- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02939794
The Effect of Ferric Carboxymaltose on Hemoglobin and Blood Transfusion in Cardiac Surgery
The Effect of Intra Venus Ferric Carboxymaltose Preoperative on Hemoglobin and Blood Transfusion Post Cardiac Surgery
Anemia after cardiac surgery is a vast phenomena. More than 70% of the patients who under went surgery represented with hemoglobin less than 8 mg/dl (the cutoff for blood transfusion) and more than 80% of the patients receives at least one unit of red blood cell transfusion.
There were number of attempts to prevent the postoperative anemia by giving erythropoietin, Iron per os and intra venus iron. non of the above have shown increase in Hemoglobin after the cardiac surgery.
Study Overview
Detailed Description
Research Objectives
The study objectives are:
- Determine hemoglobin values in non-anemic patients given ferric Carboxymaltose prior to and post heart surgery.
- Determine the effect of ferric Carboxymaltose in non-anemic patients prior to surgery on the number of blood units administer postoperation.
Research Methods Prospective, randomized, double-blind, placebo-controlled research. All patients who are in the cardiac surgery department for bypass surgery, valve replacement surgery or combined surgery will be eligible to participate in the study. The study will be presented and explained to all patients and, if they consent, patients will be divided into two random groups. One group will receive Ferinject IV 24-48 hours prior to surgery. The second group will receive a placebo drug in the same time period as when the drug Ferinject is administered.
The Population Studied All patients aged 18 or older hospitalized at the Rambam Medical Center and are candidates for open-heart surgery (coronary artery bypass, valve, combined).
Study Type
Enrollment (Anticipated)
Phase
- Phase 4
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Age 18 and older
- Patient candidates for open heart surgery (coronary artery bypass, valve replacement, or a combination of both).
- Hemoglobin above 12g/dL in women and above than 13g\dL in men.
Exclusion Criteria:
- Patients who require emergency heart surgery.
- Patients who are not hemodynamically stable or intubated pre-operatively.
- Patients with a known sensitivity to iron.
- Patients with a known history of allergies (rashes, etc.).
- Patients with liver failure (alanine aminotransferase> 3 times normal).
- Patients with cirrhosis.
- Patients with an active infection.
- Patients with rheumatoid arthritis and indications of an active infection.
- Pregnant women.
- Lactating women.
- Patients with anemia prior to surgery for any reason (B12 deficiency or folic acid deficiency).
- Patients participating in another drug trial.
- Patients treated with iron who took medication within the four weeks prior to surgery.
- Patients who received a blood transfusion in the four weeks prior to surgery.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: TREATMENT
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: DOUBLE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
ACTIVE_COMPARATOR: ferinject
-Patients will receive 1000 mg of a ferric carboxymaltose (Ferinject type) intravenously approximately 24 hours prior to surgery
|
1000 mg of a ferric carboxymaltose (Ferinject type) intravenously approximately 24 hours prior to surgery
Other Names:
|
PLACEBO_COMPARATOR: placebo
Patients will receive a placebo drug intravenous approximately 24 hours before surgery
|
Saline (normal saline, sodium chloride)
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
In order to determine the effect of ferric Carboxymaltose in non-anemic patients prior to surgery on the number of blood units administer postoperation, we will count the number of red packed cells and hemoglobin will be measured in gr\dl%
Time Frame: 2 years
|
• All patients post heart surgery will be admitted to the intensive care unit cardiac surgery for a minimum of 48 hours.
The unit has regular and routine monitoring for blood tests (blood chemistry panel, coagulation) and blood gases.
|
2 years
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start
Primary Completion (ANTICIPATED)
Study Completion (ANTICIPATED)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (ESTIMATE)
Study Record Updates
Last Update Posted (ESTIMATE)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Other Study ID Numbers
- 105-02
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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