Actively Recruiting

Phase 3
Age: 18Years +
All Genders
ID05744219

Improved Recovery by Iron Following Surgery With Blood Loss, a Double-blind Multi-centre Randomized Controlled Phase III Drug Trial (the IRIS-trial)

Led by Jon Unosson · Updated on 2024-10-21

338

Participants Needed

1

Research Sites

12 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Researchers are studying whether an intravenous iron treatment called Ferric Carboxymaltose can help improve recovery after major surgeries that cause blood loss, such as complex aortic surgery or liver and pancreatic resections. Post-operative anemia, often caused by pre-existing iron deficiency and blood loss during surgery, can slow recovery. This Phase III randomized controlled trial aims to see if giving Ferric Carboxymaltose after surgery reduces the need for blood transfusions and improves health outcomes. Participants who experience blood loss between 400 and 4000 ml during surgery are randomly assigned to receive either a single intravenous dose of 1000 mg Ferric Carboxymaltose or a placebo (saline solution). This treatment is given by infusion as soon as the surgery ends. The study compares these two groups to evaluate differences in recovery and anemia outcomes over the following weeks. During the study, participants are monitored for up to five weeks after surgery. Researchers assess recovery by looking at death rates, red blood cell transfusions, severe anemia occurrences, and quality of life measures. They also track hemoglobin levels, complications, overall recovery, performance status, hospital readmissions, and long-term outcomes from medical records. The study continues until a set number of patients have completed follow-up to fully evaluate the effects of the iron treatment.

CONDITIONS

Brief Title

Improved Recovery by Iron Following Surgery With Blood Loss, the IRIS-trial

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Provision of written informed consent
  • Male and female patients
  • Weight > 50 kg
  • Age over 18 years
  • Scheduled for complex aortic surgery, liver resection or pancreatic resection
Not Eligible

You will not qualify if you...

  • Expected survival less than six months
  • Intravenous iron therapy within one month prior to surgery
  • Severe anemia (B-Hb <80 mg/L) prior to surgery
  • Contraindication to Ferric Carboxymaltose
  • Iron overloading disorder such as hemochromatosis
  • Risk of small future liver remnant
  • Pre-operative renal replacement therapy
  • Participation in another drug or device study within 30 days before enrollment
  • Planned major surgery before five week follow-up
  • Unsuitable for inclusion according to investigator
  • Pregnancy

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - Single dose with follow-up up to 5 weeks

Participants receive a single intravenous dose of either Ferric Carboxymaltose or placebo after surgery with blood loss.

1 baseline treatment visit and weekly follow-up visits for up to 5 weeks

Trial Site Locations

Total: 1 location

1

Uppsala University Hospital

Uppsala, Sverige, Sweden

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Research Team

J

Jon Unosson, MDPhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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