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A Randomized Patient -Blind Controlled Phase III Study to Compare the Efficacy and Safety of Intravenous Ferric Carboxymaltose (Ferinject®) With Placebo in Patients With Acute Isovolemic Anemia After Gastrectomy


Phase 3
19 Years
N/A
Not Enrolling
Both
Anemia

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Trial Information

A Randomized Patient -Blind Controlled Phase III Study to Compare the Efficacy and Safety of Intravenous Ferric Carboxymaltose (Ferinject®) With Placebo in Patients With Acute Isovolemic Anemia After Gastrectomy


Randomized patient-blind placebo controlled study. Hb level of 10 g/dl will be used as a
cut-off value for our study based on the guidelines published by American Society of
Clinical Oncology and the American Society of Hematology for the treatment of cancer-related
anemia, recommending Hb<10 g/dl as a treatment threshold.

Ferinject® to be administered based on Hb and body weight per approved summary of product
characteristics (SmPC).

5 - 7 days after gastrectomy for gastric cancer, consented patients with 7g/dl≤Hb<10g/dl
will be administered Ferinject® or placebo (normal saline) based on the results of
randomization.

• Study Group Ferinject®to be administered as IV drip infusion or undiluted bolus injection
with a minimum administration time of 15minutes (for 1000mg single administration) for body
weight ≥50 Kg or 6 minutes (for 500mg single administration) for body weight <50Kg .

Note, Ferinject® should be administered to a maximum of 20mg iron/kg. Therefore in patients
with a body weight <50kg, administration of Ferinject® should be limited to 500mg at
baseline . All patients with a serum ferritin value <15ng/mL at week 4 visit that a second
dose (of 500mg iron or equivalent placebo) will be given.(Study group: Ferinject®500mg,
Control Group:Placebo)

• Control Group Placebo will be in the form of normal saline administered over same time
period as equivalent Ferinject® administration. IV drip infusion or undiluted bolus
injection with a minimum administration time of 15 minutes (200mL as infusion or 20mL as
bolus injection) for body weight ≥50 Kg or 6 minutes (100mL normal as infusion or 10mL as
bolus injection) for body weight <50 Kg.


Inclusion Criteria:



- ≥ 19 years old

- 7g/dl ≤ Hb < 10g/dl at 5 - 7 days after gastrectomy for gastric cancer

- signed written informed consent

Exclusion Criteria:

- a concurrent medical condition(s) that would prevent compliance or participation or
jeopardize the health of the patient

- hypersensitivity to any component of the formulation

- active severe infection/inflammation

- History of transfusion, erythropoietin, > 500 mg intravenous iron administration
within 4 weeks prior to screening.

- History of acquired iron overload.

- Pregnancy or lactation.

- Decreased renal function (defined as creatinine clearance < 50 mL/min calculated by
Cockcroft-Gault)

- Chronic liver disease or increase of liver enzymes (ALT, AST) > 3 times the upper
limit of normal range.

- Participation in any other interventional study within 1 month prior to screening.

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Outcome Measure:

• Number of responders

Outcome Description:

• Number of responders (Hb increase ≥2 g/dL with respect to the baseline Hb value and/or Hb ≥11g/dL ) by 12 weeks (independent of alternative anaemia management including transfusion or ESA use). Note, if patient requires an ESA or blood transfusion by week 12 will be considered a non-responder.

Outcome Time Frame:

12 weeks post baseline

Safety Issue:

No

Principal Investigator

Young Woo Kim, PhD

Investigator Role:

Principal Investigator

Investigator Affiliation:

National Cancer Center, Rep. of Korea

Authority:

Korea: Food and Drug Administration

Study ID:

NCCCTS-12-644

NCT ID:

NCT01725789

Start Date:

November 2012

Completion Date:

December 2013

Related Keywords:

  • Anemia
  • Acute isovolemic anemia after gastrectomy for gastic cancer
  • Anemia

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