Inflammatory bowel disease MedDRA version: 14.1 Level: LLT Classification code 10045365 Term: Ulcerative colitis System Organ Class: 10017947 - Gastrointestinal disorders MedDRA version: 14.1 Level: PT Classification code 10011401 Term: Crohn's disease System Organ Class: 10017947 - Gastrointestinal disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients with IDA complicating their IBD. Anaemia will be defined by age and sex-adjusted World Health Organisation criteria. Because serum ferritin is an acute phase reactant, patients with iron deficiency will be defined by a transferrin saturation =65 years) yes F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: - Patients who cannot read English, as not all of the questionnaires in the study have been validated in Non-English languages. - Patients who present to the clinic and who are overtly ill requiring admission will also be excluded. - Patients who are anaemic for a different reason, including folic acid, B12 deficiency, as a result of thiopurine use (pancytopenia), or with co-existent haemaglobinopathies or myelodysplasia. - Patients under the age of 13 and over the age of 90. - Patients with severe cardiopulmonary disease, hepatic or renal impairment, pregnancy, alcohol or drug abuse.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Is there a difference in the response to treatment with iron supplementation in adolescents and adults in IBD? We hypothesise that there is no difference in the haematological response to treatment of iron deficiency anaemia with oral iron in adults and adolescents with IBD. ; Secondary Objective: 1. Oral iron does not adversely affect IBD symptoms or objective markers of inflammation. 2. A raised serum hepcidin level will reduce the response to iron therapy. 3. Oral iron improves health-related QOL, perceived stress, mood disorders and fatigue. 4. Treatment of anaemia restores ANS homeostasis and improves exercise tolerance in IBD. ;Primary end point(s): Primary outcome: Mean increase in haemoglobin after 6 weeks of treatment. | — |
Countries
United Kingdom