Monocyte function in patients with anemia in hemodialysis MedDRA version: 20.0 Level: LLT Classification code 10002272 Term: Anemia System Organ Class: 100000004851 MedDRA version: 20.0 Level: LLT Classification code 10027884 Term: Monocytes System Organ Class: 100000004848 MedDRA version: 20.1 Level: L
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Older than 18. - Hemodialysis indicence patients (between 2 and 6 months in hemodialysis). - Having signed the inform consent. - Patients with anemia who require intravenous iron - Have not received intravenous iron before hemodialysis. - Clinically stable. 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 50 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 10
Exclusion criteria
Exclusion criteria: - Patients with a ferritin level higher than 500mg/dl - Patients who have exceeded transferrin levels in the prior year to be included in the clinical trial. - Patients who, before the hemodialysis, had received intravenous iron. - Patients with chronic HIV or hepatitis C infection. - Pregnant women or breastfeeding period
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Assess if the administration of intravenous iron,based only in levels of transferrin saturation index, does not generate relevants changes (higher than 15%) in the proportion of monocytes (CD14+ and CD16+) compared with patients that received treatment with intravenous iron according to the practice guidelines in place.; Secondary Objective: Evaluate: . The mortality rate of patients in 2 years-interval. - The number and severity of infections in 2 years-interval. - The mean haemoglobin levels - Number of Erythropoiesis-stimulating agents administered and blood transfusions. - The iron build up in liver tissue measured by magnetic resonance (NMR), as well as the hepatocellular function - The iron accumulates in serum monocytes. ;Primary end point(s): Serum monocyte;Timepoint(s) of evaluation of this end point: Monthly for 2 years period. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Mortality and number of infections.;Timepoint(s) of evaluation of this end point: 2 years | — |
Countries
Spain
Contacts
University Hospital "Príncipe de Asturias"