Surgery Clinical Trial
Official title:
The Effects of Ferric Derisomaltose on Postoperative Anemia in Patients Undergoing Spinal Deformity Surgery: A Prospective Randomized Controlled Study
NCT number | NCT05714007 |
Other study ID # | PUMCH-Fe |
Secondary ID | |
Status | Recruiting |
Phase | Phase 4 |
First received | |
Last updated | |
Start date | August 31, 2023 |
Est. completion date | June 2025 |
The prognosis of patients undergoing spinal deformity surgery is often compromised by perioperative anemia due to iron deficiency. The aim of this randomized, controlled trial was to evaluate whether postoperative ferric derisomaltose intravenous injection may improve anemia and prognosis in patients undergoing spinal deformity surgery comparing with oral iron. Participants will be randomly assigned to the treatment group (intravenous ferric derisomaltose) and the control group (oral iron). Changes in hemoglobin concentration, percentage of anemia correction, changes in iron indicators, patient quality of life, and incidence of adverse events will be analyzed to evaluate the efficacy and safety of iron isomaltoside infusion.
Status | Recruiting |
Enrollment | 120 |
Est. completion date | June 2025 |
Est. primary completion date | June 2025 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria 1. Age =18 years 2. Received spinal deformity surgery 3. 70 g/L = Hb = 110 g/L at POD1, or Hb =120 g/L at POD1 with a decrease in Hb of =20 g/L compared with baseline 4. Informed consent was obtained voluntarily Exclusion Criteria 1. Women who are pregnant, breastfeeding, or planning to become pregnant. 2. known serious hypersensitivity to other parenteral iron products 3. Non-iron deficiency anemia (e.g., hemolytic anemia) 4. Decompensated liver insufficiency 5. Coexisting active infection 6. Drug abuse, including but not limited to opioids, amphetamines, methamphetamine, ketamine, etc. 7. Other conditions that the investigator considers inappropriate for participation (e.g. deafness, Parkinson's disease, communication disorders, etc.) 8. Participation in another clinical trial within three months prior to this study. |
Country | Name | City | State |
---|---|---|---|
China | Peking Union Medical College Hospital | Beijing | Beijing |
Lead Sponsor | Collaborator |
---|---|
Peking Union Medical College Hospital | Pharmacosmos A/S |
China,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change in hemoglobin concentration | Change in hemoglobin concentrations from POD(postoperative day)1 to POD14 | At 14 days | |
Secondary | Change in hemoglobin concentration | Change in hemoglobin concentrations from POD1 to POD5 | At 5 days | |
Secondary | Change in hemoglobin concentration | Change in hemoglobin concentrations from POD1 to POD35 | At 35 days | |
Secondary | Correction of anemia | The percentage of effective correction of anemia (elevation of Hb >20g/L or Hb =120g/L) at POD5 | At 5 days | |
Secondary | Correction of anemia | The percentage of effective correction of anemia (elevation of Hb >20g/L or Hb =120g/L) at POD14 | At 14 days | |
Secondary | Correction of anemia | The percentage of effective correction of anemia (elevation of Hb >20g/L or Hb =120g/L) at POD35 | At 35 days | |
Secondary | Change in serum iron | Change in serum iron from POD1 to POD5 | At 5 days | |
Secondary | Change in serum iron | Change in serum iron from POD1 to POD14 | At 14 days | |
Secondary | Change in serum iron | Change in serum iron from POD1 to POD35 | At 35 days | |
Secondary | Change in ferritin | Change in ferritin from POD1 to POD5 | At 5 days | |
Secondary | Change in ferritin | Change in ferritin from POD1 to POD14 | At 14 days | |
Secondary | Change in ferritin | Change in ferritin from POD1 to POD35 | At 35 days | |
Secondary | Change in transferrin saturation | Change in transferrin saturation from POD1 to POD5 | At 5 days | |
Secondary | Change in transferrin saturation | Change in transferrin saturation from POD1 to POD14 | At 14 days | |
Secondary | Change in transferrin saturation | Change in transferrin saturation from POD1 to POD35 | At 35 days | |
Secondary | Change in soluble transferrin receptor | Change in soluble transferrin receptor from POD1 to POD5 | At 5 days | |
Secondary | Change in soluble transferrin receptor | Change in soluble transferrin receptor from POD1 to POD14 | At 14 days | |
Secondary | Change in soluble transferrin receptor | Change in soluble transferrin receptor from POD1 to POD35 | At 35 days | |
Secondary | EQ-5D | Quality of life measured by EQ-5D (European Quality of Life-5 Dimensions) at POD5 | At 5 days | |
Secondary | EQ-5D | Quality of life measured by EQ-5D at POD14 | At 14 days | |
Secondary | EQ-5D | Quality of life measured by EQ-5D at POD35 | At 35 days | |
Secondary | Fatigue score | Fatigue measured FACIT-F (The Functional Assessment of Chronic Illness Therapy-Fatigue) questionnaire at POD5 | At 5 days | |
Secondary | Fatigue score | Fatigue measured FACIT-F questionnaire at POD14 | At 14 days | |
Secondary | Fatigue score | Fatigue measured FACIT-F questionnaire at POD35 | At 35 days | |
Secondary | Barthel Index | Independence in daily activities measured by the Barthel questionnaire at POD 5 | At 5 days | |
Secondary | Barthel Index | Independence in daily activities measured by the Barthel questionnaire at POD 14 | At 14 days | |
Secondary | Barthel Index | Independence in daily activities measured by the Barthel questionnaire at POD 35 | At 35 days | |
Secondary | Length of hospital stay | Hospitalized days | At 3 months | |
Secondary | Adverse events | Incidence of adverse events | At 3 months | |
Secondary | Infection | Incidence of postoperative infection | At 3 months |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05583916 -
Same Day Discharge for Video-Assisted Thoracoscopic Surgery (VATS) Lung Surgery
|
N/A | |
Completed |
NCT04448041 -
CRANE Feasibility Study: Nutritional Intervention for Patients Undergoing Cancer Surgery in Low- and Middle-Income Countries
|
||
Completed |
NCT03213314 -
HepaT1ca: Quantifying Liver Health in Surgical Candidates for Liver Malignancies
|
N/A | |
Enrolling by invitation |
NCT05534490 -
Surgery and Functionality in Older Adults
|
N/A | |
Recruiting |
NCT04792983 -
Cognition and the Immunology of Postoperative Outcomes
|
||
Terminated |
NCT04612491 -
Pre-operative Consultation on Patient Anxiety and First-time Mohs Micrographic Surgery
|
||
Recruiting |
NCT06397287 -
PROM Project Urology
|
||
Recruiting |
NCT04444544 -
Quality of Life and High-Risk Abdominal Cancer Surgery
|
||
Completed |
NCT04204785 -
Noise in the OR at Induction: Patient and Anesthesiologists Perceptions
|
N/A | |
Completed |
NCT03432429 -
Real Time Tissue Characterisation Using Mass Spectrometry REI-EXCISE iKnife Study
|
||
Completed |
NCT04176822 -
Designing Animated Movie for Preoperative Period
|
N/A | |
Recruiting |
NCT05370404 -
Prescribing vs. Recommending Over-The-Counter (PROTECT) Analgesics for Patients With Postoperative Pain:
|
N/A | |
Not yet recruiting |
NCT05467319 -
Ferric Derisomaltose/Iron Isomaltoside and Outcomes in the Recovery of Gynecologic Oncology ERAS
|
Phase 3 | |
Recruiting |
NCT04602429 -
Children's Acute Surgical Abdomen Programme
|
||
Completed |
NCT03124901 -
Accuracy of Noninvasive Pulse Oximeter Measurement of Hemoglobin for Rainbow DCI Sensor
|
N/A | |
Completed |
NCT04595695 -
The Effect of Clear Masks in Improving Patient Relationships
|
N/A | |
Recruiting |
NCT06103136 -
Maestro 1.0 Post-Market Registry
|
||
Completed |
NCT05346588 -
THRIVE Feasibility Trial
|
Phase 3 | |
Completed |
NCT04059328 -
Novel Surgical Checklists for Gynecologic Laparoscopy in Haiti
|
||
Recruiting |
NCT03697278 -
Monitoring Postoperative Patient-controlled Analgesia (PCA)
|
N/A |