Status:

TERMINATED

ORal IrON Supplementation With Ferric Maltol in Patients With Pulmonary Hypertension (ORION-PH-1)

Lead Sponsor:

Hannover Medical School

Collaborating Sponsors:

Shields, Shields and Associates

Conditions:

Hypertension, Pulmonary

Anemia, Iron Deficiency

Eligibility:

All Genders

18+ years

Phase:

PHASE3

Brief Summary

This is an explorative, open-label, uncontrolled, single center study to explore the preliminary safety, tolerability and efficacy of oral ferric maltol in treating iron deficiency in patients with pu...

Eligibility Criteria

Inclusion

  • Signed written informed consent prior to any study-related procedure and willingness to comply with treatment and follow-up procedures
  • Male and female patients ≥18 years at day of inclusion
  • Patients capable of understanding the investigational nature, potential risks and benefits of the clinical trial
  • Patients with a diagnosis of PH confirmed by a (historical) right heart catheterization showing a mean pulmonary artery pressure ≥25 mmHg at rest and stable PH medication for at least 3 months.
  • 6 min walk distance \>50 m
  • Mild-to-moderate iron-deficiency anemia as defined by a hemoglobin concentration ≥7 g/dl and \<12 g/dl in females or ≥8 g/dl and \<13 g/dl in males, and serum ferritin \<100 µg/l, or 100-300 µg/l and transferrin saturation \<20% at screening
  • Prevention of pregnancy:
  • Women without childbearing potential defined as follows:
  • at least 6 weeks after surgical sterilization by bilateral tubal ligation or bilateral oophorectomy or
  • hysterectomy or uterine agenesis or
  • ≥ 50 years and in postmenopausal state ≥ 1 year or
  • \< 50 years and in postmenopausal state ≥ 1 year with serum FSH \> 40 IU/l and serum oestrogen \< 30 ng/l or a negative oestrogen test or
  • Women of childbearing potential with a negative ß-HCG pregnancy test at screening who agree to meet one of the following criteria from the time of screening, during the study and for a period of four weeks following the last administration of study medication:
  • correct use of contraception methods. The following are acceptable: hormonal contraceptives (combined oral contraceptives and oestrogen-free pills with desogestrel, implants, transdermal patches, hormonal vaginal devices or injections with prolonged release), intrauterine device (IUS) or a barrier method, e.g. condom or occlusive cap (diaphragm or cervical/vault caps) with spermicide (foam, gel, film, cream or suppository)
  • true abstinence (periodic abstinence and withdrawal are not acceptable methods of contraception)
  • sexual relationship only with female partners and/or sterile male partners

Exclusion

  • Active hematological disorders other than iron-deficiency anemia
  • Other medical condition that according to the investigator's assessment is causing or contributing to anemia
  • Active malignancy
  • Active infectious disease
  • Active bleeding
  • Severe renal insufficiency (glomerular filtration rate \<30 ml/min)
  • Severe liver injury as indicated by serum aminotransferases \>3 x upper limit of normal or bilirubin levels \>50 µmol/l
  • Ongoing oral or intravenous iron supplementation
  • Hemoglobin \<7 g/dl in females or \<8 g/dl in males at screening
  • Concomitant erythropoietin medication
  • Pregnancy or lactation period
  • Subject has received any investigational medication or any investigational device within 30 days prior to the first dose of study medication or is actively participating in any investigational drug/devices trial, or is scheduled to receive an investigational drug/device during the course of the study.
  • Known or suspected hypersensitivity to any of the active substances or any excipients of the investigational medicinal product
  • Known haemochromatosis or other iron overload syndromes
  • Patients who have been receiving repeated (\>1) blood transfusions during the past 6 months

Key Trial Info

Start Date :

March 27 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 19 2020

Estimated Enrollment :

22 Patients enrolled

Trial Details

Trial ID

NCT03371173

Start Date

March 27 2018

End Date

March 19 2020

Last Update

April 21 2020

Active Locations (1)

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Hannover Medical School

Hanover, Germany, 30625