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NCT02940886

Iron Isomaltoside/Ferric Derisomaltose vs Iron Sucrose for the Treatment of Iron Deficiency Anemia (IDA)

Completed Phase 3 Results posted Last updated 6 October 2020
What this trial tests

Phase 3 trial testing Iron isomaltoside/ferric derisomaltose in Iron Deficiency Anaemia in 1,512 participants. Completed in 28 March 2018.

Timeline
8 November 2016
Primary endpoint
28 March 2018
28 March 2018

Quick facts

Lead sponsorPharmacosmos A/S
PhasePhase 3
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment1,512
Start date8 November 2016
Primary completion28 March 2018
Estimated completion28 March 2018
Sites114 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Pharmacosmos A/S — full company profile →

Who can join

18 and older, any sex, with Iron Deficiency Anaemia or Iron Deficiency 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.

Change in Hemoglobin (Hb) From Baseline to Week 8 Primary · Baseline to week 8

Efficacy Evaluate the effect on the hemoglobin (Hb) level following treatment with iron isomaltoside/ferric derisomaltose vs iron sucrose in subjects with iron deficiency anaemia (IDA) . Response was defined as change from baseline in hemoglobin (Hb) to week 8, i.e. ability to increase Hb in subjects with IDA, when oral iron preparations were ineffective or could not be used or in whom the screening Hb measurement in Investigators' opinion were sufficiently low to require rapid repletion of iron stores.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose2.492.41 – 2.56
Iron Sucrose2.492.38 – 2.59
Incidence of Protocol-defined Serious or Severe Hypersensitivity Reactions Primary · Baseline to week 8

Safety For this endpoint, the number of participants with serious or severe hypersensitivity reactions were evaluated. The hypersensitivity reactions that were included in the analysis were those that started on or after the first dose of randomised treatment (i.e. treatment emergent). The terms used to define hypersensitivity were those specified by the Standardised MedDRA Queries (SMQ) for hypersensitivity, plus four additional terms: loss of consciousness, seizure, syncope, unresponsiveness. The potential hypersensitivity AEs were adjudicated in a blinded fashion by an independent Clinica

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose3
Iron Sucrose2
Composite Cardiovascular Adverse Events (AEs) Secondary · Baseline, week 1, 2, and 8

Safety Results show the composite cardiovascular adverse events (AEs), that started on or after the first dose of randomised treatment (i.e. treatment emergent) up to week 8. The reported potential cardiovascular AEs were adjudicated in a blinded fashion by an independent Clinical Endpoint Adjudication Committee (CEAC). The potential cardiovascular AEs included the following: * Death due to any cause * Non-fatal myocardial infarction * Non-fatal stroke * Unstable angina requiring hospitalisation * Congestive heart failure requiring hospitalisation or medical intervention * Arrhythmias * Hy

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose8
Iron Sucrose6
Time to First Composite Cardiovascular Safety AE Secondary · Baseline, week 1, 2, 4, and 8

Safety Time to first composite cardiovascular AE was defined as the actual time in days from first dose of treatment until the date of the composite cardiovascular AE. For subjects not reporting a composite cardiovascular AE, the time was censored at the date of the last attended visit. Only the adjudicated and confirmed composite cardiovascular safety AEs, as judged by the CEAC, were considered for this endpoint. Time to first composite cardiovascular AE was defined as the actual time in days from first dose of treatment until the date of the composite cardiovascular AE. For subjects not re

GroupValue95% CI
Iron Isomaltoside/Ferric DerisomaltoseNANA – NA
Iron SucroseNANA – NA
S-phosphate <2 mg/dL at Any Time From Baseline to Week 1, 2, 4, and 8 Secondary · Baseline, week 1, 2, 4, and 8

Safety Results show the number of subjects who had s-phosphate \<2 mg/dL at any time from baseline to week 1, 2, 4, or 8.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose38
Iron Sucrose11
Hb Concentration Increase of ≥2 g/dL From Baseline to Week 1, 2, 4, and 8 Secondary · Baseline, week 1, 2, 4, and 8

Efficacy Results show responders to the treatment. A subject was considered a Hb responder to a certain week if an increase in Hb of at least 2 g/dL from baseline to the week in question was observed (week 1, 2, 4, and 8).

Responder YES week 1
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose51
Iron Sucrose12
Responder YES week 2
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose297
Iron Sucrose94
Responder YES week 4
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose514
Iron Sucrose250
Responder YES week 8
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose606
Iron Sucrose309
Time to Change in Hb Concentration ≥2 g/dL Secondary · Baseline, week 1, 2, 4, and 8

Efficacy Time to change in Hb concentration ≥2 g/dL. Subjects who achieved Hb concentration increase of ≥2 g/dL (from baseline to week 1, 2, 4, or 8). For responders, time to Hb response was defined as the scheduled time from baseline until the visit where the first Hb response was measured.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose28NA – NA
Iron Sucrose2828 – 56
Hb Concentration of >12 g/dL at Any Time From Week 1 to Week 8 Secondary · Week 1 to week 8

Efficacy Hb concentration of \>12 g/dL at any time from week 1 to week 8. Results show the number of participants who achieved Hb concentration of \>12 g/dL at any time from week 1 to week 8.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose484
Iron Sucrose225
Hb Concentration Increase of ≥2 g/dL at Any Time From Week 1 to Week 8 Secondary · Week 1 to week 8

Efficacy Results show the number of participants who achieved Hb concentration increase of ≥2 g/dL at any time from week 1 to week 8.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose687
Iron Sucrose340
S-Ferritin Concentration of ≥100 ng/mL and Transferrin Saturation (TSAT) of 20-50% at Any Time From Week 1 to Week 8 Secondary · Week 1 to week 8

Efficacy Proportion of subjects reaching the composite endpoint of s-ferritin concentration ≥100 ng/mL and TSAT of 20-50% at any time from week 1 to 8.

GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose680
Iron Sucrose164
Change in Hb Concentration From Baseline to Week 1, 2, and 4 Secondary · Baseline, week 1, 2, and 4

Efficacy Change in Hb concentration from baseline to week 1, 2, and 4.

Week 1
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose0.70± 0.85
Iron Sucrose0.47± 0.69
Week 2
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose1.49± 1.13
Iron Sucrose1.25± 0.93
Week 4
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose2.15± 1.27
Iron Sucrose2.13± 1.10
Change in S-ferritin Concentration From Baseline to Weeks 1, 2, 4, and 8 Secondary · Baseline, week 1, 2, 4, and 8

Efficacy Change in s-ferritin concentration from baseline to weeks 1, 2, 4, and 8.

Week 1
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose373.5± 228.9
Iron Sucrose105.7± 79.1
Week 2
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose211.8± 152.4
Iron Sucrose169.9± 129.8
Week 4
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose98.0± 103.9
Iron Sucrose109.2± 108.7
Week 8
GroupValue95% CI
Iron Isomaltoside/Ferric Derisomaltose49.0± 79.7
Iron Sucrose58.7± 104.8

Adverse events — posted to ClinicalTrials.gov

Time frame: From the time a subjects had signed the informed consent form (CRF) and until they had completed the study, all adverse events (AEs) or serious adverse events (SAEs) were reported in the CRF. The actual study duration was 8 weeks (or shorted if the trial was discontinued). Overall, eligible subjects participated in the trial for approximately 10-15 weeks (including a 14-day screening period and if necessary a run-in period).. Reporting threshold: 3%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Iron Isomaltoside/Ferric Derisomaltose
Serious: 21/989 (2%)
Deaths: 1/989
Iron Sucrose
Serious: 13/494 (3%)
Deaths: 0/494

Serious adverse events (35 terms)

ReactionSystemIron Isomaltoside/Ferric D…Iron Sucrose
Urinary tract infectionInfections and infestations
SyncopeNervous system disorders
Anaphylactic reactionImmune system disorders
HypersensitivityImmune system disorders
Abdominal adhesions faecalomaGastrointestinal disorders
Gastrointestinal haemorrhageGastrointestinal disorders
Oesophageal varices haemorrhageGastrointestinal disorders
Pancreatitis acuteGastrointestinal disorders
Peptic ulcerGastrointestinal disorders
Rectal haemorrhageGastrointestinal disorders
Device related infectionInfections and infestations
PyelonephritisInfections and infestations
HeadacheNervous system disorders
Hepatic encephalopathyNervous system disorders
AsthmaRespiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary diseaseRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Blood magnesium decreasedInvestigations
Blood potassium decreasedInvestigations
Haemoglobin decreasedInvestigations
AnaemiaBlood and lymphatic system disorders
Atrial fibrillationCardiac disorders
Cardiac failureCardiac disorders
DehydrationMetabolism and nutrition disorders
Hyperinsulinaemic hypoglycaemiaMetabolism and nutrition disorders
Other adverse events (1 terms — click to expand)

ReactionSystemIron Isomaltoside/Ferric D…Iron Sucrose
NauseaGastrointestinal disorders

Most-reported serious reactions: Urinary tract infection, Syncope, Anaphylactic reaction, Hypersensitivity, Abdominal adhesions faecaloma, Gastrointestinal haemorrhage, Oesophageal varices haemorrhage, Pancreatitis acute.

Data from ClinicalTrials.gov NCT02940886 adverse events section.

Sponsor's own description

Evaluate safety and efficacy of iron isomaltoside/ferric derisomaltose (Monofer®/Monoferric®) compared with iron sucrose (Venofer®), in subjects diagnosed with IDA.

Publications & conference data

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

  1. A prospective, multi-center, randomized comparison of iron isomaltoside 1000 versus iron sucrose in patients with iron deficiency anemia; the FERWON-IDA trial.
    Auerbach M, Henry D, Derman RJ, Achebe MM, et al · · 2019 · cited 75× · PMID 31243803 · DOI 10.1002/ajh.25564
  2. Intravenous ferric derisomaltose for the treatment of iron deficiency anemia.
    Auerbach M, Henry D, DeLoughery TG. · · 2021 · cited 25× · PMID 33580972 · DOI 10.1002/ajh.26124
  3. Clinical data for intravenous iron - debunking the hype around hypersensitivity.
    Achebe M, DeLoughery TG. · · 2020 · cited 25× · PMID 32479668 · DOI 10.1111/trf.15837
  4. Efficacy and safety of ferric derisomaltose (FDI) compared with iron sucrose (IS) in patients with iron deficiency anemia after bariatric surgery.
    Auerbach M, Achebe MM, Thomsen LL, Derman RJ. · · 2022 · cited 10× · PMID 35000068 · DOI 10.1007/s11695-021-05858-0
  5. A Systematic Review, Meta-Analysis, and Indirect Comparison of Blindly Adjudicated Cardiovascular Event Incidence with Ferric Derisomaltose, Ferric Carboxymaltose, and Iron Sucrose.
    Pollock RF, Kalra PA, Kalra PR, Ahmed FZ. · · 2022 · cited 4× · PMID 35947351 · DOI 10.1007/s12325-022-02242-x
  6. Effect of Ferric Derisomaltose on Fatigue in Iron Deficiency Anemia Associated With Abnormal Uterine Bleeding.
    Stute P, Akpan IJ, Breymann C, Murji A, et al · · 2025 · cited 1× · PMID 39665523 · DOI 10.1002/ajh.27555

Verify or expand the search:

Other trials of Iron isomaltoside/ferric derisomaltose

Trials testing the same drug.

Other recruiting trials for Iron Deficiency Anaemia

Currently open trials in the same condition.

Other Pharmacosmos A/S trials

Trials by the same sponsor.

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