Evaluating ferumoxytol for treating iron deficiency anemia in children with chronic kidney disease
A Phase 3, Randomized, Open-Label, Multicenter Study to Evaluate the Safety (Compared to Iron Sucrose), Efficacy and Pharmacokinetics of Ferumoxytol for the Treatment of Iron Deficiency Anemia (IDA) in Pediatric Subjects With Chronic Kidney Disease (CKD)
This study is testing whether a new iron treatment called ferumoxytol can help children with chronic kidney disease and iron deficiency anemia feel better compared to a standard treatment.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Enrollment | 129 (estimated) |
| Ages | 2 Years to 17 Years |
| Sex | All |
| Sponsor | AMAG Pharmaceuticals, Inc. Industry-sponsored |
| Locations | 21 sites (Hollywood, Florida and 20 other locations) |
| Trial ID | NCT03619850 on ClinicalTrials.gov |
What this trial studies
This Phase 3 clinical trial aims to assess the safety and efficacy of ferumoxytol compared to iron sucrose in pediatric patients suffering from iron deficiency anemia (IDA) associated with chronic kidney disease (CKD). The study will involve approximately 125 participants who will be randomized to receive either ferumoxytol or iron sucrose over a treatment period of 5 weeks, following a 2-week screening phase. The trial will also evaluate the pharmacokinetics and pharmacodynamics of ferumoxytol in this population. Participants will receive two intravenous infusions of ferumoxytol or a series of iron sucrose doses based on their dialysis status.
Who should consider this trial
Good fit: Ideal candidates include children aged 2 to under 18 years with iron deficiency anemia and chronic kidney disease.
Not a fit: Patients who do not have iron deficiency anemia or chronic kidney disease may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could provide a safer and more effective treatment option for pediatric patients with iron deficiency anemia and chronic kidney disease.
How similar studies have performed: Other studies have shown promising results with ferumoxytol in adult populations, but this specific application in pediatric CKD patients is novel.
Eligibility criteria
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Male or female 2 years to \<18 years of age at time of consent 2. Has IDA defined as: a) hemoglobin \<12.0 g/dL and b) with either transferrin saturation (TSAT) \<40% or ferritin \<100 ng/mL; or considered to be at risk of development of IDA, i.e., TSAT\<20% with falling hemoglobin during the preceding 2 months and a history of hemoglobin \<12 g/dL 3. Has Chronic Kidney Disease defined as one of the following: 1. on chronic hemodialysis; 2. receiving chronic peritoneal dialysis; 3. estimated glomerular filtration rate (eGFR) of \<60 mL/min/1.73 m2; 4. has evidence of structural and/or functional abnormalities e.g., persistent albuminuria, abnormal urine sediment, electrolyte and other abnormalities due to tubular disorders for \> 3 months. 4. For patients other than hemodialysis dependent CKD patients, documented history of unsatisfactory oral iron therapy or in whom oral iron cannot be tolerated, or for whom oral iron is considered medically inappropriate 5. All subjects (female and male) of childbearing potential who are sexually active must be on an effective method of birth control for at least 1 month prior to Day 1 Dosing and agree to remain on birth control until completion of the study Exclusion Criteria: 1. Known hypersensitivity reaction to any component of ferumoxytol and iron sucrose 2. History of allergy to intravenous (IV) iron 3. History of multiple drug allergies (\>2) 4. Low systolic blood pressure (Age 1-9 years \<70 + \[age in years x 2\] mmHg, Age 10-17 years \<90 mmHg) 5. Hemoglobin ≤7.0 g/dL 6. Serum ferritin level \>600 ng/mL
Where this trial is running
Hollywood, Florida and 20 other locations
- Memorial Healthcare System — Hollywood, Florida, United States (Not_yet_recruiting)
- Wayne State University — Detroit, Michigan, United States (Active_not_recruiting)
- Children's Mercy Hospital — Kansas City, Missouri, United States (Recruiting)
- The Feinstein Institute Medical Research Organization of Northwell Health, Inc. — Lake Success, New York, United States (Not_yet_recruiting)
- Icahn School of Medicine at Mount Sinai (ISMMS) - The Mount Sinai Hospital (MSH) — New York, New York, United States (Active_not_recruiting)
- Montefiore Medical Center (MMC) - The Children's Hospital at Montefiore (CHAM) — The Bronx, New York, United States (Recruiting)
- Akron Nephrology Associates, Inc. — Akron, Ohio, United States (Recruiting)
- West Virginia University — Morgantown, West Virginia, United States (Recruiting)
- Semmelweis Egyetem - Altalanos Orvostudomanyi Kar (SE AOK) - I. sz. Gyermekgyogyaszati Klinika — Budapest, Hungary (Recruiting)
- University Of Szeged — Szeged, Hungary (Recruiting)
- Hospital of Lithuanian University of Health Sciences Kauno klinikos — Kaunas, Lithuania (Not_yet_recruiting)
- Klaipeda Children's Hospital — Klaipėda, Lithuania (Active_not_recruiting)
- Vsl Vilniaus Universiteto Vaiku Ligonine (VUVL) (Vilnius University Children's Hospital) — Vilnius, Lithuania (Not_yet_recruiting)
- Instituto Mexicano De Trasplantes S.C — Cuernavaca, Mexico (Recruiting)
- JM Research, SC — Cuernavaca, Mexico (Active_not_recruiting)
- Hospital Civil de Guadalajara Fray Antonio Alcalde — Guadalajara, Mexico (Recruiting)
- Instituto Nacional de Pediatria (INP) (National Institute of Pediatrics) — Mexico City, Mexico (Recruiting)
- Uniwersytecki Szpital Kliniczny Im. Zamenhofa w Bialystoku — Bialystok, Poland (Not_yet_recruiting)
- Specjalistyczne Gabinety Sp. z o.o — Krakow, Poland (Active_not_recruiting)
- University Children Hospital — Krakow, Poland (Not_yet_recruiting)
- Polish Mother's Memorial Hospital Research Institute — Lodz, Poland (Not_yet_recruiting)
Study contacts
- Study coordinator: Clinical Trial Interest
- Email: CTInterest@covispharma.com
- Phone: 1-877-374 -4177
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.