Status:

UNKNOWN

Preoperative Intravenous Iron Infusion to Reduce Post-surgical Complications: a Pilot Randomised Control Trial

Lead Sponsor:

Singapore General Hospital

Collaborating Sponsors:

Duke-NUS Graduate Medical School

Conditions:

Anemia

Major Abdominal Surgery

Eligibility:

All Genders

21+ years

Phase:

PHASE4

Brief Summary

Preoperative anemia is common worldwide, ranging from 25% in knee arthroplasties to 60% in colorectal malignancies. In Singapore, about a quarter (27%) of all patients have anaemia prior to operation ...

Detailed Description

Preoperative anemia is common worldwide, ranging from 25% in knee arthroplasties to 60% in colorectal malignancies. In Singapore, about a quarter (27%) of all patients have anaemia prior to operation ...

Eligibility Criteria

Inclusion

  • Elective major benign or malignant abdominal surgery
  • Procedures expected to last 2 hours and/or more OR Anticipated blood loss greater than 500ml
  • PAC clinic scheduled before 1 - 4 weeks before surgery
  • Male Hb less than 13.0 Gram Per Deciliter OR Female Hb less than 12.0 Gram Per Deciliter
  • Diagnosed as having Iron Deficiency: Serum Ferritin level less than 100 Microgram Per Liter OR Serum Ferritin is between less than100 Microgram Per Liter - less than 300 Microgram Per Liter + Transferrin Saturation is less than 20 percent
  • Patient is able to receive the infusion 1 - 4 Weeks \[at least 7 Days\] before the planned operation date.
  • Patient is able to provide written, informed consent

Exclusion

  • Know history of acquired iron overload
  • Family history of hemochromatosis or thalassemia or transferrin saturation (TSAT) more than 50 percent
  • Treatment with erythropoietin in the previous 12 weeks (3months)
  • Known hypersensitivity to Ferric Carboxymaltose or its excipients
  • Patients with severe asthma or severe allergy (requiring hospitalization within the last 12 months)
  • Pregnancy
  • Age less than 21 years
  • Inability to communicate or understand study instructions and questionnaire which will be provided in either English, Chinese, Malay or Tamil
  • Patient involvement in another Investigational Medicinal Product Trial within the previous 4 weeks prior to randomization that may impact the results of the PIRCAS trial

Key Trial Info

Start Date :

November 22 2017

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 1 2019

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT03295851

Start Date

November 22 2017

End Date

March 1 2019

Last Update

December 5 2018

Active Locations (1)

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Singapore General Hospital

Singapore, Singapore, 169608