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Trial registered on ANZCTR
Registration number
ACTRN12624000410550
Ethics application status
Approved
Date submitted
4/03/2024
Date registered
4/04/2024
Date last updated
22/07/2024
Date data sharing statement initially provided
4/04/2024
Type of registration
Prospectively registered
Titles & IDs
Public title
A Pilot Study of Post Operative Iron Infusion for the Treatment of Anaemia in Trauma Patients
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Scientific title
A Pilot Study of Post Operative Iron Infusion for the Treatment of Anaemia in Trauma Patients
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Secondary ID [1]
311663
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Nil known
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Anaemia
333120
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Trauma
333121
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Condition category
Condition code
Blood
329811
329811
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0
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Anaemia
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Emergency medicine
329989
329989
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0
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Other emergency care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
2 Arm study, Phase IV trial
1 arm will receive study drug, other arm will receive placebo. Both will be blinded by blacked out tubing and syringes
1 arm of the recruited trauma patients that are anaemic post-operatively will be given a single dose of ferric carboxymaltose 1,000 mg intravenous iron in 250mL of saline (up to a maximum of 20 mg iron/kg body weight). All patients will be given the maximum single dose of 1000mg unless their weight is <50Kg in which case the calculation will be applied to determine dose (20 mg iron/kg body weight). Infusion will be given once over 15 minutes by a member of the treating team at the Alfred Hospital so the study team remain blinded.
The treatment will be administered on the ward prior to patients' discharge. The exact timing that each patient will the receive the treatment will vary, but it will be in the days following surgery while they are recovering on the ward.
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Intervention code [1]
328124
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Treatment: Drugs
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Comparator / control treatment
Intravenous 250mL normal (0.9%) saline infusion given over 15 minutes
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Consent rate
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Assessment method [1]
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percentage of patients approached for recruitment that consent to take part in the trial as recorded in screening and enrolment logs
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Timepoint [1]
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At conclusion of recruitment
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Primary outcome [2]
337586
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Successful study drug administration
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Assessment method [2]
337586
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Number/percentage of infusions that are administered successfully without unblinding as identified by successful sign off of administration by the treating team on electronic medical records
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Timepoint [2]
337586
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At time of infusion for each patient
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Primary outcome [3]
337587
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Follow up attendance rate
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Assessment method [3]
337587
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Number/percentage of patients that attend day 30 follow up post infusion will be calculated by the acquisition of a complete data set of follow up questionnaires (WHODAS 2.0, QoR 15 and FACIT-Fatigue). This will be assessed by review of study records/database
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Timepoint [3]
337587
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At day 30 post infusion for each patient
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Secondary outcome [1]
432409
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Hb level
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Assessment method [1]
432409
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Results collected off electronic medical records (EMR) from routine blood tests at trauma follow up appointment
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Timepoint [1]
432409
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Day 30 post infusion follow up for each patient
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Secondary outcome [2]
432410
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Days alive and out of hospital
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Assessment method [2]
432410
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Collection of patient discharge destinations, days spent at own home and readmissions following infusion from EMR and follow up with participants (telephone or in person)
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Timepoint [2]
432410
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Day 30 post infusion follow up for each patient
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Secondary outcome [3]
433562
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Disability
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Assessment method [3]
433562
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WHODAS 2.0 Questionnaire (validated for level of functioning and disability assessment)
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Timepoint [3]
433562
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Participants will complete baseline prior to infusion and at 30 day follow-up
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Secondary outcome [4]
433563
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Fatigue
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Assessment method [4]
433563
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13 item FACIT-Fatigue scale (validated for assessment of anaemia-related fatigue)
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Timepoint [4]
433563
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Participants will complete baseline prior to infusion and at 30 day follow-up
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Secondary outcome [5]
433564
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Quality of Recovery
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Assessment method [5]
433564
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QoR-15 Questionnaire (validated for assessment of quality of post-operative recovery)
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Timepoint [5]
433564
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Participants will complete at 30 day follow-up
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Eligibility
Key inclusion criteria
Patients over the age of 18 admitted to the Alfred for treatment of trauma with post-operative anaemia at the time of enrolment.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
• Patient refusal
• Iron transfusion prior to admission, surgery or intraoperatively
• Hb <80 – these patients will be referred for treatment and transfusion
• Patients with pre-existing haematological disorders or any condition associated with iron overload
• Traumatic brain injury, neurological deficit or cognitive impairment that would impact compliance with surveys and follow up investigations
• Patients with known hypersensitivity to IV iron
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Participants that are eligible will be assigned randomly from a computer-generated list to either IV iron or placebo in a 1:1 ratio. Randomisation will be conducted by trained research staff in the online research electronic data capture (REDCap Consortium)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Participants that are eligible will be assigned randomly from a computer-generated list to either IV iron or placebo in a 1:1 ratio. Randomisation will be conducted by trained research staff in the online research electronic data capture (REDCap Consortium)
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Masking / blinding
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Who is / are masked / blinded?
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Intervention assignment
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
3/06/2024
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Actual
14/06/2024
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Date of last participant enrolment
Anticipated
1/09/2024
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Actual
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Date of last data collection
Anticipated
1/10/2024
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Actual
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Sample size
Target
30
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Accrual to date
6
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Final
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Recruitment in Australia
Recruitment state(s)
VIC
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Recruitment hospital [1]
26236
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The Alfred - Melbourne
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Recruitment postcode(s) [1]
42204
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3004 - Melbourne
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Funding & Sponsors
Funding source category [1]
315991
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Hospital
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Name [1]
315991
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Alfred Health - Department of Anaesthesiology and Perioperative Medicine
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Address [1]
315991
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Country [1]
315991
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Australia
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Primary sponsor type
Hospital
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Name
Alfred Health - Department of Anaesthesiology and Perioperative Medicine
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Address
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Country
Australia
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Secondary sponsor category [1]
318139
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None
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Name [1]
318139
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Address [1]
318139
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Country [1]
318139
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
314816
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Alfred Hospital Ethics Committee
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Ethics committee address [1]
314816
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https://www.alfredhealth.org.au/research/ethics-research-governance
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Ethics committee country [1]
314816
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Australia
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Date submitted for ethics approval [1]
314816
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06/03/2024
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Approval date [1]
314816
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09/05/2024
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Ethics approval number [1]
314816
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Summary
Brief summary
• We are studying patients with anaemia who have had trauma surgery. • Anaemia is a deficiency in the number or quality of red blood cells. • Red blood cells carry oxygen around the body, using a protein called haemoglobin. • Anaemia exists when either the level of red blood cells or haemoglobin is lower than normal. • A treatment, involving a single intravenous (IV) injection of iron medication in hospital prior to discharge, is expected to improve the body’s ability to better correct anaemia. • This could result in a faster recovery, but we don’t not know if the IV iron injection truly works in people following trauma – this is why we are doing this trial.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
132818
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Dr Mark Shulman
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Address
132818
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Department of Anaesthesiology and Perioperative Medicine, The Alfred, 55 Commercial Road, Melbourne, 3004, Victoria
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Country
132818
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Australia
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Phone
132818
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+61 0390763176
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Fax
132818
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Email
132818
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[email protected]
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Contact person for public queries
Name
132819
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Sophie Wallace
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Address
132819
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Department of Anaesthesiology and Perioperative Medicine, The Alfred, 55 Commercial Road, Melbourne, 3004, Victoria
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Country
132819
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Australia
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Phone
132819
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+61 0390762651
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Fax
132819
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Email
132819
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[email protected]
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Contact person for scientific queries
Name
132820
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Sophie Wallace
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Address
132820
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Department of Anaesthesiology and Perioperative Medicine, The Alfred, 55 Commercial Road, Melbourne, 3004, Victoria
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Country
132820
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Australia
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Phone
132820
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+61 0390762651
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Fax
132820
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Email
132820
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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