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Interim Analysis and review by Data Safety Monitoring Board
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The purpose of this trial is to compare the safety profile using equal doses of intravenous iron dextran versus iron sucrose. The researchers hypothesize that significantly more patients receiving intravenous iron dextran (using the current intermediate molecular weight product) will have severe adverse outcomes than patients receiving iron sucrose in the adult non-hemodialysis outpatient population. Secondly, since these severe reactions may require additional nursing time and physician interventions that may negate any cost advantage of iron dextran, the researchers hypothesize that iron sucrose will be more cost-effective than iron dextran.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Iron Dextran | Active Comparator |
| |
| Iron Sucrose | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Iron dextran | Drug | 300mg in 250cc normal saline given over 2 hours |
|
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of severe adverse drug reactions (ADRs) | Immediate - during infusion |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of serious adverse drug reactions (ADRs) | Immediate and delayed - within 24hrs post infusion | |
| Incidence of anaphylactic/anaphylactoid ADRs | Immediate - during infusion | |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ian H Chin-Yee, MD, FRCPC | London Health Sciences Centre | Principal Investigator |
| Fiona E Ralley, MB ChB, FRCA | London Health Sciences Centre | Principal Investigator |
| Cyrus C Hsia, MD,FRCPC | London Health Sciences Centre | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| London Health Sciences Centre | London | Ontario | N6A 5W9 | Canada |
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| ID | Term |
|---|---|
| D018798 | Anemia, Iron-Deficiency |
| D000090463 | Iron Deficiencies |
| ID | Term |
|---|---|
| D000747 | Anemia, Hypochromic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| D007505 | Iron-Dextran Complex |
| D000077605 | Ferric Oxide, Saccharated |
| ID | Term |
|---|---|
| D056831 | Coordination Complexes |
| D009930 | Organic Chemicals |
| D003911 | Dextrans |
| D005936 | Glucans |
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| Iron sucrose | Drug | 300mg in 250cc normal saline given over 2 hours |
|
|
| Incidence of combined mild and moderate ADRs |
| Immediate - during infusion |
| Incidence of delayed ADRs | delayed - within 24hrs post infusion |
| Incidence of all-cause mortality | Immediate and delayed - within 24hrs post infusion |
| Physician and nursing time required to manage ADRs | Immediate and delayed - within 24hrs post infusion |
| Response in laboratory parameters | Within 1 month |
| Cost effectiveness | Completion of study |
| D019189 |
| Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D011134 |
| Polysaccharides |
| D002241 | Carbohydrates |
| D005290 | Ferric Compounds |
| D058085 | Iron Compounds |
| D007287 | Inorganic Chemicals |
| D005937 | Glucaric Acid |
| D013400 | Sugar Acids |
| D000144 | Acids, Acyclic |
| D002264 | Carboxylic Acids |
| D006880 | Hydroxy Acids |