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临床试验/NCT04627181
NCT04627181Unknown4 期

The Role Of IV Iron (Ferric Carboxymaltose) And IM Vitamin B12 (Hydroxycobalamin) Supplementation In The Management Of Anaemic Prevalent Indian Hemodialysis Patients: A Parallel Group, Quadruple Blind, Placebo-Controlled, Pragmatic Randomized Control Trial With 2x2 Factorial Design

Christian Medical College, Vellore, India1 个研究点 分布在 1 个国家目标入组 100 人开始时间: 2020年11月18日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
4 期
发起方
入组人数
100
试验地点
1
主要终点
Mean haemoglobin

研究概览

简要总结

A parallel group, quadruple blind, placebo-controlled, randomized control trial with 2x2 factorial design to determine the effect of simultaneous IV ferric carboxymaltose and IM hydroxycobalamin supplementation in anemic Indian HD patients

研究设计

研究类型
Interventional
分配方式
Randomized
干预模型
Factorial
主要目的
Treatment
盲法
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

入排标准

年龄范围
18 Years 至 90 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • All adult prevalent HD patients on HD for at least 3 months with hemoglobin < 11 g/dL

排除标准

  • Blood transfusion, blood loss, infection, surgery or change in haemoglobin by > 1 g/dL in the last 1 month
  • Hemoglobinopathy
  • Cirrhosis
  • Hematological malignancy or myeloproliferative disorder
  • HIV, HBV or HCV infection
  • Any chronic inflammatory disorder
  • IV iron or oral/IM B12 received in the last 3 months
  • Severe hyperparathyroidism (intact parathyroid hormone > 1,000 pg/mL)
  • Pregnancy
  • Age < 18 years
  • History of asthma or eczema, any history of drug allergy, including allergy to iron preparations
  • History of exposure to chemotherapy or cytotoxic drugs - 5-FU, hydroxyurea, hydroxycarbamide, methotrexate, trimethoprim, colchicine, azathioprine
  • History of G-CSF use in the last 1 month
  • General anaesthesia with nitrous oxide in the last 1 month

研究组 & 干预措施

B12 + placebo

Experimental
  1. Hydroxycobalamine: Single dose, 1000 mcg
  2. Placebo: Single dose

干预措施: Placebo (Drug)

FCM + placebo

Experimental
  1. Ferric carboxymaltose: Single dose, 500 mg
  2. Placebo: Single dose

干预措施: Ferric carboxymaltose (Drug)

FCM + placebo

Experimental
  1. Ferric carboxymaltose: Single dose, 500 mg
  2. Placebo: Single dose

干预措施: Placebo (Drug)

B12 + placebo

Experimental
  1. Hydroxycobalamine: Single dose, 1000 mcg
  2. Placebo: Single dose

干预措施: Hydroxycobalamin (Drug)

FCM +B12

Experimental
  1. Ferric carboxymaltose: Single dose, 500 mg
  2. Hydroxycobalamine: Single dose, 1000 mcg

干预措施: Ferric carboxymaltose (Drug)

FCM +B12

Experimental
  1. Ferric carboxymaltose: Single dose, 500 mg
  2. Hydroxycobalamine: Single dose, 1000 mcg

干预措施: Hydroxycobalamin (Drug)

Placebo + placebo

Placebo Comparator
  1. Placebo: Single dose
  2. Placebo: Single dose

干预措施: Placebo (Drug)

结局指标

主要结局

Mean haemoglobin

时间窗: 30 days

Mean haemoglobin measured 30 days after the intervention

次要结局

  • Sensitivity and specificity of baseline automated red cell indices, peripheral smear red cell indices, and iron indices for diagnosis of iron deficiency(Baseline)
  • Optimum cutoff for baseline automated red cell indices for the diagnosis of iron deficiency anemia using ROC curve analysis(Baseline)
  • Sensitivity and specificity of baseline peripheral blood smear hypochromia, peripheral blood smear anisocytosis and automated red cell indices for the diagnosis of iron deficiency anemia in participants with TSAT < 30% and TSAT > =30%.(Baseline)
  • Sensitivity and specificity of baseline peripheral smear neutrophil hypersegmentation and cell population data for the diagnosis of B12 deficiency.(Baseline)
  • Optimum cutoff of cell population data for the diagnosis of B12 deficiency using ROC curve analysis(Baseline)
  • Adverse effects of IV ferric carboxymaltose and IM hydroxycobalamin therapy(Day 0)

研究者

发起方
Christian Medical College, Vellore, India
申办方类型
Other
责任方
Sponsor

研究点 (1)

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