Iron and Vitamin Adminstration Prior to Joint Replacement to Prevent Transfusion
Randomized Ttrial to Establish the Efficacy of Hematinic Agents in Patietns With Mild Anemia Undergoing Total Hip or Knee Replacement in Avoiding Blood Transfusion
1 other identifier
interventional
120
1 country
1
Brief Summary
To establish the efficacy of screening for anemia and treatment of mild anemia with iron and vitamins prior to THR and TKR as a means of increasing hemoglobin and reducing perioperative allogeneic blood transfusion.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Nov 2012
1 active site
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
August 29, 2012
CompletedFirst Posted
Study publicly available on registry
August 31, 2012
CompletedStudy Start
First participant enrolled
November 1, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2013
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2014
CompletedSeptember 3, 2012
August 1, 2012
1.1 years
August 29, 2012
August 31, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Perioperative blood transfusion
1 day prior to surgery until hospital discharge
Study Arms (3)
Mild anemia, normal hematinics
PLACEBO COMPARATORMild anemia, normal iron studies, serum folate and vitamin B12 levels - will receive placebo
Anemia, normal hematinics
EXPERIMENTALMild anemia, deficient iron, folate or vitamin B12 levels Iron supplement will be given
Deficeicnt hematinics
OTHERIron supplement will be provided
Interventions
Pills to be swallowed
Eligibility Criteria
You may qualify if:
- Age \> 50 years
- Ability to provide informed consent
- Elective THR or TKR
- Mild anemia: Hematocrit 29-39% in men, 29-36% in women
You may not qualify if:
- Identified cause of anemia excluding hematinic deficiency
- Known source of blood loss
- Known coagulopathy
- Unstable coronary syndrome in the previous 3 months
- Pathologic fracture, presence of malignancy
- Repeat THR or TKR
- Orthopedic trauma within the previous 3 months
- ASA class ≥ 4
- Creatinine clearance \< 30 ml/min
- AST/ALT \> 2x upper limit of normal
- Preexisting use of hematinic agents
- Planned acute normovolemic hemodilution
- Refusal to receive blood products
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Meir Medical Center
Kfar Saba, 44281, Israel
MeSH Terms
Interventions
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Martin H Ellis, MD
Meir Medical Center
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Head Hematology Institute
Study Record Dates
First Submitted
August 29, 2012
First Posted
August 31, 2012
Study Start
November 1, 2012
Primary Completion
December 1, 2013
Study Completion
February 1, 2014
Last Updated
September 3, 2012
Record last verified: 2012-08