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Comparison of the efficacy of anew oral formulation of iron aspartylate to oral ferrous sulfate in patients with Iron Deficiency Anemia for the restoration of low hemoglobin

Ferrous Acetyl-Aspartylated Casein Formulation Evaluation over Ferrous Sulfate in Iron Deficiency Anemia (Access): A Double-Dummy Randomized Clinical Trial - ACCESS

Status
Active, not recruiting
Phases
Phase 4
Study type
Interventional
Source
EU CTR
Registry ID
EUCTR2017-002972-15-GR
Enrollment
60
Registered
2017-09-26
Start date
2017-10-06
Completion date
Unknown
Last updated
2021-04-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Iron deficiency anemia MedDRA version: 20.0 Level: PT Classification code 10022972 Term: Iron deficiency anaemia System Organ Class: 10005329 - Blood and lymphatic system disorders

Interventions

Pharmaceutical Form: Modified-release capsule, hard INN or Proposed INN: Ferrous sulfate CAS Number: 7720-78-7 Other descriptive name: FERROUS SULFATE Concentration unit: mg milligram(s) Concentration

Sponsors

Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Male or female 2. Age equal to or more than 18 years 3. Written informed consent provided by the patient 4. Hb below 10g/dl, as defined by other trials 5. Absolute red blood cell (RBC) count below 4.7 x 106/mm3 for men or 4.2 x 106/mm3 for women 6. Mean corpuscular volume (MCV) of RBCs below 80 fl 7. Mean corpuscular Hb (MCH) of RBCs below 27 pg 8. Total ferritin below 30 ng/ml; this criterion is associated with sensitivity more than 99% for iron deficiency 9. In the case of patients with anemia after GI tract hemorrhage, inclusion criteria 6 and 7 DO NOT apply for study inclusion Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 60 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 60

Exclusion criteria

Exclusion criteria: • Age below 18 years • Denial to provide written informed consent • Acute myelogenous or lymphoblastic leukemia • Multiple myeloma • Primary or secondary myelodysplastic syndrome • Planning for start of chemotherapy within the first 30 days after inclusion in the trial • Planning for start of radiotherapy within the first 30 days after inclusion in the trial • Intake of erythropoietin • Planning for start of erythropoietin within the first 30 days after inclusion in the trial • Intake of chemotherapy the last six months • Intake of radiotherapy the last six months • Known hemochromatosis • Known celiac disease • Liver cirrhosis of Child-Pugh stage II or III • Any active overt bleeding • Pregnancy or lactation

Design outcomes

Primary

MeasureTime frame
Main Objective: The scope of this study is to compare the efficacy of the new oral formulation of Fe-ASP to oral ferrous sulfate in patients with IDA for the restoration of decreased circulating Hb.;Secondary Objective: The improvement of symptoms of anemia, the restoration of biomarkers of iron deficiency into the normal range and the incidence of GI tract side effects.;Primary end point(s): The primary study endpoint is the comparative increase of baseline Hb in each study group after the first 4 weeks of treatment. Since the daily amount of elemental iron delivered with the ferrous sulfate regimen is 94 mg and with the Fe-ASP regimen 80 mg, the increase of baseline Hb will be adjusted per mg of delivered elemental iron.;Timepoint(s) of evaluation of this end point: 4 weeks

Secondary

MeasureTime frame
Secondary end point(s): The secondary study endpoints will be the differences between the two groups of treatment in the following: • Normalization of Hb; this is defined as Hb=13 g/dl for mean and =12 g/dl for women • Ferritin levels at weeks 4 and 12 • Absolute reticulocyte count at weeks 1, 4 and 12 • Absolute RBC count, Hb, MCV and MCH at weeks 4 and 12 • Change of the fatigue symptoms of IDA at weeks 4 and 12 • Change of physical findings of IDA at weeks 4 and 12 • The incidence of GI side effects at weeks 4 and 12;Timepoint(s) of evaluation of this end point: 12 weeks

Countries

Greece

Contacts

Public ContactRegulatory Affairs department

Uni-Pharma Kleon Tsetis Pharmaceutical Laboratories S.A.

soumelas@uni-pharma.gr302108072512374

Outcome results

None listed

Source: EU CTR (via WHO ICTRP) · Data processed: Feb 4, 2026