• To evaluate the effect of the administration of ferric carboxymaltose (Ferinject®) with or without erythropoietin vs. no treatment (standard therapy) on the preoperative anaemia status in patients undergoing orthopaedic surgery • To gain informations for the design of a possible follow-up study • . • To evaluate the tolerability and safety of Ferinject®
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • > 18 years of age and signed written informed consent • Patients scheduled to undergo major orthopaedic surgery (hip or knee arthroplasty or back surgery) • 10 g/dl =65 years) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: • Suspicion of iron overload (Ferritin >300 µg/l or/and TSAT>50%) • Active severe infection/inflammation (defined as serum CRP > 20 mg/l) or diagnosed malignancy • Folate-and/or Vitamin B12 deficiency (according to local lab reference range) • Known history of hepatitis B/C or HIV-positive • Liver values 3 times higher than normal • Immunosuppressive or myelosuppressive therapy • A concurrent medical condition(s) that, in the view of the investigator, would prevent compliance or participation or jeopardize the health of the patients. • Pregnancy or lactation • Transfusion within 1 month prior to study inclusion, EPO treatment with in the last 4 weeks, any iron treatment within 4 weeks prior to the inclusion in the trail • Participation in any other therapeutic trial within the previous month • History of thromboembolic events in the family or the patient • Severe peripheral, coronary or carotid artery disease • Bodyweight < 50 kg • Patients not able to understand the German language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: •To evaluate the effect of the administration of ferric carboxymaltose (Ferinject®) with or without erythropoietin vs. no treatment (standard therapy) on the preoperative anaemia status in patients undergoing orthopaedic surgery ;Secondary Objective: •To gain informations for the design of a possible follow-up study •To evaluate the effect of the administration of ferric carboxymaltose (Ferinject®) with or without erythropoietin vs. no treatment (standard therapy) on pre- and postoperative Hb levels, iron status, transfusion rate, days until discharge. •To evaluate the tolerability and safety of Ferinject ;Primary end point(s): •Hb increase from baseline till day of surgery | — |
Countries
Austria