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NCT01052779: FIRST

A Trial Comparing Ferumoxytol to Iron Sucrose for the Treatment of Iron Deficiency Anemia in Adult Subjects With Chronic Kidney Disease

Completed Phase 2 Results posted Last updated 25 July 2023
What this trial tests

Phase 2 trial testing Ferumoxytol in Iron Deficiency in 162 participants. Completed in 19 April 2012.

Timeline
1 March 2010
Primary endpoint
19 July 2011
19 April 2012

Quick facts

Lead sponsorAMAG Pharmaceuticals, Inc.
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment162
Start date1 March 2010
Primary completion19 July 2011
Estimated completion19 April 2012
Sites36 locations across Belgium, United Kingdom, Germany, Poland, Canada, United States, India

Drugs / interventions tested

Conditions studied

Sponsor

AMAG Pharmaceuticals, Inc. — full company profile →

Who can join

18 and older, any sex, with Iron Deficiency or Anemia. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Mean Change In Hemoglobin From Baseline (Day 1) To Week 5 Primary · Baseline (Day 1), Week 5

The change in hemoglobin from Baseline (Day 1) to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline) The least squares mean, with standard error, is reported as g/deciliter (dL). Baseline hemoglobin for each participant was the Day 1 hemoglobin value (prior to injection of the study drug). The screening hemoglobin value was used for any participants with missing Baseline (Day 1) hemoglobin. Analysis used last observed carried forward (LOCF) imputation methods for missing values for the ITT population. Sensitivity analyses were perfo

With LOCF Imputation
GroupValue95% CI
Ferumoxytol0.84± 0.14
Iron Sucrose0.74± 0.14
Without Imputation (Sensitivity Analysis)
GroupValue95% CI
Ferumoxytol0.89± 0.15
Iron Sucrose0.80± 0.15
Percentage Of Participants With An Increase In Hemoglobin ≥1.0 g/dL From Day 1 (Baseline) To Week 5 Primary · Baseline (Day 1) and up to Week 5

The percentage of participants who achieved a ≥1.0 g/dL increase in hemoglobin at any time from Baseline (Day 1) up to Week 5 by treatment group is presented by study visit. Baseline hemoglobin for each participant was the Day 1 hemoglobin value (prior to injection of the study drug).

Week 2
GroupValue95% CI
Ferumoxytol20
Iron Sucrose11
Week 3
GroupValue95% CI
Ferumoxytol32
Iron Sucrose20
Week 4
GroupValue95% CI
Ferumoxytol37
Iron Sucrose31
Week 5
GroupValue95% CI
Ferumoxytol40
Iron Sucrose34

Adverse events — posted to ClinicalTrials.gov

Reporting threshold: 1%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Ferumoxytol
Serious: 7/80 (9%)
Deaths:
Iron Sucrose
Serious: 6/82 (7%)
Deaths:

Serious adverse events (19 terms)

ReactionSystemFerumoxytolIron Sucrose
Abscess limbInfections and infestations
Arteriovenous graft site infectionInfections and infestations
CellulitisInfections and infestations
GastroenteritisInfections and infestations
PneumoniaInfections and infestations
Urinary tract infectionInfections and infestations
Anastomotic haemorrhageInjury, poisoning and procedural complications
SeromaInjury, poisoning and procedural complications
Vascular graft thrombosisInjury, poisoning and procedural complications
Abdominal painGastrointestinal disorders
Peritoneal adhesionsGastrointestinal disorders
Small intestinal obstructionGastrointestinal disorders
Acute prerenal failureRenal and urinary disorders
Renal failure chronicRenal and urinary disorders
Deep vein thrombosisVascular disorders
HypotensionVascular disorders
Anaphylactic reactionImmune system disorders
HyperkalaemiaMetabolism and nutrition disorders
Lung neoplasmNeoplasms benign, malignant and unspecified (incl cysts and polyps)
Other adverse events (88 terms — click to expand)

ReactionSystemFerumoxytolIron Sucrose
HypotensionVascular disorders
Muscle spasmsMusculoskeletal and connective tissue disorders
Edema peripheralGeneral disorders
NauseaGastrointestinal disorders
Urinary tract infectionInfections and infestations
ParosmiaNervous system disorders
NasopharyngitisInfections and infestations
ConstipationGastrointestinal disorders
HeadacheNervous system disorders
HyperkalaemiaMetabolism and nutrition disorders
HypoglycaemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
GoutMetabolism and nutrition disorders
MyalgiaMusculoskeletal and connective tissue disorders
Pain in extremityMusculoskeletal and connective tissue disorders
Injection site painGeneral disorders
DiarrhoeaGastrointestinal disorders
AnaemiaBlood and lymphatic system disorders
VomitingGastrointestinal disorders
DizzinessNervous system disorders
Iron deficiency anaemiaBlood and lymphatic system disorders
Cerumen impactionEar and labyrinth disorders
Lacrimation increasedEye disorders
Abdominal pain upperGastrointestinal disorders
Tooth disorderGastrointestinal disorders
ToothacheGastrointestinal disorders
Catheter site erythemaGeneral disorders
Feeling hotGeneral disorders
Injection site haematomaGeneral disorders
TendernessGeneral disorders
ChillsGeneral disorders
Device leakageGeneral disorders
FatigueGeneral disorders
Feeling coldGeneral disorders
Injection site haemorrhageGeneral disorders
Medical device complicationGeneral disorders
Thrombosis in deviceGeneral disorders
SinusitisInfections and infestations
Staphylococcal abscessInfections and infestations
UrethritisInfections and infestations

Most-reported serious reactions: Abscess limb, Arteriovenous graft site infection, Cellulitis, Gastroenteritis, Pneumonia, Urinary tract infection, Anastomotic haemorrhage, Seroma.

Data from ClinicalTrials.gov NCT01052779 adverse events section.

Sponsor's own description

The purpose of the study is to evaluate the safety and efficacy of intravenous (IV) ferumoxytol compared to IV iron sucrose for the treatment of iron deficiency anemia (IDA) in participants with chronic kidney disease (CKD).

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. New Opportunities and Old Challenges in the Clinical translation of Nanotheranostics.
    Gawne PJ, Ferreira M, Papaluca M, Grimm J, et al · · 2023 · cited 112× · PMID 39022623 · DOI 10.1038/s41578-023-00581-x
  2. Engineering Iron Oxide Nanoparticles for Clinical Settings.
    Cortajarena AL, Ortega D, Ocampo SM, Gonzalez-García A, et al · · 2014 · cited 78× · PMID 30023013 · DOI 10.5772/58841
  3. A randomized comparison of ferumoxytol and iron sucrose for treating iron deficiency anemia in patients with CKD.
    Macdougall IC, Strauss WE, McLaughlin J, Li Z, et al · · 2014 · cited 68× · PMID 24458078 · DOI 10.2215/cjn.05320513
  4. Clinical data for intravenous iron - debunking the hype around hypersensitivity.
    Achebe M, DeLoughery TG. · · 2020 · cited 25× · PMID 32479668 · DOI 10.1111/trf.15837
  5. GIST 2.0: A scalable multi-trait metric for quantifying population representativeness of individual clinical studies.
    Sen A, Chakrabarti S, Goldstein A, Wang S, et al · · 2016 · cited 23× · PMID 27600407 · DOI 10.1016/j.jbi.2016.09.003
  6. Ferumoxytol versus iron sucrose treatment: a post-hoc analysis of randomized controlled trials in patients with varying renal function and iron deficiency anemia.
    Strauss WE, Dahl NV, Li Z, Lau G, et al · · 2016 · cited 18× · PMID 27462400 · DOI 10.1186/s12878-016-0060-x
  7. Novel Approaches in Chronic Renal Failure without Renal Replacement Therapy: A Review.
    Martínez-Hernández SL, Muñoz-Ortega MH, Ávila-Blanco ME, Medina-Pizaño MY, et al · · 2023 · cited 10× · PMID 37893201 · DOI 10.3390/biomedicines11102828
  8. Letter to the editor regarding 'A systemic review and meta-analysis on the efficacy and safety of ferumoxytol for anemia in chronic kidney disease patients'.
    Li L, Feng H. · · 2023 · PMID 36636996 · DOI 10.1080/0886022x.2022.2153065

Verify or expand the search:

Other trials of Ferumoxytol

Trials testing the same drug.

Other recruiting trials for Iron Deficiency

Currently open trials in the same condition.

Other AMAG Pharmaceuticals, Inc. trials

Trials by the same sponsor.

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT01052779.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing