Health Condition 1: D508- Other iron deficiency anemias
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Iron deficiency defined as TSAT 2. Clinically stable course for last 3 months
Exclusion criteria
Exclusion criteria: 1. Blood hemoglobin 2. Current use or use within last 3 months of oral or intravenous iron preparations 3. Known / suspected diagnosis of autoimmune disease 4. Past or present diagnosis of malignancy 5. Known diagnosis of chronic liver disease 6. History of any bleeding diathesis 7. History of gastro-intestinal surgery 8. Present or past diagnosis of peptic ulcer disease, gastro-intestinal bleeding or any form of gastro-intestinal disease predisposing to malabsorption 9. Currently taking gastric acid inhibitors (H2 receptor blockers, proton pump inhibitors) 10. History of allergic reactions to any form of oral or intravenous iron preparations 11. History of prior non-compliance with oral iron therapy due to gastro-intestinal side effects 12. Current use or use within last 6 months of immunosuppressive drug therapy 13. Pregnancy or lactation, in case of females 14. Life expectancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in blood haemoglobin levels at 24 weeks with alternate day versus once daily oral iron supplementation versus single dose parenteral iron therapy in subjects with stage G3-4 CKD and iron deficiency.Timepoint: 12 weeks and 24 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| i. Change in serum ferritin, % transferrin saturation, blood hepcidin, IL-6, TNF-α levels at 24 weeks with once daily versus alternate day oral iron supplementation versus parenteral iron therapy for correction of iron deficiency in subjects with stage G3-4 CKD. 2. Monitoring drug compliance (verbally as well as by pill count) in either arms of oral iron supplementation. 3. Monitor adverse events in the three arms. Timepoint: 24 weeks | — |
Countries
India
Contacts
Army Hospital (Research and Referral)