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To evaluate the efficacy and safety of intravenous (IV) ferumoxytol compared with placebo for the treatment of iron deficiency anemia (IDA).
This Phase III, randomized, double-blind, placebo-controlled, multicenter clinical study evaluated the safety and efficacy of ferumoxytol compared with placebo for the treatment of IDA, specifically in adult patients with IDA who have a history of unsatisfactory oral iron therapy or in whom oral iron could not be used. The effect of ferumoxytol on hemoglobin, iron parameters and patient reported outcomes (PROs) compared with placebo was evaluated. Investigators were blinded to key laboratory parameters that could potentially unblind the treatment arms of the study, eg, hemoglobin [Hgb], hematocrit [Hct], iron, ferritin, total iron binding capacity [TIBC], and transferrin saturation [TSAT], and neither the Investigators nor the subjects were aware of their treatment assignment, hemoglobin or other laboratory values.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ferumoxytol | Experimental | Participants received a total of 2 doses of IV ferumoxytol 510 milligrams (mg) (17 milliliters [mL]). The first IV 510 mg dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose, for a total cumulative dose of 1.02 grams (g). |
|
| Placebo | Placebo Comparator | Participants received a total of 2 doses of IV saline (17 mL). The first IV dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ferumoxytol | Drug | IV Ferumoxytol |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Participants Who Achieved A ≥2.0 g/dL Increase In Hemoglobin At Any Time From Baseline To Week 5 | Participants who achieved a ≥2.0 g/dL increase in hemoglobin at any time from Baseline up to Week 5 are presented. Increase in hemoglobin at any time from Baseline up to Week 5 was calculated for each participant based on: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. Participants with no post-Baseline hemoglobin values were classified as not achieving a ≥2.0 g/dL increase. Statistical analysis was performed for data up to Week 5 only. | Baseline (Day 1) through Week 5 |
| Measure | Description | Time Frame |
|---|---|---|
| Mean Change In Hemoglobin From Baseline To Week 5 | Mean change in hemoglobin from Baseline to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 hemoglobin value was missing, the change from Baseline was imputed to be zero. Participants without any post-Baseline hemoglobin values were treated as non-responders. |
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Key Inclusion Criteria include:
Males and females ≥18 years of age
Participants with IDA defined as having:
Participants who have a history of unsatisfactory oral iron therapy or in whom oral iron cannot be used
Female participants of childbearing potential who are sexually active must be on an effective method of birth control for at least 1 month prior to screening and agree to remain on birth control until completion of participation in the study
Key Exclusion Criteria include:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinical Trial Site | Birmingham | Alabama | United States | |||
| Clinical Trial Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 23983177 | Background | Vadhan-Raj S, Strauss W, Ford D, Bernard K, Boccia R, Li J, Allen LF. Efficacy and safety of IV ferumoxytol for adults with iron deficiency anemia previously unresponsive to or unable to tolerate oral iron. Am J Hematol. 2014 Jan;89(1):7-12. doi: 10.1002/ajh.23582. Epub 2013 Sep 30. |
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The study was open to enrollment for adult participants with iron deficiency anemia (IDA), defined as hemoglobin <10.0 gram (g)/deciliter (dL) and transferrin saturation (TSAT) <20%, and a history of unsatisfactory oral iron therapy or in whom oral iron could not be used.
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| ID | Title | Description |
|---|---|---|
| FG000 | Ferumoxytol | Participants received a total of 2 doses of intravenous (IV) ferumoxytol 510 milligrams (mg) (17 milliliters [mL]). The first IV 510 mg dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose, for a total cumulative dose of 1.02 g. |
| FG001 |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Other | IV Placebo |
|
| Baseline (Day 1), Week 5 |
| Participants Achieving A Hemoglobin Level ≥12.0 g/dL At Any Time From Baseline To Week 5 | Participants who achieved a ≥12.0 g/dL hemoglobin level at any time from Baseline up to Week 5 are presented. Increase in hemoglobin at any time from Baseline up to Week 5 was calculated for each participant based on: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. Participants without any post-Baseline hemoglobin values were treated as non-responders. | Baseline (Day 1) through Week 5 |
| Mean Change In TSAT From Baseline To Week 5 | Mean change in TSAT from Baseline to Week 5 was calculated for each participant as: TSAT Change = TSAT (Week 5) - TSAT (Baseline). TSAT, measured as a percentage, was part of the iron panel laboratory evaluations. Of the transferrin available to bind iron, this value indicates how much serum iron is bound. For example, a value of 20% means that 20% of iron-binding sites of transferrin are being occupied by iron. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 TSAT value was missing, the change from Baseline was imputed to be zero. | Baseline (Day 1), Week 5 |
| Mean Change In Functional Assessment Of Chronic Illness Therapy (FACIT)-Fatigue Score From Baseline To Week 5 | The FACIT-Fatigue questionnaire is a 13-item questionnaire designed and validated to specifically assess the presence and impact of treatment on fatigue and related symptoms, such as tiredness, on health-related quality of life in anemic participants with cancer. The questionnaire has 13 items, each measured on a 4-point Likert scale. Scoring ranges from 0 (the most fatigued) to 52 (the least fatigued) points, with higher scores representing better functioning or less fatigue. Mean change in FACIT-Fatigue Score from Baseline to Week 5 was calculated for each participant as: FACIT-Fatigue Score Change = FACIT-Fatigue Score (Week 5) - FACIT-Fatigue Score (Baseline). Baseline was defined as the Day 1 value (prior to first dose of study drug).The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 FACIT-Fatigue Score value was missing, the change from Baseline was imputed to be zero. | Baseline (Day 1), Week 5 |
| Time To Hemoglobin Increase Of ≥2.0 g/dL Or A Hemoglobin Value Of ≥12.0 g/dL From Baseline | The time to hemoglobin increase of ≥2.0 g/dL or hemoglobin value of ≥12.0 g/dL was defined as the days from Baseline (Day 1) to the first time the participant had an increase in hemoglobin of ≥2.0 g/dL or hemoglobin value of ≥12.0 g/dL, and was calculated using a Kaplan-Meier curve. Participants who did not have a hemoglobin increase of ≥2.0 g/dL or to a hemoglobin level ≥12.0 g/dL were censored at their last visit day. Participants without any post-Baseline study visits were not included. | From Baseline (Day 1) up to Week 5 |
| Mobile |
| Alabama |
| United States |
| Clinical Trial Site | Montgomery | Alabama | 36106 | United States |
| Clinical Trial Site | Montgomery | Alabama | United States |
| Clinical Trial Site | Green Valley | Arizona | United States |
| Clinical Trial Site | Phoenix | Arizona | 85032 | United States |
| Clinical Trial Site | Phoenix | Arizona | United States |
| Clinical Trial Site | Tucson | Arizona | 85710 | United States |
| Clinical Trial Site | Tucson | Arizona | United States |
| Clinical Trial Site | Alhambra | California | United States |
| Clinical Trial Site | Anaheim | California | United States |
| Clinical Trial Site | Bakersfield | California | United States |
| Clinical Trial Site | Buena Park | California | United States |
| Clinical Trial Site | Colton | California | United States |
| Clinical Trial Site | Fresno | California | United States |
| Clinical Trial Site | Glendale | California | United States |
| Clinical Trial Site | Laguna Hills | California | 92653 | United States |
| Clinical Trial Site | Laguna Hills | California | United States |
| Clinical Trial Site | Lakewood | California | United States |
| Clinical Trial Site | Los Angeles | California | 90036 | United States |
| Clinical Trial Site | Los Angeles | California | 90057 | United States |
| Clinical Trial Site | Los Angeles | California | United States |
| Clinical Trial Site | Mission Hills | California | United States |
| Clinical Trial Site | Orange | California | United States |
| Clinical Trial Site | San Diego | California | 92103 | United States |
| Clinical Trial Site | San Diego | California | 92123 | United States |
| Clinical Trial Site | San Diego | California | United States |
| Clinical Trial Site | Pueblo | Colorado | United States |
| Clinical Trial Site | Bristol | Connecticut | United States |
| Clinical Trial Site | Groton | Connecticut | United States |
| Clinical Trial Site | Newark | Delaware | United States |
| Clinical Trial Site | Boynton Beach | Florida | 33426 | United States |
| Clinical Trial Site | Boynton Beach | Florida | United States |
| Clinical Trial Site | Clearwater | Florida | 33759 | United States |
| Clinical Trial Site | Clearwater | Florida | United States |
| Clinical Trial Site | Hialeah | Florida | United States |
| Clinical Trial Site | Holiday | Florida | United States |
| Clinical Trial Site | Inverness | Florida | United States |
| Clinical Trial Site | Margate | Florida | United States |
| Clinical Trial Site | Miami | Florida | 33126 | United States |
| Clinical Trial Site | Miami | Florida | 33143 | United States |
| Clinical Trial Site | Miami | Florida | 33144 | United States |
| Clinical Trial Site | Miami | Florida | 33175 | United States |
| Clinical Trial Site | Miami | Florida | United States |
| Clinical Trial Site | Miami Lakes | Florida | United States |
| Clinical Trial Site | Naples | Florida | United States |
| Clinical Trial Site | Ocala | Florida | United States |
| Clinical Trial Site | Vero Beach | Florida | United States |
| Clinical Trial Site | Wellington | Florida | 33414 | United States |
| Clinical Trial Site | Wellington | Florida | United States |
| Clinical Trial Site | West Palm Beach | Florida | United States |
| Clinical Trial Site | Winter Park | Florida | United States |
| Clinical Trial Site | Zephyrhills | Florida | United States |
| Clinical Trial Site | Atlanta | Georgia | 30308 | United States |
| Clinical Trial Site | Atlanta | Georgia | 30342 | United States |
| Clinical Trial Site | Atlanta | Georgia | United States |
| Clinical Trial Site | Columbus | Georgia | United States |
| Clinical Trial Site | Decatur | Georgia | United States |
| Clinical Trial Site | Dublin | Georgia | United States |
| Clinical Trial Site | Rome | Georgia | United States |
| Clinical Trial Site | Sandy Springs | Georgia | United States |
| Clinical Trial Site | Savannah | Georgia | United States |
| Clinical Trial Site | Stockbridge | Georgia | United States |
| Clinical Trial Site | Aurora | Illinois | United States |
| Clinical Trial Site | Chicago | Illinois | 60611 | United States |
| Clinical Trial Site | Chicago | Illinois | United States |
| Clinical Trial Site | Evergreen Park | Illinois | United States |
| Clinical Trial Site | Skokie | Illinois | 60076 | United States |
| Clinical Trial Site | Skokie | Illinois | United States |
| Clinical Trial Site | Springfield | Illinois | United States |
| Clinical Trial Site | Indianapolis | Indiana | United States |
| Clinical Trial Site | Wichita | Kansas | United States |
| Clinical Trial Site | New Orleans | Louisiana | United States |
| Clinical Trial Site | Bethesda | Maryland | United States |
| Clinical Trial Site | Hollywood | Maryland | United States |
| Clinical Trial Site | Prince Frederick | Maryland | United States |
| AMAG Pharmaceuticals, Inc. | Waltham | Massachusetts | 02451 | United States |
| Clinical Trial Site | Bay City | Michigan | 48706 | United States |
| Clinical Trial Site | Bay City | Michigan | United States |
| Clinical Trial Site | Saginaw | Michigan | United States |
| Clinical Trial Site | Wyoming | Michigan | United States |
| Clinical Trial Site | Kansas City | Missouri | United States |
| Clinical Trial Site | Las Vegas | Nevada | United States |
| Clinical Trial Site | Lawrenceville | New Jersey | United States |
| Clinical Trial Site | Neptune City | New Jersey | United States |
| Clinical Trial Site | Plainsboro | New Jersey | United States |
| Clinical Trial Site | Somerville | New Jersey | United States |
| Clinical Trial Site | Voorhees Township | New Jersey | United States |
| Clinical Trial Site | Albuquerque | New Mexico | United States |
| Clinical Trial Site | Brooklyn | New York | United States |
| Clinical Trial Site | Goshen | New York | United States |
| Clinical Trial Site | New York | New York | 10038 | United States |
| Clinical Trial Site | New York | New York | United States |
| Clinical Trial Site | Raleigh | North Carolina | United States |
| Clinical Trial Site | Wilmington | North Carolina | United States |
| Clinical Trial Site | Winston-Salem | North Carolina | United States |
| Clinical Trial Site | Bismarck | North Dakota | United States |
| Clinical Trial Site | Akron | Ohio | United States |
| Clinical Trial Site | Beavercreek | Ohio | United States |
| Clinical Trial Site | Canton | Ohio | United States |
| Clinical Trial Site | Carlisle | Ohio | United States |
| Clinical Trial Site | Cincinnati | Ohio | 45202 | United States |
| Clinical Trial Site | Cincinnati | Ohio | United States |
| Clinical Trial Site | Columbus | Ohio | United States |
| Clinical Trial Site | Dayton | Ohio | United States |
| Clinical Trial Site | Marion | Ohio | 43302 | United States |
| Clinical Trial Site | Marion | Ohio | United States |
| Clinical Trial Site | Mentor | Ohio | United States |
| Clinical Trial Site | Middletown | Ohio | United States |
| Clinical Trial Site | Zanesville | Ohio | United States |
| Clinical Trial Site | Norman | Oklahoma | United States |
| Clinical Trial Site | Jenkintown | Pennsylvania | United States |
| Clinical Trial Site | Levittown | Pennsylvania | United States |
| Clinical Trial Site | East Providence | Rhode Island | United States |
| Clinical Trial Site | Columbia | South Carolina | United States |
| Clinical Trial Site | Greer | South Carolina | United States |
| Clinical Trial Site | Myrtle Beach | South Carolina | United States |
| Clinical Trial Site | North Charleston | South Carolina | United States |
| Clinical Trial Site | Orangeburg | South Carolina | United States |
| Clinical Trial Site | Rapid City | South Dakota | United States |
| Clinical Trial Site | Nashville | Tennessee | United States |
| Clinical Trial Site | Arlington | Texas | United States |
| Clinical Trial Site | Dallas | Texas | United States |
| Clinical Trial Site | Houston | Texas | 77030 | United States |
| Clinical Trial Site | Houston | Texas | 77074 | United States |
| Clinical Trial Site | Houston | Texas | United States |
| Clinical Trial Site | Laredo | Texas | United States |
| Clinical Trial Site | Longview | Texas | United States |
| Clinical Trial Site | San Antonio | Texas | 78205 | United States |
| Clinical Trial Site | San Antonio | Texas | 78209 | United States |
| Clinical Trial Site | San Antonio | Texas | 78229 | United States |
| Clinical Trial Site | San Antonio | Texas | 78258 | United States |
| Clinical Trial Site | San Antonio | Texas | United States |
| Clinical Trial Site | Spring | Texas | United States |
| Clinical Trial Site | Orem | Utah | United States |
| Clinical Trial Site | Chesapeake | Virginia | United States |
| Clinical Trial Site | Norfolk | Virginia | United States |
| Clinical Trial Site | Vancouver | British Columbia | Canada |
| Clinical Trial Site | Saint John | New Brunswick | Canada |
| Clinical Trial Site | London | Ontario | Canada |
| Clinical Trial Site | Scarborough Village | Ontario | Canada |
| Clinical Trial Site | Thornhill | Ontario | Canada |
| Clinical Trial Site | Vaughan | Ontario | Canada |
| Clinical Trial Site | Pointe-Claire | Quebec | Canada |
| Clinical Trial Site | Békéscsaba | Hungary |
| Clinical Trial Site | Gyula | Hungary |
| Clinical Trial Site | Komárom | Hungary |
| Clinical Trial Site | Szekszárd | Hungary |
| Clinical Trial Site | Vác | Hungary |
| Clinical Trial Site | Hyderabad | Andhra Pradesh | India |
| Clinical Trial Site | Secunderabad | Andhra Pradesh | India |
| Clinical Trial Site | Visakhapatnam | Andhrapradesh | India |
| Clinical Trial Site | Guwahati | Assam | India |
| Clinical Trial Site | Bangalore | Karnataka | 560002 | India |
| Clinical Trial Site | Bangalore | Karnataka | India |
| Clinical Trial Site | Mangalore | Karnataka | India |
| Clinical Trial Site | Aurangabad | Maharashtra | India |
| Clinical Trial Site | Nagpur | Maharashtra | India |
| Clinical Trial Site | Nashik | Maharashtra | India |
| Clinical Trial Site | Pune | Maharashtra | India |
| Clinical Trial Site | Jaipur | Rajasthan | 302001 | India |
| Clinical Trial Site | Jaipur | Rajasthan | 302013 | India |
| Clinical Trial Site | Chennai | Tamil Nadu | 600096 | India |
| Clinical Trial Site | Chennai | Tamil Nadu | India |
| Clinical Trial Site | Coimbatore | Tamil Nadu | India |
| Clinical Trial Site | Madurai | Tamil Nadu | India |
| Clinical Trial Site | Lucknow | Uttar Pradesh | 226003 | India |
| Clinical Trial Site | Lucknow | Uttar Pradesh | India |
| Clinical Trial Site | Daugavpils | Latvia |
| Clinical Trial Site | Riga | LV-1002 | Latvia |
| Clinical Trial Site | Riga | LV-1005 | Latvia |
| Clinical Trial Site | Riga | LV-1006 | Latvia |
| Clinical Trial Site | Riga | LV-1010 | Latvia |
| Clinical Trial Site | Valmiera | LV-4201 | Latvia |
| Clinical Trial Site | Ventspils | LV-3601 | Latvia |
| Clinical Trial Site | Ventspils | Latvia |
| Clinical Trial Site | Bialystok | Poland |
| Clinical Trial Site | Sopot | Poland |
| Clinical Trial Site | Warsaw | 02-341 | Poland |
| Clinical Trial Site | Warsaw | 03-580 | Poland |
| Clinical Trial Site | Wroclaw | Poland |
| Clinical Trial Site | Zgierz | Poland |
| Placebo |
Participants received a total of 2 doses of IV saline (17 mL). The first IV dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose. |
| Received at Least 1 Dose of Study Drug |
|
| COMPLETED | Completed is defined as had study drug and Week 5 visit. |
|
| NOT COMPLETED |
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|
Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment.
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| ID | Title | Description |
|---|---|---|
| BG000 | Ferumoxytol | Participants received a total of 2 doses of IV ferumoxytol 510 mg (17 mL). The first IV 510 mg dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose, for a total cumulative dose of 1.02 g. |
| BG001 | Placebo | Participants received a total of 2 doses of IV saline (17 mL). The first IV dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Participants Who Achieved A ≥2.0 g/dL Increase In Hemoglobin At Any Time From Baseline To Week 5 | Participants who achieved a ≥2.0 g/dL increase in hemoglobin at any time from Baseline up to Week 5 are presented. Increase in hemoglobin at any time from Baseline up to Week 5 was calculated for each participant based on: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. Participants with no post-Baseline hemoglobin values were classified as not achieving a ≥2.0 g/dL increase. Statistical analysis was performed for data up to Week 5 only. | Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Count of Participants | Participants | Baseline (Day 1) through Week 5 |
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| Secondary | Mean Change In Hemoglobin From Baseline To Week 5 | Mean change in hemoglobin from Baseline to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 hemoglobin value was missing, the change from Baseline was imputed to be zero. Participants without any post-Baseline hemoglobin values were treated as non-responders. | Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Mean | Standard Deviation | g/dL | Baseline (Day 1), Week 5 |
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| Secondary | Participants Achieving A Hemoglobin Level ≥12.0 g/dL At Any Time From Baseline To Week 5 | Participants who achieved a ≥12.0 g/dL hemoglobin level at any time from Baseline up to Week 5 are presented. Increase in hemoglobin at any time from Baseline up to Week 5 was calculated for each participant based on: Hemoglobin Change = Hemoglobin (Week X) - Hemoglobin (Baseline), where Week X was any post-Baseline visit up to and including Week 5. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. Participants without any post-Baseline hemoglobin values were treated as non-responders. | ITT Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Count of Participants | Participants | Baseline (Day 1) through Week 5 |
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| Secondary | Mean Change In TSAT From Baseline To Week 5 | Mean change in TSAT from Baseline to Week 5 was calculated for each participant as: TSAT Change = TSAT (Week 5) - TSAT (Baseline). TSAT, measured as a percentage, was part of the iron panel laboratory evaluations. Of the transferrin available to bind iron, this value indicates how much serum iron is bound. For example, a value of 20% means that 20% of iron-binding sites of transferrin are being occupied by iron. Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 TSAT value was missing, the change from Baseline was imputed to be zero. | Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Mean | Standard Deviation | percentage of saturation | Baseline (Day 1), Week 5 |
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| Secondary | Mean Change In Functional Assessment Of Chronic Illness Therapy (FACIT)-Fatigue Score From Baseline To Week 5 | The FACIT-Fatigue questionnaire is a 13-item questionnaire designed and validated to specifically assess the presence and impact of treatment on fatigue and related symptoms, such as tiredness, on health-related quality of life in anemic participants with cancer. The questionnaire has 13 items, each measured on a 4-point Likert scale. Scoring ranges from 0 (the most fatigued) to 52 (the least fatigued) points, with higher scores representing better functioning or less fatigue. Mean change in FACIT-Fatigue Score from Baseline to Week 5 was calculated for each participant as: FACIT-Fatigue Score Change = FACIT-Fatigue Score (Week 5) - FACIT-Fatigue Score (Baseline). Baseline was defined as the Day 1 value (prior to first dose of study drug).The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information. If the Week 5 FACIT-Fatigue Score value was missing, the change from Baseline was imputed to be zero. | Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Mean | Standard Deviation | units on a scale | Baseline (Day 1), Week 5 |
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| Secondary | Time To Hemoglobin Increase Of ≥2.0 g/dL Or A Hemoglobin Value Of ≥12.0 g/dL From Baseline | The time to hemoglobin increase of ≥2.0 g/dL or hemoglobin value of ≥12.0 g/dL was defined as the days from Baseline (Day 1) to the first time the participant had an increase in hemoglobin of ≥2.0 g/dL or hemoglobin value of ≥12.0 g/dL, and was calculated using a Kaplan-Meier curve. Participants who did not have a hemoglobin increase of ≥2.0 g/dL or to a hemoglobin level ≥12.0 g/dL were censored at their last visit day. Participants without any post-Baseline study visits were not included. | Intent-To-Treat (ITT) Population: Any randomized participant who had any exposure to study drug (ferumoxytol or placebo) and was based upon randomized treatment assignment. | Posted | Mean | Inter-Quartile Range | Days | From Baseline (Day 1) up to Week 5 |
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Ferumoxytol | Participants received a total of 2 doses of IV ferumoxytol 510 mg (17 mL). The first IV 510 mg dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose, for a total cumulative dose of 1.02 g. | 16 | 608 | 198 | 608 | ||
| EG001 | Placebo | Participants received a total of 2 doses of IV saline (17 mL). The first IV dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose. | 6 | 200 | 56 | 200 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA (13.0) |
| ||
| Supraventricular Tachycardia | Cardiac disorders | MedDRA (13.0) |
| ||
| Colitis Ulcerative | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Gastrointestinal Haemorrhage | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Vomiting | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Chest Pain | General disorders | MedDRA (13.0) |
| ||
| Disease Progression | General disorders | MedDRA (13.0) |
| ||
| Anaphylactic Reaction | Immune system disorders | MedDRA (13.0) |
| ||
| Hypersensitivity | Immune system disorders | MedDRA (13.0) |
| ||
| Gastroenteritis | Infections and infestations | MedDRA (13.0) |
| ||
| Gastroenteritis Viral | Infections and infestations | MedDRA (13.0) |
| ||
| Lobar Pneumonia | Infections and infestations | MedDRA (13.0) |
| ||
| Septic Shock | Infections and infestations | MedDRA (13.0) |
| ||
| Hyperkalaemia | Metabolism and nutrition disorders | MedDRA (13.0) |
| ||
| Intervertebral Disc Protrusion | Musculoskeletal and connective tissue disorders | MedDRA (13.0) |
| ||
| Lung Neoplasm Malignant | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (13.0) |
| ||
| Small Intestine Carcinoma | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (13.0) |
| ||
| Convulsion | Nervous system disorders | MedDRA (13.0) |
| ||
| Hypoaesthesia | Nervous system disorders | MedDRA (13.0) |
| ||
| Nephrolithiasis | Renal and urinary disorders | MedDRA (13.0) |
| ||
| Dysfunctional Uterine Bleeding | Reproductive system and breast disorders | MedDRA (13.0) |
| ||
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (13.0) |
| ||
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA (13.0) |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Abdominal Pain | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Abdominal Pain Upper | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Constipation | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Diarrhoea | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Nausea | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Toothache | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Vomiting | Gastrointestinal disorders | MedDRA (13.0) |
| ||
| Fatigue | General disorders | MedDRA (13.0) |
| ||
| Oedema Peripheral | General disorders | MedDRA (13.0) |
| ||
| Pyrexia | General disorders | MedDRA (13.0) |
| ||
| Nasopharyngitis | Infections and infestations | MedDRA (13.0) |
| ||
| Upper Respiratory Tract Infection | Infections and infestations | MedDRA (13.0) |
| ||
| Urinary Tract Infection | Infections and infestations | MedDRA (13.0) |
| ||
| Skin Laceration | Injury, poisoning and procedural complications | MedDRA (13.0) |
| ||
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (13.0) |
| ||
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA (13.0) |
| ||
| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (13.0) |
| ||
| Muscle Spasms | Musculoskeletal and connective tissue disorders | MedDRA (13.0) |
| ||
| Pain in Extremity | Musculoskeletal and connective tissue disorders | MedDRA (13.0) |
| ||
| Dizziness | Nervous system disorders | MedDRA (13.0) |
| ||
| Dysgeusia | Nervous system disorders | MedDRA (13.0) |
| ||
| Headache | Nervous system disorders | MedDRA (13.0) |
| ||
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (13.0) |
| ||
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (13.0) |
| ||
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA (13.0) |
| ||
| Rash | Skin and subcutaneous tissue disorders | MedDRA (13.0) |
| ||
| Hypertension | Vascular disorders | MedDRA (13.0) |
| ||
| Hypotension | Vascular disorders | MedDRA (13.0) |
|
If no multi-site publication within 18 months after Study has been completed or terminated at all Study sites, and all data have been received by Sponsor, Site, and Site Management Organization (SMO) shall have the right to publish its results from the Study for non-commercial purposes, if submitted to Sponsor for review 60 days prior to submission of publication. Publication must remove all confidential information and may be delayed by up to 180 days to allow Sponsor to protect its interests.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Medical Information | AMAG Pharmaceuticals, Inc. | CTInterest@covispharma.com |
| ID | Term |
|---|---|
| D018798 | Anemia, Iron-Deficiency |
| ID | Term |
|---|---|
| D000747 | Anemia, Hypochromic |
| D000740 | Anemia |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D000090463 | Iron Deficiencies |
| D019189 | Iron Metabolism Disorders |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D052203 | Ferrosoferric Oxide |
| ID | Term |
|---|---|
| D005290 | Ferric Compounds |
| D058085 | Iron Compounds |
| D007287 | Inorganic Chemicals |
| D005296 | Ferrous Compounds |
| D008903 | Minerals |
Not provided
Not provided
| Male |
|
| Up to Week 4 |
|
| Up to Week 5 |
|
| Superiority |
The 95% confidence interval was calculated using the large sample assumption. |
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
|
|
| Placebo |
Participants received a total of 2 doses of IV saline (17 mL). The first IV dose was administered on Day 1 (Baseline) and second dose 2 to 8 (5±3) days after the first dose. |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|