About this trial
50 patients with anemia scheduled for heart surgery or procedures will be randomized to receive either oral sucrosomial iron or standard-of-care intravenous iron before surgery to see if the oral iron is as effective as intravenous iron in increasing the red blood cell count.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age ≥18 years
Coronary artery bypass graft surgery (CABG)
Valve procedures
Aortic root procedures
Disqualifiers
Scheduled for cardiac surgery requiring deep hypothermia or circulatory arrest
Undergoing heart transplantation or ventricular assist device placement
Lacking capacity to provide informed consent or unable to understand spoken and written English
Baseline hemoglobin >12 g/dL or <10 g/dL
Trial design
Parallel
Treatments tested in this trial
Treatment with oral sucrosomial iron
Drugblood draw on the day of surgery to check hemoglobin and red blood cell count and iron studies
Treatment with intravenous iron
Drug2 infusions of intravenous iron (ferumoxytol)
Treatment groups
Trial outcomes
Primary outcomes
Change in hemoglobin from baseline to day of surgery or procedure
Change in hemoglobin in grams per deciliter from the baseline pre operative complete blood count to the complete blood count obtained on the day of surgery or procedure. Change will be calculated as hemoglobin on the day of surgery minus baseline hemoglobin.
Secondary outcomes
Treatment compliance
Proportion of participants who complete the assigned iron treatment. Compliance is defined as receiving both infusions in the intravenous arm and taking the prescribed capsules in the oral arm, based on pill counts and participant reporting.
Proportion of participants receiving any blood transfusion
Number of participants who receive at least one transfusion of blood products after surgery or procedure
Change in iron study values from baseline to the day of surgery or procedure
Change in serum iron, ferritin, and transferrin saturation between baseline and day of surgery
Post operative complications
Number of participants who experience any of the following within thirty days: acute kidney injury, stroke, infection requiring antimicrobial therapy, or death.
Sponsors and contacts
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University of Rochester
Lead sponsor
Pharmanutra S.p.a.
Collaborator
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