Randomized Study Evaluating Agents Stimulants Erythropoiesis (ASE) Associated With Ferric Carboxymaltose (Ferinject ®) in Concomitant or Sequential Patients Treated for Cancer and With Anemia Associated With Functional Iron Deficiency
NCT02213653 · Status: TERMINATED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 24
Last updated 2015-04-29
Summary
Anemia in patients with cancer is a common problem associated with an impaired quality of life.
Treatment with erythropoiesis stimulating agents (ESA) allows an increase in hemoglobin levels in 40-70% of patients and decreased transfusion requirements.
Absolute or functional iron deficiency is also common with about 30% of cancer patients with all histologies combined iron deficiency and anemia.
Several studies have shown the benefits of the combination of intravenous iron to erythropoiesis-stimulating agents in improving hemoglobin. However, none of them, to the investigators knowledge, has not been specifically performed on a population of patients with functional iron deficiency.
In addition, in clinical practice, this association is not carried out in particular because there is no dosage or consensus sequence for the administration of iron associated with ESAs.
Conditions
- Solid Cancer Metastatic Disease
- Lymphoid Disease
Interventions
- DRUG
-
ARM A : IV iron + epoietin zeta
* Epoietin zeta at a dose of 450 IU / kg per week subcutaneously * Carboxymaltose ferric (Ferinject ®) at week 1; Intravenous infusion not exceeding 1000 mg (administered once if weight\> 50 kg, 500 mg twice otherwise, with an interval of one week between each administration). * Renewable with a minimum of 4 weeks depending on the iron status (if CST \<20% and absence of serum ferritin\> 800) in the same manner as week 1.
- DRUG
-
ARM B: IV iron + epoietin zeta sequence
* Epoietin zeta at a dose of 450 IU / kg per week subcutaneously started in week 7 * carboxymaltose ferric (Ferinject ®) at week 1 * Intravenous infusion not exceeding 1000 mg (administered once if weight\> 50 kg, 500 mg twice otherwise, with an interval of one week between each administration). * Renewable with a minimum of 4 weeks depending on the iron status (if CST \<20% and absence of serum ferritin\> 800) in the same manner as week 1.
- DRUG
-
ARM C : single epoietin zeta
Epoietin zeta at a dose of 450 IU / kg per week subcutaneously begun in week 1
Sponsors & Collaborators
-
Hospira, now a wholly owned subsidiary of Pfizer
collaborator INDUSTRY -
Roche Pharma AG
collaborator INDUSTRY -
Vifor Pharma
collaborator INDUSTRY -
Centre Francois Baclesse
lead OTHER
Principal Investigators
-
Emmanuel SEVIN, MD · Centre François Baclesse
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-04-30
- Primary Completion
- 2014-11-30
- Completion
- 2014-11-30
Countries
- France
Study Locations
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