Preoperative Monoferric for Abdominal Surgery
NCT05258825 · Status: UNKNOWN · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 32
Last updated 2022-10-12
Summary
Although there are multiple formulations of intravenous (IV) iron to choose from, a one-time dose of Monoferric would make it more feasible to integrate it in the perioperative pathway given an often-limited time between preoperative evaluation and surgery date. Furthermore, the one-dose total iron repletion model can offer health economic benefits through reducing red blood cell (RBC) transfusion applying limited resources to establish a perioperative anemia management pathway. Prior studies have described a model that can be used as a baseline which showed cost-savings and outlined each cost component. So far, no US-based approach applying this model has been published.
Hypothesis: Administration of a one-time dose of IV iron to patients with preoperative iron deficiency anemia scheduled to undergo elective abdominal and/or pelvic surgery is feasible. It will result in an increase in preoperative hemoglobin from baseline, and improvement in clinical outcomes.
Aim 1: Determine the change in hemoglobin from baseline after the administration of 1000mg single dose IV iron 3-4 weeks before elective surgery The investigators hypothesize that there will be an increase in hemoglobin levels by 1g/dL by the day of surgery.
Aim 2: Explore the association of IV iron administration on other clinical outcomes including: complications, transfusion of blood products and length of hospital stay.
The investigators hypothesize that there will be a decrease in adverse complications and requirement for transfusion, and shorter hospital stay
Aim 3: Describe the feasibility and process, infrastructure and workflows required to implement an IV iron infusion program
Conditions
- Anemia
- Surgery
Interventions
- DRUG
-
Monoferric
A single intravenous dose of 1000 mg of Monoferric will be administered to a patient 3-4 weeks before anticipated surgery.
Sponsors & Collaborators
-
Pharmacosmos A/S
collaborator INDUSTRY -
Brigham and Women's Hospital
lead OTHER
Principal Investigators
-
Richard D. Urman, MD · Brigham and Women's Hospital
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-11-01
- Primary Completion
- 2023-03-31
- Completion
- 2023-04-30
- FDA Drug
- Yes
Countries
- United States
Study Locations
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