A Trial Comparing Ferumoxytol to Iron Sucrose for the Treatment of Iron Deficiency Anemia in Adult Subjects With Chronic Kidney Disease
FIRST
Ferumoxytol Compared to Iron Sucrose Trial (FIRST): A Randomized, Multicenter, Trial of Ferumoxytol Compared to Iron Sucrose for the Treatment of Iron Deficiency Anemia in Adult Subjects With Chronic Kidney Disease
2 other identifiers
interventional
162
7 countries
36
Brief Summary
The purpose of the study is to evaluate the safety and efficacy of intravenous (IV) ferumoxytol compared to IV iron sucrose for the treatment of iron deficiency anemia (IDA) in participants with chronic kidney disease (CKD).
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_2
Started Mar 2010
36 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
January 15, 2010
CompletedFirst Posted
Study publicly available on registry
January 20, 2010
CompletedStudy Start
First participant enrolled
March 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 19, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
April 19, 2012
CompletedResults Posted
Study results publicly available
May 15, 2018
CompletedJuly 25, 2023
July 1, 2023
1.4 years
January 15, 2010
March 26, 2018
July 18, 2023
Conditions
Keywords
Outcome Measures
Primary Outcomes (2)
Mean Change In Hemoglobin From Baseline (Day 1) To Week 5
The change in hemoglobin from Baseline (Day 1) to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline) The least squares mean, with standard error, is reported as g/deciliter (dL). Baseline hemoglobin for each participant was the Day 1 hemoglobin value (prior to injection of the study drug). The screening hemoglobin value was used for any participants with missing Baseline (Day 1) hemoglobin. Analysis used last observed carried forward (LOCF) imputation methods for missing values for the ITT population. Sensitivity analyses were performed without imputation for missing data and with the Markov chain Monte Carlo method.
Baseline (Day 1), Week 5
Percentage Of Participants With An Increase In Hemoglobin ≥1.0 g/dL From Day 1 (Baseline) To Week 5
The percentage of participants who achieved a ≥1.0 g/dL increase in hemoglobin at any time from Baseline (Day 1) up to Week 5 by treatment group is presented by study visit. Baseline hemoglobin for each participant was the Day 1 hemoglobin value (prior to injection of the study drug).
Baseline (Day 1) and up to Week 5
Study Arms (2)
Ferumoxytol
EXPERIMENTALParticipants received an IV injection of ferumoxytol (510 milligrams \[mg\], 17 milliliters \[mL\]) on Day 1 (Baseline). This was followed by a second injection of ferumoxytol (510 mg, 17 mL) 5±3 days later for a total cumulative dose of 1.02 grams (g).
Iron Sucrose
ACTIVE COMPARATORParticipants received iron sucrose based on hemodialysis status. Participants on hemodialysis received either slow IV injection or IV drip infusion of 100 mg of iron sucrose on Day 1 (Baseline) and at the following 9 consecutive hemodialysis sessions for a total cumulative dose of 1.0 g. Participants not on dialysis received either slow IV injection or IV drip infusion of 200 mg of iron sucrose on Day 1 (Baseline) and at 4 subsequent visits on nonconsecutive days over a 14-day period for a total cumulative dose of 1.0 g.
Interventions
Eligibility Criteria
You may qualify if:
- Males and females ≥18 years of age
- An estimated glomerular filtration rate \<60 mL/minute or a diagnosis of CKD (such as nephropathy, nephritis)
- Hemoglobin \<11.0 g/deciliter (dL)
- Transferrin saturation \<30%
- Hemodialysis participants on maintenance dialysis for at least 3 months prior to screening and currently receiving dialysis 3 times per week
- Female participants of childbearing potential who are sexually active must be on an effective method of birth control for at least 1 month prior to screening and agree to remain on birth control until completion of the study
You may not qualify if:
- History of allergy to IV iron
- Allergy to 2 or more classes of drugs
- Female participants who are pregnant or intend to become pregnant, breastfeeding, within 3 months postpartum, or have a positive serum or urine pregnancy test
- Hemoglobin ≤7.0 g/dL
- Received another investigational agent within 4 weeks prior to screening, or planned receipt of an unspecified investigational agent during the study period
- Known causes of anemia other than iron deficiency (such as hemolysis and vitamin B12 or folate deficiency)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (36)
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Tempe, Arizona, 85284, United States
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Chula Vista, California, 91910, United States
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Mountain View, California, 94041, United States
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Whittier, California, 90602, United States
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Augusta, Georgia, 30901, United States
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Meridian, Idaho, 83642, United States
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Evergreen Park, Illinois, 60805, United States
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Shreveport, Louisiana, 71101, United States
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Bethesda, Maryland, United States
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Springfield, Massachusetts, 01107, United States
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Flushing, New York, 11355, United States
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Rosedale, New York, United States
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Bethlehem, Pennsylvania, 18017, United States
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San Antonio, Texas, 78229, United States
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Antwerp, 2020, Belgium
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Antwerp, 2060, Belgium
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Vancouver, British Columbia, Canada
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Richmond Hill, Ontario, Canada
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Montreal, Quebec, H3A 1A1, Canada
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Montreal, Quebec, H4J 1C5, Canada
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Berlin, Germany
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Düsseldorf, Germany
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Göttingen, Germany
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Munich, Germany
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Nuremberg, Germany
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Passau, Germany
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Bangalore, India
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Nagpur, India
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Pune, India
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Katowice, Poland
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Lodz, Poland
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Opole, Poland
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Radom, Poland
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Szczecin, Poland
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Warsaw, Poland
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London, United Kingdom
Related Publications (3)
Hetzel D, Strauss W, Bernard K, Li Z, Urboniene A, Allen LF. A Phase III, randomized, open-label trial of ferumoxytol compared with iron sucrose for the treatment of iron deficiency anemia in patients with a history of unsatisfactory oral iron therapy. Am J Hematol. 2014 Jun;89(6):646-50. doi: 10.1002/ajh.23712.
PMID: 24639149BACKGROUNDStrauss WE, Dahl NV, Li Z, Lau G, Allen LF. Ferumoxytol versus iron sucrose treatment: a post-hoc analysis of randomized controlled trials in patients with varying renal function and iron deficiency anemia. BMC Hematol. 2016 Jul 26;16:20. doi: 10.1186/s12878-016-0060-x. eCollection 2016.
PMID: 27462400BACKGROUNDMacdougall IC, Strauss WE, McLaughlin J, Li Z, Dellanna F, Hertel J. A randomized comparison of ferumoxytol and iron sucrose for treating iron deficiency anemia in patients with CKD. Clin J Am Soc Nephrol. 2014 Apr;9(4):705-12. doi: 10.2215/CJN.05320513. Epub 2014 Jan 23.
PMID: 24458078DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Results Point of Contact
- Title
- Medical Information
- Organization
- AMAG Pharmaceuticals, Inc.
Publication Agreements
- PI is Sponsor Employee
- No
- Restriction Type
- OTHER
- Restrictive Agreement
- Yes
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
January 15, 2010
First Posted
January 20, 2010
Study Start
March 1, 2010
Primary Completion
July 19, 2011
Study Completion
April 19, 2012
Last Updated
July 25, 2023
Results First Posted
May 15, 2018
Record last verified: 2023-07