Clinical trial • Phase IV • Oncology|Gastroenterology

FERRIC DERISOMALTOSE for Colorectal cancer|Iron deficiency

Phase IV trial of FERRIC DERISOMALTOSE for Colorectal cancer|Iron deficiency.

Overview

Trial Therapeutic Area
Oncology|Gastroenterology
Trial Disease
Colorectal cancer|Iron deficiency
Trial Stage
Phase IV
Drug Modality
Other|Small molecule

Key dates

Initial CTIS Submission Date
10-10-2024
First CTIS Authorization Date
15-11-2024

Trial design

Randomised, monofer (ferric derisomaltose) iv infusion (test product) — max total 1000 mg; placebo: natriumchlorid 'noridem' solution for injection (sodium chloride) iv infusion — max total 100 ml.-controlled Phase IV trial in Denmark.

Randomised
Yes
Comparator
Monofer (ferric derisomaltose) IV infusion (test product) — max total 1000 mg; Placebo: Natriumchlorid 'Noridem' solution for injection (sodium chloride) IV infusion — max total 100 ml.
Target Sample Size
134
Trial Duration For Participant
577

Eligibility

Recruits 134 No vulnerable populations selected. Participants must be age ≥ 18 (adults). No assent procedures specified. Informed consent is required and 'Withdrawal of informed consent' is listed as an exclusion criterion..

Pregnancy Exclusion
Pregnancy
Vulnerable Population
No vulnerable populations selected. Participants must be age ≥ 18 (adults). No assent procedures specified. Informed consent is required and 'Withdrawal of informed consent' is listed as an exclusion criterion.

Inclusion criteria

  • {"criterion_text":"- Planned for curative intended elective colon or rectum cancer surgery"}
  • {"criterion_text":"- UICC stage I-III"}
  • {"criterion_text":"- Age ≥ 18"}
  • {"criterion_text":"- Hgb > 7.0 mmol/L for both men and women."}
  • {"criterion_text":"- Serum ferritin ≤100 μg/L or Transferrin saturation (TSAT) ≤20 for both men and women."}

Exclusion criteria

  • {"criterion_text":"- Chronic kidney failure, with need for dialysis"}
  • {"criterion_text":"- Neoadjuvant chemo or radiation therapy"}
  • {"criterion_text":"- Pregnancy"}
  • {"criterion_text":"- Metachronous diagnosed cancer"}
  • {"criterion_text":"- Unable to speak and understand Danish"}
  • {"criterion_text":"- Cognitive impairment e.g. moderate to severe dementia"}
  • {"criterion_text":"- Concurrent severe active bacterial infection"}
  • {"criterion_text":"- Known allergy of monofer"}
  • {"criterion_text":"- Contraindication for iv. iron infusion (Porfyria cutanea tarda, Livercirrosis, active hepatitis, transaminases three times the upper limit, hemosiderosis and hemochromatosis)"}
  • {"criterion_text":"- Treatment with iron infusion for other reasons"}
  • {"criterion_text":"- Withdrawal of informed consent"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Changes in cellular respiration (VO2max at the Anaerobic Threshold) measured by the gold standard Cardio Pulmonary Exercise Testing (CPET).","definition_or_measurement_approach":"Measured by Cardio Pulmonary Exercise Testing (CPET) assessing VO2max at the Anaerobic Threshold."}
  • {"endpoint_text":"- The preoperative change in the Neutrophil to Lymphocyte Ratio (NLR)","definition_or_measurement_approach":"As written: preoperative change in NLR (measured from blood counts/laboratory testing as specified in trial documents)."}
  • {"endpoint_text":"- The up and downregulation of immune function at the invasive front of the tumor, measured by the Nanostring™ PanCancer Immune® profiling panel","definition_or_measurement_approach":"Measured by the Nanostring™ PanCancer Immune® profiling panel on tumor tissue."}

Secondary endpoints

  • {"endpoint_text":"- The patients subjective description of physical capacity measured by the Fatique Severity Score questionnaire","definition_or_measurement_approach":"Patient-reported physical capacity using the Fatique Severity Score questionnaire (as written)."}
  • {"endpoint_text":"- Treatment characteristics such as: Adverse events, serious adverse events, blood transfusions, changes in transferrin, ferritin, transferrin saturation, iron, hemoglobin and phosphate, length of stay, infectious complications measured by the comprehensive complication index and quality of recovery-15 during the admission","definition_or_measurement_approach":"Assessed via clinical records, laboratory measurements (transferrin, ferritin, TSAT, iron, hemoglobin, phosphate), adverse event reporting, Comprehensive Complication Index and Quality of Recovery-15 (QoR-15) as written."}
  • {"endpoint_text":"- One and five year survival rates and recurrence rates.","definition_or_measurement_approach":"Follow-up assessment of survival and recurrence at one and five years as written."}

Recruitment

Planned Sample Size
134
Recruitment Window Months
19
Consent Approach
Informed consent required from each participant (participants must be age ≥ 18). Subject information and informed consent forms are listed among trial documents. No assent procedures or languages specified in the provided data. Withdrawal of informed consent is listed as an exclusion criterion.

Geography

Total Number Of Sites
3
Total Number Of Participants
134

Denmark

Latest Decision Or Authorization Date
15-11-2024
Number Of Sites
3
Number Of Participants
134

Sites

Site Name
Slagelse Hospital
Department Name
Department of Surgery
Contact Person Name
Marcin Piotr Mrozowski
Contact Person Email
mpm@regionsjaelland.dk
Site Name
Hvidovre Hospital
Department Name
Department of Surgery
Contact Person Name
Monika Linda Kjær
Contact Person Email
Monica.Linda.Kjaer@regionh.dk
Site Name
Region Sjaelland (Koege)
Department Name
Department of Surgery
Contact Person Name
Ismail Gögenur
Contact Person Email
igo@regionsjaelland.dk

Sponsor

Primary sponsor

Full Name
Region Sjaelland
Organisation Type
Hospital/Clinic/Other health care facility
Country Of Registered Address
Denmark

Third parties

  • {"country":"Denmark","full_name":"Frederiksberg Hospital","duties_or_roles":"sponsorDuties code 1","organisation_type":"Hospital/Clinic/Other health care facility"}

Investigational products

Investigational Product Name
Monofer, injektions- og infusionsvæske, opløsning
Active Substance
FERRIC DERISOMALTOSE
Modality
Other
Routes Of Administration
INTRAVENIOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Authorised (MRP SE/H/0734/001)
Maximum Dose
1000 mg
Investigational Product Name
Natriumchlorid ”Noridem",solvens til parenteral anvendelse/injektionsvæske, opløsning
Active Substance
SODIUM CHLORIDE
Modality
Small molecule
Routes Of Administration
INTRAVENIOUS INFUSION
Route
Intravenous infusion
Authorisation Status
Authorised (MRP IE/H/0699/001)
Maximum Dose
100 ml

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