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| Name | Class |
|---|---|
| Pharma M SAL, Lebanon | UNKNOWN |
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The aim of the study is to compare the tolerability and efficacy of Sucrosomial Iron to Oral Iron Therapy in a randomized controlled trial for the treatment of Iron Deficiency Anemia in Ulcerative Colitis patients.
Ulcerative Colitis (UC) is an inflammatory bowel disease (IBD) characterized by chronic inflammation limited to the mucosal layer of the colon. Anemia is a consistent clinical feature of IBD, and is encountered in one third of patients [1] and Anemia in Ulcerative Colitis is most commonly the result of iron-deficiency due to chronic blood loss through ulcerations in the colon.
Oral Iron supplementation has been used for the treatment of Iron Deficiency anemia but may cause disease exacerbation in patients with UC [2]. Iron also can increase cancer risk [3], and is associated with many side effects such as constipation, diarrhea, nausea, vomiting, abdominal pain and hyperchromia of feces. Furthermore, studies have shown that oral iron supplementation fails to resolve anemia in 2 of 3 IBD patients. [4]
Sucrosomial iron is a new preparation of iron pyrophosphate delivered within a phospholipid membrane and coated with sucrester (sucrose esters of fatty acids). it has been shown to have better absorption and higher bioavailability while minimizing side effects in multiple patient populations.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sucrosomial Iron | Experimental | These patients will receive Sucrosomial Iron 30 mg + 70 mg ascorbic acid (Sideral Forte) twice daily |
|
| Oral Iron Therapy | Active Comparator | These patients will receive Oral Iron therapy at a dose of 195 mg twice daily for the same period of time |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Sucrosomial Iron | Drug | Experimental Arm |
|
|
| Measure | Description | Time Frame |
|---|---|---|
| Tolerability of experimental product | Tolerability will be assessed via a Treatment Tolerability Assessment Questionnaire | 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Response to iron repletion | Hemoglobin | 12 weeks |
| Compliance and adherence | Regular Pill Counts | 12 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ali El Mokahal, MD | Contact | +961350000 | 5909 | ae136@aub.edu.lb |
| Name | Affiliation | Role |
|---|---|---|
| Ala Sharara, MD | American University of Beirut Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| American University of Beirut - Medical Center | Recruiting | Beirut | Lebanon |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15247190 | Background | Gasche C, Lomer MC, Cavill I, Weiss G. Iron, anaemia, and inflammatory bowel diseases. Gut. 2004 Aug;53(8):1190-7. doi: 10.1136/gut.2003.035758. | |
| 12368409 | Background | Carrier J, Aghdassi E, Cullen J, Allard JP. Iron supplementation increases disease activity and vitamin E ameliorates the effect in rats with dextran sulfate sodium-induced colitis. J Nutr. 2002 Oct;132(10):3146-50. doi: 10.1093/jn/131.10.3146. |
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| ID | Term |
|---|---|
| D018798 | Anemia, Iron-Deficiency |
| D003093 | Colitis, Ulcerative |
| D000090463 | Iron Deficiencies |
| D000740 | Anemia |
| D015212 | Inflammatory Bowel Diseases |
| ID | Term |
|---|---|
| D000747 | Anemia, Hypochromic |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D019189 | Iron Metabolism Disorders |
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| ID | Term |
|---|---|
| C000718012 | sucrosomial iron |
| D007501 | Iron |
| ID | Term |
|---|---|
| D019216 | Metals, Heavy |
| D004602 | Elements |
| D007287 | Inorganic Chemicals |
| D028561 | Transition Elements |
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| Oral Iron | Drug | Active Comparator |
|
| Response to iron repletion | Hematocrit | 12 weeks |
| Response to iron repletion | Iron storage | 12 weeks |
| Response to iron repletion | Iron saturation | 12 weeks |
| Response to iron repletion | Ferritin | 12 weeks |
| 12663492 | Background | Seril DN, Liao J, Yang GY, Yang CS. Oxidative stress and ulcerative colitis-associated carcinogenesis: studies in humans and animal models. Carcinogenesis. 2003 Mar;24(3):353-62. doi: 10.1093/carcin/24.3.353. |
| 24486177 | Background | Lugg S, Beal F, Nightingale P, Bhala N, Iqbal T. Iron treatment and inflammatory bowel disease: what happens in real practice? J Crohns Colitis. 2014 Aug;8(8):876-80. doi: 10.1016/j.crohns.2014.01.011. Epub 2014 Jan 31. |
| D008659 | Metabolic Diseases |
| D009750 | Nutritional and Metabolic Diseases |
| D003092 | Colitis |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D003108 | Colonic Diseases |
| D007410 | Intestinal Diseases |
| D008670 |
| Metals |