Trial Outcomes & Findings for Efficacy of Enteral Iron Supplementation in Critical Illness (NCT NCT00450177)

NCT ID: NCT00450177

Last Updated: 2019-07-18

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

200 participants

Primary outcome timeframe

Day 7, Day 14, Day 21, Day 28

Results posted on

2019-07-18

Participant Flow

Participant milestones

Participant milestones
Measure
Iron Group
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Overall Study
STARTED
97
103
Overall Study
COMPLETED
88
92
Overall Study
NOT COMPLETED
9
11

Reasons for withdrawal

Reasons for withdrawal
Measure
Iron Group
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Overall Study
Adverse Event
7
4
Overall Study
Withdrawal by Subject
1
6
Overall Study
Withdrawal by Primary Team
1
1

Baseline Characteristics

Race and Ethnicity were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Total
n=200 Participants
Total of all reporting groups
Age, Continuous
55.7 years
STANDARD_DEVIATION 1.9 • n=97 Participants
58.2 years
STANDARD_DEVIATION 1.7 • n=103 Participants
57.0 years
STANDARD_DEVIATION 1.7 • n=200 Participants
Sex: Female, Male
Female
48 Participants
n=97 Participants
55 Participants
n=103 Participants
103 Participants
n=200 Participants
Sex: Female, Male
Male
49 Participants
n=97 Participants
48 Participants
n=103 Participants
97 Participants
n=200 Participants
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Baseline hematocrit
32.0 % of RBC in total blood volume
STANDARD_DEVIATION 0.5 • n=97 Participants
31.9 % of RBC in total blood volume
STANDARD_DEVIATION 0.4 • n=103 Participants
31.9 % of RBC in total blood volume
STANDARD_DEVIATION 0.4 • n=200 Participants
Baseline MCV
88.7 femtoliters
STANDARD_DEVIATION 0.7 • n=97 Participants
88.6 femtoliters
STANDARD_DEVIATION 0.8 • n=103 Participants
88.6 femtoliters
STANDARD_DEVIATION 0.8 • n=200 Participants
Baseline EBL
171 milliliters
STANDARD_DEVIATION 45 • n=97 Participants
207 milliliters
STANDARD_DEVIATION 50 • n=103 Participants
189 milliliters
STANDARD_DEVIATION 48 • n=200 Participants
Baseline RBC transfusion
135 milliliters
STANDARD_DEVIATION 58 • n=97 Participants
303 milliliters
STANDARD_DEVIATION 110 • n=103 Participants
222 milliliters
STANDARD_DEVIATION 85 • n=200 Participants
Admission to enrollment
1.6 days
STANDARD_DEVIATION 0.1 • n=97 Participants
1.7 days
STANDARD_DEVIATION 0.1 • n=103 Participants
1.7 days
STANDARD_DEVIATION 0.1 • n=200 Participants
Admission APACHE II
15.9 units on a scale
STANDARD_DEVIATION 0.8 • n=97 Participants
14.9 units on a scale
STANDARD_DEVIATION 0.8 • n=103 Participants
15.4 units on a scale
STANDARD_DEVIATION 0.8 • n=200 Participants

PRIMARY outcome

Timeframe: Day 7, Day 14, Day 21, Day 28

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Hematocrit
Day 7
29.3 percentage of RBC in blood
Standard Deviation 0.5
29.1 percentage of RBC in blood
Standard Deviation 0.5
Hematocrit
Day 14
28.6 percentage of RBC in blood
Standard Deviation 0.4
28.2 percentage of RBC in blood
Standard Deviation 0.5
Hematocrit
Day 21
29.2 percentage of RBC in blood
Standard Deviation 0.4
28.1 percentage of RBC in blood
Standard Deviation 0.6
Hematocrit
Day 28
27.8 percentage of RBC in blood
Standard Deviation 0.6
28.1 percentage of RBC in blood
Standard Deviation 0.5

PRIMARY outcome

Timeframe: Day 7, Day 14, Day 21, Day 28

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Serum Iron Concentration
Day 7
35 mcg/mL
Standard Deviation 0.6
37 mcg/mL
Standard Deviation 0.7
Serum Iron Concentration
Day 14
34 mcg/mL
Standard Deviation 0.5
34 mcg/mL
Standard Deviation 0.7
Serum Iron Concentration
Day 21
34 mcg/mL
Standard Deviation 0.6
40 mcg/mL
Standard Deviation 0.6
Serum Iron Concentration
Day 28
37 mcg/mL
Standard Deviation 0.5
36 mcg/mL
Standard Deviation 0.7

PRIMARY outcome

Timeframe: Day 7, Day 14, Day 21, Day 28

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Serum Ferritin Concentration
Day 7
280 ng/mL
Standard Deviation 46
265 ng/mL
Standard Deviation 73
Serum Ferritin Concentration
Day 14
268 ng/mL
Standard Deviation 51
268 ng/mL
Standard Deviation 80
Serum Ferritin Concentration
Day 21
251 ng/mL
Standard Deviation 40
355 ng/mL
Standard Deviation 83
Serum Ferritin Concentration
Day 28
383 ng/mL
Standard Deviation 54
361 ng/mL
Standard Deviation 76

PRIMARY outcome

Timeframe: Day 7, Day 14, Day 21, Day 28

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Erythrocyte Zinc Protoporphyrin Concentration
Day 7
69 micromol:mol heme
Standard Deviation 4
67 micromol:mol heme
Standard Deviation 5
Erythrocyte Zinc Protoporphyrin Concentration
Day 14
75 micromol:mol heme
Standard Deviation 6
77 micromol:mol heme
Standard Deviation 5
Erythrocyte Zinc Protoporphyrin Concentration
Day 21
86 micromol:mol heme
Standard Deviation 5
91 micromol:mol heme
Standard Deviation 6
Erythrocyte Zinc Protoporphyrin Concentration
Day 28
84 micromol:mol heme
Standard Deviation 6
89 micromol:mol heme
Standard Deviation 5

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Number of Subjects That Received at Least One RBC Transfusion During Admission to the Hospital
29 Participants
46 Participants

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Number of Subjects That Incurred at Least One Infection Throughout Hospital Admission
45 Participants
48 Participants

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Instance of Drug-related Constipation Throughout Hospital Admission
12 Participants
9 Participants

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Average Number of Days That Subjects Were Taking Antibiotics
14 days
Standard Deviation 2
16 days
Standard Deviation 3

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Hospital Mortality, as Measured by Number of Subject Deaths While Admitted to Hospital
9 Participants
10 Participants

SECONDARY outcome

Timeframe: Throughout hospital stay up to 6 weeks

Outcome measures

Outcome measures
Measure
Iron Group
n=97 Participants
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 Participants
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Average Length of Stay in the Hospital
14 days
Standard Deviation 1
16 days
Standard Deviation 2

Adverse Events

Iron Group

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Placebo Group

Serious events: 0 serious events
Other events: 4 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Iron Group
n=97 participants at risk
Ferrous sulfate 325 mg either by capsule or oral solution three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Ferrous Sulfate: Iron group
Placebo Group
n=103 participants at risk
Placebo capsule three times a day at 9 am, 1pm and 5 pm until hospital discharge or for 42 days, whichever occurs first. Placebo Oral Tablet: Placebo group
Gastrointestinal disorders
Gastrointestinal upset
7.2%
7/97
3.9%
4/103

Additional Information

Philip S. Barie, MD

Weill Cornell Medical College

Phone: 646-962-2580

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place