RecruitingPhase 3NCT05462704

Intravenous Versus Oral Iron for Treating Iron-Deficiency Anemia in Pregnancy

Double-blind Placebo-controlled Multicenter Randomized Trial of Intravenous Versus Oral Iron for Treating Iron-Deficiency Anemia in Pregnancy


Sponsor

Women and Infants Hospital of Rhode Island

Enrollment

300 participants

Start Date

Jan 17, 2023

Study Type

INTERVENTIONAL

Summary

Double blind, placebo controlled, multicenter randomized trial in pregnant women in the U.S. (N=300) to test the central hypothesis that IV iron in pregnant women with IDA (Hb\<11 g/dL and ferritin\<30 ng/mL) at 13 - 30 weeks will be effective, safe and cost-effective in reducing severe maternal morbidity-as measured by maternal anemia at delivery-and will also improve offspring neurodevelopment.


Eligibility

Sex: FEMALEMin Age: 18 YearsMax Age: 45 Years

Inclusion Criteria5

  • Pregnant women between the ages of 18-45
  • Singleton gestation
  • Iron-deficiency anemia (serum ferritin <30ng/mL and Hb<11 g/dL)
  • At 13-30 weeks gestation
  • Plan to deliver at participating hospital

Exclusion Criteria6

  • Non-iron-deficiency anemia e.g thalassemia, sickle cell disease, B12 or folate deficiency, hypersplenism.
  • Malabsorptive syndrome, inflammatory bowel disease, gastric bypass, or sensitivity to oral or IV iron
  • Multiple gestation
  • Inability or unwillingness to provide informed consent
  • Inability to communicate with members of the study team, despite the presence of an interpreter
  • Planned delivery at a non-study affiliated hospital

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Interventions

DRUGFerric derisomaltose

Participants assigned to the IV iron group will receive a single IV infusion of 1000 mg ferric derisomaltose (Monoferric, Pharmacosmos Therapeutics Inc., Morristown, NJ) in 250 mL given over 20 minutes.

DRUGFerrous sulfate

325mg ferrous sulfate tablets (65 mg of elemental iron), 1 to 3 orally per day.


Locations(8)

University of Alabama Medical Center

Birmingham, Alabama, United States

GNP Research at Heme-on-Call

Miami, Florida, United States

Michigan University Medical Center

Ann Arbor, Michigan, United States

Washington University Medical Center

St Louis, Missouri, United States

Oregon Health and Sciences Uiversity Medical Center

Portland, Oregon, United States

Hasbro Children's Hospital

Providence, Rhode Island, United States

Women & Infants Hospital of Rhode Island

Providence, Rhode Island, United States

University of Utah Hospital

Salt Lake City, Utah, United States

View Full Details on ClinicalTrials.gov

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NCT05462704