- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03561506
Effect of Preoperative Ferric Carboxymaltose After Simultaneous Bilateral Total Knee Arthroplasty
Effect of Preoperative Ferric Carboxymaltose After Simultaneous Bilateral Total Knee Arthroplasty : A Randomized, Controlled, Double-Blind Trial
Study Overview
Status
Intervention / Treatment
Detailed Description
Both preoperative and postoperative anaemia are common in patients undergoing total knee arthroplasty. Allogeneic RBC (red blood cell) transfusion and anaemia are related with higher postoperative mortality and morbidity. It is important to have a strategy of patient blood management.
Hb level of 13 g/dl in man and 12 g/dl in woman will be used as a cut-off value for our study based on the definition of anemia. 3 weeks before total knee arthroplasty for osteoarthritis, consented patients with preoperative anemia will be administered Ferinject® or placebo (normal saline) based on the results of randomization.
Study Group: Ferinject® administration as IV drip infusion or undiluted bolus injection with a minimum administration time of 15minutes (for 1000mg(milligram) single administration) for body weight ≥50 Kg (kilogram) or 6 minutes (for 500mg(milligram) single administration) for body weight <50Kg (kilogram) .
Control Group: Placebo in the form of normal saline administration as same time period as equivalent Ferinject® administration. IV drip infusion or undiluted bolus injection with a minimum administration time of 15 minutes (200mL(milliliter) as infusion or 20mL(milliliter) as bolus injection) for body weight ≥50 Kg(kilogram) or 6 minutes (100mL(milliliter) normal as infusion or 10mL(milliliter) as bolus injection) for body weight <50 Kg(kilogram).
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:
- > 18 years of age and signed written informed consent
- Patients scheduled to undergo major orthopaedic surgery (hip or knee arthroplasty or back surgery)
- Hb < 13.0 g/dl for men and Hb < 12.0 g/dl for women, at screening ( 3 weeks prior to surgery)
- Ferritin < 100 μg/l or 100-300 with transferrin saturation < 20%
Exclusion Criteria:
- Suspicion of iron overload (Ferritin >300 μg/l or/andtransferrin saturation >50%)
- Active severe infection/inflammation (defined as serum C reactive protein > 20 mg/l) or diagnosed malignancy
- Folate-and/or Vitamin B12 deficiency (according to local lab reference range)
- Known history of hepatitis B/C or HIV-positive
- Liver values 3 times higher than normal
- Immunosuppressive or myelosuppressive therapy
- A concurrent medical condition(s) that, in the view of the investigator, would prevent compliance or participation or jeopardize the health of the patients.
- Pregnancy or lactation
- Transfusion within 1 month prior to study inclusion, erythropoietin treatment with in the last 4 weeks, any iron treatment within 4 weeks prior to the inclusion in the trail
- Participation in any other therapeutic trial within the previous month
- History of thromboembolic events in the family or the patient
- Severe peripheral, coronary or carotid artery disease
- Bodyweight < 50 kg
- Patients not able to understand the German language
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Ferric carboxymaltose 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 .
|
Ferinject®to be administered as IV drip infusion or undiluted bolus injection to consented patients with preoperative anemia before total knee arthroplasty.
Other Names:
|
Active Comparator: Placebo 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.
|
Placebo(0.9%
Normal Saline) to be administered as IV drip infusion or bolus injection to consented patients with preoperative anemia before total knee arthroplasty.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Hb increase from baseline till day of surgery
Time Frame: Postoperative 8 weeks from baseline
|
Hb increase from baseline till day of surgery
|
Postoperative 8 weeks from baseline
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Percentage of patients requiring alternative anaemia management therapy
Time Frame: Percentage of patients requiring alternative anaemia management therapy up to 8weeks
|
Percentage of patients requiring alternative anaemia management therapy
|
Percentage of patients requiring alternative anaemia management therapy up to 8weeks
|
WOMAC(Western Ontario and McMaster University Arthritis Index ) scale
Time Frame: baseline and postoperative 2, 4, 8 weeks
|
WOMAC(Western Ontario and McMaster University Arthritis Index ) scale
|
baseline and postoperative 2, 4, 8 weeks
|
Brief pain inventory
Time Frame: baseline and postoperative 2, 4, 8 weeks
|
Brief pain inventory
|
baseline and postoperative 2, 4, 8 weeks
|
Self-reported patient assessment of EQ-5D (EuroQol-5 dimension )
Time Frame: baseline and postoperative 4, 8 weeks
|
Self-reported patient assessment of EQ-5D (EuroQol-5 dimension )
|
baseline and postoperative 4, 8 weeks
|
Collaborators and Investigators
Sponsor
Study record dates
Study Major Dates
Study Start (Anticipated)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Ferric Carboxymaltose
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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