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Trial registered on ANZCTR
Registration number
ACTRN12609000177257
Ethics application status
Approved
Date submitted
19/03/2009
Date registered
17/04/2009
Date last updated
10/03/2016
Type of registration
Retrospectively registered
Titles & IDs
Public title
A prospective study of the effect of two different forms of iron therapy for women, who diagnosed with iron deficiency anaemia during pregnancy with the aim to achieve a normal haemoglobin level at the time of delivery.
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Scientific title
A prospective randomised trial to study the effect of intravenous iron therapy versus the standard treatment with oral iron for women diagnosed with iron deficiency anaemia in pregnancy.
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Secondary ID [1]
288732
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nil known
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Universal Trial Number (UTN)
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Trial acronym
Anaemia in pregnancy
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Iron deficiency anaemia in pregnancy
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Condition category
Condition code
Blood
4783
4783
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0
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Anaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravenous iron polymaltose in a dose according body weight once. Iron dose calculated in mg (50 mg per 1 ml)= body weight in kg x (Target haemoglobin (Hb)-actual haemoglobin (Hb) in g/L) x constant factor (0.24) + iron store immediately after randomisation
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Intervention code [1]
4252
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Treatment: Drugs
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Comparator / control treatment
Oral iron therapy with ferrous sulphate 250 mg once daily start from day of randomization until delivery (for approximately 28-40 weeks)
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Control group
Active
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Outcomes
Primary outcome [1]
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Haemoglobin (Hb) level pre-delivery via full blood count test
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Assessment method [1]
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Timepoint [1]
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Haemoglobin (Hb) level at 4 weeks after treatment
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Secondary outcome [1]
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To assess quality of life of pregnant women via regular questionnaires designed for the purpose of study at the Launceston General Hospital
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Assessment method [1]
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Timepoint [1]
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after 4 weeks of treatment and pre as well as Post delivery follow up
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Secondary outcome [2]
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Amount of blood transfusion. Via reviewing hospital records.
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Assessment method [2]
241529
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Timepoint [2]
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40 weeks gestation and post delivery.
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Secondary outcome [3]
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Estimate any additional cost versus benefit of intravenous iron over oral iron.
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Assessment method [3]
241541
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Timepoint [3]
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by delivery time (40 weeks)
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Eligibility
Key inclusion criteria
This trial will be available to all women planning confinement at the Launceston General Hospital (LGH) over a period of 18-24 months. Pregnant women who are anaemic with Hb level <116g/L and 18 year old and above are eligible for this study.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Cause of anaemia other than Iron deficiency: Malabsorption syndrome affecting uptake of oral iron Condition associated with iron overload e.g. Haemochromatosis
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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)
It is proposed that pregnant women noted to be anaemic will be invited to participate in the study after the first trimester by the midwife, who will explain in details the aims and objectives of the study. If the patient agree to be enrolled in the study, a written consent form contain all information about the study will be given to the patients to sign and retain a copy for themselves as a reference. Patients can withdraw from the study at anytime without any adverse impact of any kind on their treatment at the Launceston General Hospital (LGH). Central randomisation by computer will follow thereafter.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
If the patients agree to participate in the trial, randomisation will follow in different department by the Pharmacy clinical trial personnel where a special computer programme will assign the treatment in random fashion without influence of treating team. This is usually conducted in blocks until full recruitment occurs.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/04/2007
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Actual
31/03/2007
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Date of last participant enrolment
Anticipated
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Actual
31/01/2009
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
TAS
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Funding & Sponsors
Funding source category [1]
4689
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Hospital
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Name [1]
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Launceston General Hospital
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Address [1]
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Charles Street, Launceston, TAS 7250
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Country [1]
4689
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Australia
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Primary sponsor type
Hospital
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Name
Launceston General Hospital
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Address
Charles Street, Launceston, TAS 7250
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Country
Australia
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Secondary sponsor category [1]
4234
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Charities/Societies/Foundations
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Name [1]
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Clifford Craig Research Foundation
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Address [1]
4234
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Charles Street, Launceston Tasmania, 7250
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Country [1]
4234
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Australia
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Other collaborator category [1]
616
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University
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Name [1]
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School of Human Life Sciences, University of Tasmania (UTAS)
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Address [1]
616
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School of Human Life Sciences, University of Tasmania, Alandale street, Launceston 7250 Tasmania
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Country [1]
616
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Human Research Ethics Committee (Tasmania) Network
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Ethics committee address [1]
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Human Research Ethics Committee (HREC) Administration University of Tasmania Private Bag 01 HOBART TAS 7001
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Ethics committee country [1]
6728
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Australia
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Date submitted for ethics approval [1]
6728
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Approval date [1]
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26/09/2006
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Ethics approval number [1]
6728
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H0008952
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Summary
Brief summary
To date, limited data is available regarding the prevalence of iron deficiency anaemia (IDA) during pregnancy in Australia, or the comparative efficacy of intravenous (IV) iron versus oral iron therapy in pregnant women. Patients and Method: At the Launceston General Hospital we prospectively investigating pregnant women with full blood count (FBC) and iron studies at the first or second antenatal visit. Among those, patients with iron deficiency anaemia, will be recruited to a prospective randomised trial to determine whether intravenous iron therapy (iron polymaltose) is superior to oral iron (ferrous sulphate 250 mg) for the management of IDA associated with pregnancy. Our perliminary data indicate that iron deficiency is a common finding during pregnancy in the northern Tasmanian population, and intravenous iron therapy appears a safe and effective treatment in this cohort of patients.
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Trial website
NA
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Trial related presentations / publications
Khalafallah A, Dennis A, Bates J, Bates G, Robertson IK, Smith L, Ball MJ, Seaton D, Brain T, Rasko JE. A prospective randomized, controlled trial of intravenous versus oral iron for moderate iron deficiency anaemia of pregnancy. J Intern Med. 2010 Sep;268(3):286-95. doi: 10.1111/j.1365-2796.2010.02251.x. Epub 2010 May 19. PMID:20546462 http://www.ncbi.nlm.nih.gov/pubmed/20546462 http://onlinelibrary.wiley.com/doi/10.1111/j.1365-2796.2010.02251.x/abstract;jsessionid=FE3714A96859FCC7713E2D01F2BD55C3.f01t03
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Public notes
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Contacts
Principal investigator
Name
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Prof Alhossain Khalafallah
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Address
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Launceston General Hospital, Launceston, Tasmania
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Country
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Australia
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Phone
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+61363487111
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Alhossain Khalafallah
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Address
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The Launceston General Hospital
Charles Street
Launceston, TAS 7250
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Country
12663
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Australia
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Phone
12663
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+61363487111
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Fax
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+61363487695
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Email
12663
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[email protected]
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Contact person for scientific queries
Name
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A/Professor Alhossain A. Khalafallah
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Address
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The Launceston General Hospital
Charles Street
Launceston, TAS 7250
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Country
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Australia
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Phone
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+6136348-7111
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Fax
3591
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+61363487695
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Email
3591
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[email protected]
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No information has been provided regarding IPD availability
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
Source
Title
Year of Publication
DOI
Dimensions AI
A prospective randomized, controlled trial of intravenous versus oral iron for moderate iron deficiency anaemia of pregnancy
2010
https://doi.org/10.1111/j.1365-2796.2010.02251.x
Dimensions AI
Three-year follow-up of a randomised clinical trial of intravenous versus oral iron for anaemia in pregnancy
2012
https://doi.org/10.1136/bmjopen-2012-000998
Embase
Intravenous iron therapy for treatment of anemia during pregnancy is associated with improved maternal quality of life, less postnatal depression and longer breastfeeding.
2013
N.B. These documents automatically identified may not have been verified by the study sponsor.
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