TMP0916-02_IDA I, Iron Defciency Anemia in PreOP patients

  • Research type

    Research Study

  • Full title

    Randomised, open lable, active controlled clinical trial to demonstrate safety and efficacy of an i.v. administration of Polyglucoferron compared to i.v. Ferric Carboxymaltose and oral iron substitution in preoperative treatment of iron deficiency anaemia in patients with elective non-cardiac surgery (IDA I)

  • IRAS ID

    252546

  • Contact name

    Ravishankar Raobaikady

  • Contact email

    ravishankar.raobaikady@rmh.nhs.uk

  • Sponsor organisation

    Fraunhofer Gesellschaft for its Institute Fraunhofer IME

  • Eudract number

    2017-003416-38

  • Duration of Study in the UK

    0 years, 10 months, 12 days

  • Research summary

    Iron deficiency and consequent postoperative (after operation) anaemia (disorder of blood formation), when left untreated, dramatically increases the risk of complications and mortality from surgical procedures. Amongst others, postoperative anaemia is dependent on preoperative (before operation) iron status and is associated with an increased risk of morbidity and mortality. Therefore, early diagnosis and treatment of iron deficiency anaemia is of great importance to optimize the postoperative outcome. Observational studies have shown that the presence of IDA is associated with an increased risk of morbidity and mortality during and after surgery. Therefore diagnosing and treating IDA early before (pre-operative) or after surgery is of great importance. Therefore, we would like to investigate if an iron substitution through the vein may have a stronger effect on IDA with better tolerability and shorten overall treatment duration.

    In this trial 407 patients, aged 18 years or older with iron deficiency anaemia (IDA) prior to elective non-cardiac surgery who need fast replenishment of iron as judged by the treating physician, e.g. when it is not appropriate to postpone surgery. Patients will receive one of the three iron therapies either Polyglucoferron (infusion into the vein), Ferric Carboxymaltose (infusion into the vein) or oral iron tablets. The participtaion per patient will last approximately 10 weeks.

    The study is sponsored by the Fraunhofer IME, represented by Dr. Frank Behrens, head of the Fraunhofer branch for Translational Medicine and Pharmacology (TMP) in Frankfurt/Main, Germany. The Fraunhofer branch for TMP works closely with the Department of Anaesthesiology, Intensive Medicine and Pain Therapy at the University Hospital Frankfurt (Germany). The study is financially supported by Iron4U, located in Denmark. The Clinical Care Unit (CCU) and Anaesthetics department of The Royal Marsden NHS Foundation Trust located in Lonon, UK, will also co-investigate this study.

  • REC name

    South Central - Oxford A Research Ethics Committee

  • REC reference

    19/SC/0270

  • Date of REC Opinion

    25 Sep 2020

  • REC opinion

    Further Information Favourable Opinion