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Effect of the number of epoetin alpha injections on the hemoglobin level of anaemic patients eligible for elective orthopedic surgery

Completed
Conditions
anemia
10038158
10005944
Registration Number
NL-OMON45498
Lead Sponsor
Sint Maartenskliniek
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
45
Inclusion Criteria

Indication for treatment with epoetin alpha according to current guidelines and the opinion of the anaesthesiologists. Epoetin alpha is prescribed to patients with a preoperative Hb level between 10.0 * 13.0 g/dL, scheduled for elective orthopedic surgery with an expected blood loss of 900-1800 mL.

Exclusion Criteria

* Any contra-indication for the use of epoetin alpha (hypersensitivity to epoetin alpha or any component of the formulation, uncontrolled hypertension, pure red cell aplasia due to epoetin alpha)
* Myocardial infarction or cerebral vascular accident within 6 months before inclusion
* Serious coronary disease
* Sickle cell anemia
* Pregnancy or lactation
* Existing use of iron supplementation

Study & Design

Study Type
Observational invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
<p>The main study parameter is the increase in Hb concentration after each epoetin<br /><br>alpha injection on day -1 versus day -7 before surgery. </p><br>
Secondary Outcome Measures
NameTimeMethod
<p>Secundary study parameters are the increase in Hb concentration after each<br /><br>epoetin alpha injection on day -14, day -7 and on the day of surgery (day 0).<br /><br>Baseline Hb concentration will be measured on day -21, at the start of the<br /><br>treatment with epoetin alpha.<br /><br><br /><br>Safety will be assessed by registration of adverse events, such as nausea and<br /><br>influence-like symptoms.<br /><br>Adherence to the prescribed treatment (epoetin alpha plus iron) will be<br /><br>assessed by the Medication Adherence Report Scale (MARS) questionnaire. </p><br>
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