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A phase 2, randomized, placebo controlled trial evaluating the effects of n intravenous iron supplementation on chronic fatigue in IBD patients with controlled disease.
The study will evaluate a 6 months therapy with intravenous ferric carboxymaltose.
Patients will undergo a 2-5 days screening period and then will be treated every 4 weeks with iron supplementation/placebo.
At every visit, hematology and blood iron levels will be evaluated. Treatment will be temporarily stopped in case of either Hemoglobin levels above 16 g/dl or ferritin above 800 ng/ml (level decreased to 500 ng/ml in case of Transferrin-Iron Saturation Percentage above 50%).
Study team will be composed of blinded and unblinded personnel and dedicated infusion devices will be used to ensure the double blinding.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Ferric carboxymaltose | Experimental | 200 mg in normal saline (NS) 100 ml administered i.v. at day 0 and then every 4 weeks up to week 24. |
|
| Placebo | Placebo Comparator | normal saline (NS) 100 ml administered i.v. at day 0 and then every 4 weeks up to week 24. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ferric carboxymaltose | Drug |
|
| |
| Placebo |
| Measure | Description | Time Frame |
|---|---|---|
| chronic fatigue remission | Multidimensional fatigue inventory (MFI-20) <13 | Week 24 |
| Measure | Description | Time Frame |
|---|---|---|
| Chronic fatigue reduction | MFI-20 reduction of at least 4 points (absolute MFI-20>13) | Week 24 |
| chronic fatigue remission | MFI-20 <13 |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Silvio Danese, MD, PhD | Contact | +39 02 8224 | 5555 | IBDclinicaltrials@humanitas.it |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| IBD Center | Recruiting | Rozzano | MI | 20089 | Italy |
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| ID | Term |
|---|---|
| D015212 | Inflammatory Bowel Diseases |
| D005221 | Fatigue |
| D003424 | Crohn Disease |
| D003093 | Colitis, Ulcerative |
| ID | Term |
|---|---|
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D007410 | Intestinal Diseases |
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| ID | Term |
|---|---|
| C522335 | ferric carboxymaltose |
| D000077330 | Saline Solution |
| ID | Term |
|---|---|
| D000077324 | Crystalloid Solutions |
| D007552 | Isotonic Solutions |
| D012996 | Solutions |
| D004364 | Pharmaceutical Preparations |
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| Drug |
|
|
| Week 12 |
| Anxiety evaluation | State-Trait Anxiety Inventory (STAI)Y1 and STAI Y2 values | week 4, week 12, week 24 |
| Depression evaluation | BECK DEPRESSION INVENTORY (BDI-II) values | week 4, week 12, week 24 |
| Quality of life | Inflammatory Bowel Disease Questionnaire (IBDQ) values | week 4, week 12, week 24 |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D003092 | Colitis |
| D003108 | Colonic Diseases |