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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