incidence of hypophosphatemia in RYGB patients treated with intravenous (IV) single dose of iron isomaltoside (Monofer®) or ferric carboxymaltose (Ferinject®).
Status | Not yet recruiting |
Enrollment | 94 |
Est. completion date | June 2026 |
Est. primary completion date | June 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 99 Years |
Eligibility | Inclusion Criteria: - Patients over 18 years - Signed informed consent - Patients with previous RYGB surgery performed > 12 months ago - Failed response to oral iron supplementation - Established diagnosis of iron deficiency by ferritin < 50 ug/l or serum ferritin =100ug/l and low transferrin saturation (TSAT) = 30% - Normal phosphate blood level (0.8 - 1.45 mmol/l) before infusion - Normal magnesium blood level (0.65-1.05 mmol/l) - Outpatient Exclusion Criteria: - - Patients with known hypersensitivity to iron preparation and/or anaphylaxis from any cause - Patients for whom a treatment with one of the IV iron is contra-indicated (based on product summary of product characteristics) - Women who are pregnant or breastfeeding - Intention to become pregnant during the course of the study - Renal failure, chronic kidney disease stage 3b or worse (eGFR = 45 ml/min/1.73m2) - Patients who received IV iron infusion during the last 3 months before screening - Treatment with erythropoietin or erythropoietin-stimulation agents, red blood cell transfusion within the last 3 months prior to screening - Alcohol or drug abuse within the past 6 months - Planned surgical procedure within the clinical trial period - Surgery under general anaesthesia within the last 3 months prior to screening - Hyperparathyroidism - Kidney transplantation - Inability to follow study procedures or give informed consent - Use and inability to stop from V0 to study end, phosphate supplementation (except daily multivitamin preparation recommended after bariatric surgery; the exact amount of phosphate and iron supplementation in the daily multivitamin will be recorded) - Osteoporosis drug therapy (bisphosphonates, denosumab or selective oestrogen receptor modulators). - Patient who refuses to be informed of incidental discoveries that may contribute to the prevention, diagnosis, and treatment of existing or probable future illnesses. |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Lucie Favre |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | incidence of hypophosphatemia in RYGB patients treated with intravenous iron | day 14 ± 2, 21 ± 2 and 28 ± 2 |
Status | Clinical Trial | Phase | |
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