Gynecologic Cancer
Conditions
Keywords
Intravenous iron, gynecologic cancer blood transfusion
Brief summary
Can intravenous iron lower the rate of blood transfusion in gynecologic cancer patients receiving platinum based chemotherapy than oral iron?
Detailed description
Anemia is a common condition during chemotherapy administration. Treatment options usually include oral iron supplementation and blood transfusion. However, oral iron has gastrointestinal side effects, which affects patient compliance, and only a small amount of oral iron can be absorbed from the gastrointestinal tract. Intravenous iron may overcome a block of iron absorption and iron recycling induced by hepcidin. Therefore, it may increase hemoglobin level and reduced blood transfusion in cancer patients receiving chemotherapy.
Interventions
Intravenous iron 200 mg add in 0.9% Normal saline 100 ml infused within 15 minutes after every cycles of chemotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
* Age 20-70 years * Good performance status (Zubrod score \< 2) * No serious underlying disease * Normal renal function test * Normal liver function test * Platinum based chemotherapy is the first line regimen * No prior or receiving radiotherapy
Exclusion criteria
* Iron hypersensitivity * Underlying disease which has the risk of iron overload such as chronic kidney disease, major thalassemia * Progressive disease * Bone marrow metastasis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Red blood cell (RBC) transfusion rate | 6 months | The requirement of red blood cell transfusion before administration of chemotherapy will be evaluated for 6 cycles of chemotherapy. |
Secondary
| Measure | Time frame |
|---|---|
| total number of red blood transfusion units and number of cycles requiring blood transfusion | 6 months |
| Number of participants with adverse events | 6 months |
Countries
Thailand