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IRONCARE: Iron Treatment in Older Patients With Hip Fractures

19. juni 2026 oppdatert av: University of Aarhus

IRONCARE: Iron Treatment in Older Patients With Hip Fractures - A Double-blinded Placebo-controlled Randomized Trial

The aim of this study is to investigate the effects of intravenous (IV) iron therapy compared to alternate-day oral iron treatment and no supplementation in older patients with hip fractures. This study will examine the impact of iron treatment on fatigue, functional decline, fear of falling, cognitive impairment, and quality of life, as well as its effects on iron stores and hemoglobin levels, with the overall goal of improving postoperative rehabilitation.

The trial will be conducted on five different hospitals in the Central Region of Denmark (Region Midtjylland).

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Studietype

Intervensjonell

Registrering (Antatt)

528

Fase

  • Fase 4

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

  • Navn: Ole Vincent Ancker, MD
  • Telefonnummer: +4551322385
  • E-post: ole.ancker@rm.dk

Studer Kontakt Backup

Studiesteder

  • Danmark
      • Aarhus N, Danmark, 8200
        • Aarhus Univeristy Hospital
        • Ta kontakt med:
      • Herning, Danmark, 7400
        • Regional Hospital Gødstrup
        • Ta kontakt med:
      • Horsens, Danmark, 8700
        • Regional Hospital Horsens
        • Ta kontakt med:
      • Randers, Danmark, 8930
        • Regional Hospital Randers
        • Ta kontakt med:
      • Viborg, Danmark, 8800
        • Regional Hospital Viborg
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Eldre voksen

Tar imot friske frivillige

Nei

Beskrivelse

Inclusion Criteria:

  • Hip fracture (ICD-10 codes: DS720, DS721 and DS722)
  • Low energy trauma
  • Age ≥ 75 years
  • Hemoglobin ≤7.0 mmol/L (11 g/dL) during hospital admission

Exclusion Criteria:

  • Pathological fracture
  • Periprosthetic fracture
  • Inability to understand or speak Danish
  • Dysphagia and thus inability to swallow study medication
  • Signs of iron overload, hemochromatosis, or hemosiderosis
  • Liver disease (cirrhosis or hepatitis) and transaminase levels >3 times upper limit of normal
  • Known allergy to iron formulations
  • Severe asthma
  • Severe hypophosphatemia: <0.35 mmol/L
  • Patients already receiving iron supplementation that cannot be paused for the study period
  • Cognitive impairment that results in either memantine-treatment or a Short Portable Mental Status Questionnaire (SPMSQ) score > 4

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Firemannsrom

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Aktiv komparator: IV Iron
Intravenous iron once and placebo tablets on alternate days for 90 days
Legemiddel: Ferric Derisomaltose
Intravenous Ferric Derisomaltose shortly after surgery and placebo tablets on alternate days for 90 days
Legemiddel: Placebo Tablets
Placebo tablets on alternate days for 90 days
Aktiv komparator: Oral Iron
Intravenous sodium chloride once and ferro sulfate tablets on alternate days for 90 days
Legemiddel: Oral Iron (Ferrous sulphate)
Oral iron sulfate on alternate days for 90 days and IV placebo once shortly after surgery
Legemiddel: Placebo IV
100 ml Sodium Chloride (NaCl)
Placebo komparator: Placebo
Intravenous sodium chloride once and placebo tablets on alternate days for 90 days
Legemiddel: Placebo Tablets
Placebo tablets on alternate days for 90 days
Legemiddel: Placebo IV
100 ml Sodium Chloride (NaCl)

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Fatigue
Tidsramme: Baseline and days 30 and 90 after discharge
Measured by Multidimensional Fatigue Inventory tool (MFI-20). MFI-20 is a questionnaire of 20 questions answered on a 5-point scale from "yes, that is true" (1 point) to "no, that is not true" (5 points). A higher score indicates greater severity of fatigue.
Baseline and days 30 and 90 after discharge
Hemoglobin increment
Tidsramme: Baseline and days 30 and 90 after discharge
Defined as a change of level of a minimum of 1.24 mmol/L (2 g/dL). The level of hemoglobin will be measured with a venous blood sample
Baseline and days 30 and 90 after discharge
Safety profile
Tidsramme: Days 15, 30, 45 and 90 after discharge
Measured as the prevalence and severity of adverse events associated with iron treatment
Days 15, 30, 45 and 90 after discharge

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Physical function - NMS
Tidsramme: Baseline and days 30 and 90 after discharge

New Mobility score (NMS) is used to assess the participant's mobility. The participant will be asked three questions ranging from "no difficult and no walking aid" (3 points) to "not able to at all" (0 points).

The score ranges from 0 - 9 points. A higher score indicates a higher level of independent mobility.
Baseline and days 30 and 90 after discharge
Physical function - handgrip strength
Tidsramme: Baseline and days 30 and 90 after discharge.
Handgrip strength is measured by using a dynamometer that measures the pressure made from a hand grip on the dynamometer in kilograms. A higher score indicates higher handgrip strength.
Baseline and days 30 and 90 after discharge.
Physical function - 30 second sit-to-stand-test
Tidsramme: Baseline and days 30 and 90 after discharge.

30 second sit-to-stand-test is used as a parameter for strength, muscle power and dynamic balance.

The test is performed by placing a chair with the back against a wall. The participant must be seated on the chair with their arms crossed and are then encouraged to fully stand and sit as many times as possible in 30 seconds. If the arms are used to stand, the score will be 0.

A low score indicates low physical ability, and a higher score indicates high physical ability.
Baseline and days 30 and 90 after discharge.
Fear of Falling
Tidsramme: Days 30 and 90 after discharge
Measured by Short Fall Efficiency Scale-International which is a 7 questions questionnaire assessing the fear of falling from 7 points (low concern of falling) to 28 points (high concern of falling).
Days 30 and 90 after discharge
Quality of life
Tidsramme: Baseline and 90 days after discharge
European Quality of Life - 5 Dimensions (EQ-5D-5L) which is a standardized questionnaire used to evaluate health-related quality of life. There are 5 questions ranging from level 1 - 5 Level 1 indicates: no problems Level 2 indicates: slight problems Level 3 indicates: moderate problems Level 4 indicates: severe problems Level 5 indicates: extreme problems And lastly a visual analogue scale from 0 - 100 where 100 means the best health imaginable and 0 means the worst health imaginable.
Baseline and 90 days after discharge
Cognitive impairment
Tidsramme: Baseline and days 30 and 90 after discharge

Measured by Brief Assessment of Impaired Cognition (BASIC). The tool consists of three questions to the patient (0-6 points), word finding (0-5 points), categorized recalling of photos (0-8 points) and lastly three questions to a next of kin (0-6 points). A low score indicates impaired cognition.

In cases where no next of kins is available the conversion table is used of an estimated score according to the guidance from the Danish Dementia Research Centre.
Baseline and days 30 and 90 after discharge
Biochemical iron status - transferrin
Tidsramme: Baseline and on days 30 and 90 after discharge
p-transferrin (μmol/L) measured by a venous blood sample.
Baseline and on days 30 and 90 after discharge
Biochemical iron status - ferritin
Tidsramme: Baseline and on days 30 and 90 after discharge
p-ferritin (μg/L) measured by a venous blood sample
Baseline and on days 30 and 90 after discharge

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

University of Aarhus

Samarbeidspartnere

Aarhus University Hospital
Gødstrup Hospital
Regionshospitalet Horsens
Viborg Regional Hospital
Region MidtJylland Denmark
Randers Regional Hospital

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. oktober 2026

Primær fullføring (Antatt)

30. september 2028

Studiet fullført (Antatt)

30. september 2028

Datoer for studieregistrering

Først innsendt

9. juni 2026

Først innsendt som oppfylte QC-kriteriene

15. juni 2026

Først lagt ut (Faktiske)

22. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

24. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

19. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • IRONCARE-2026
  • 2026-526949-94-00 (Ctis)

Plan for individuelle deltakerdata (IPD)

Planlegger du å dele individuelle deltakerdata (IPD)?

JA

IPD-planbeskrivelse

Upon relevant request

Legemiddel- og utstyrsinformasjon, studiedokumenter

Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

Studerer et amerikansk FDA-regulert enhetsprodukt

Nei

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