A Study to Test the Non-Inferiority of Ferric Bepectate IV Against Ferric Carboxymaltose in Patients With Iron Deficiency Anemia

Trial statusNot yet recruiting
Trial phasePhase 3
Trial typeInterventional
Biological sexAll
Age18+
SponsorAFT Pharmaceuticals, Ltd.

About this trial

The goal of this clinical trial is to see if a new intravenous iron formulation (Ferric Bepectate IV Injection) can treat adult patients with iron deficiency anemia (IDA) by increasing blood hemoglobin (Hb) as an established formulation (Ferric carboxymaltose). It will also learn about the safety of Ferric Bepectate IV Injection. The main questions it aims to answer are:

* Does hemoglobin increase by the same amount 6 weeks after each treatment? * What medical problems do participants have when being treated with the drug? Researchers will compare single dose treatment plans of Ferric Bepectate to double dose treatment plans of both Ferric Bepectate and Ferric carboxymaltose.

Participants and researchers will know which drug they are being provided (open-label). Participants will visit the clinic 5 times over 6 weeks for checkups, blood tests and questionaries. The first two visits will be seven days apart and include the two doses of iron treatment.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Male or female patient at least 18 years old at the time of screening

Patients with general iron deficiency anaemia IDA

Patients with serum ferritin levels ≤40 ng/mL inclusive

Patients with haemoglobin (Hb) levels <10 g/dL

Disqualifiers

Pregnant or breastfeeding patients

Female patients not willing to use a safe method of contraception (PEARL index <1) for the full study (screening - V5).

Severe physical inability, e.g., ASA physical status IV or V.

Non-iron deficiency anaemia, e.g., known Vitamin B12 or folate deficiency, hemoglobinopathy, or unexplained anaemia.

Trial design

Design model

Parallel

Treatments tested in this trial

  • Ferric Bepectate IV Injection

    Drug

    Ferric Bepectate IV Injection 50 mg iron/mL

  • Ferric Carboxymaltose Injection [Ferinject]

    Drug

    Ferric carboxymaltose (Ferinject®) 50 mg iron/mL in two doses 7-9 days apart

  • Ferric Carboxymaltose Injection [Injectafer®]

    Drug

    Ferric carboxymaltose (Injectafer®) 50 mg iron/mL in two doses 7-9 days apart

Treatment groups

1,366 Participants
are divided into 6 treatment groups

6

Treatment groups

See each treatment group below.

Group A: Ferric Bepectate IV Injection single dose (US/Japan)Experimental treatment 1 intervention
Group B: Ferric Bepectate IV Injection single dose (RoW)Experimental treatment 1 intervention
Group C: Ferric Bepectate IV Injection two doses (US/Japan)Experimental treatment 1 intervention
Group D: Ferric Bepectate IV Injection two doses (RoW)Experimental treatment 1 intervention
Group E: Injectafer (US/Japan)Active comparator 1 intervention
Group F: Ferinject (RoW)Active comparator 1 intervention

Trial outcomes

Primary outcomes

1

Change in hemoglobin comparing one dose Ferric bepectate and two dose Injectafer treatment

The mean change in blood hemoglobin from baseline at week 6 showing non-inferiority between the treatment groups Ferric Bepectate IV Injection (single dose) and Injectafer

Time frame
6 weeks
2

Change in hemoglobin comparing one dose Ferric bepectate and two dose Ferinject treatment

The mean change in blood hemoglobin from baseline at week 6 showing non-inferiority between the treatment groups Ferric Bepectate IV Injection (single dose) and Ferinject

Time frame
6 weeks
3

Incidence of treatment emergent adverse events

Incidence of treatment emergent adverse events (TEAE) during the 2 hours following the start of infusion

Time frame
2 hours post infusion start

Secondary outcomes

1

Blood hemoglobin amount

Mean blood hemoglobin at weeks 1, 2, 4 and 6 timepoints. Compared between all treatment groups.

Time frame
6 weeks
2

Hemoglobin change from baseline

Mean change in blood hemoglobin from baseline to weeks 1, 2, 4 and 6.

Time frame
6 weeks
3

Serum iron change from baseline

Mean change in serum iron from baseline at weeks 1, 2, 4 and 6 timepoints. Compared between all treatment groups.

Time frame
6 weeks
4

Serum ferritin change from baseline

Mean change in serum ferritin from baseline at weeks 1, 2, 4 and 6 timepoints. Compared between all treatment groups.

Time frame
6 weeks

Other outcomes

1

Pooled data hemoglobin amount

Mean hemoglobin at weeks 1, 2, 4 and 6. Pooled data (USA+Japan+RoW) between study regions.

Time frame
6 weeks
2

Pooled data change in hemoglobin

Mean change in hemoglobin from baseline to weeks 1, 2, 4 and 6. Pooled data (USA+Japan+RoW) between study regions.

Time frame
6 weeks
3

Pooled data change in serum iron

Mean change in serum iron from baseline to weeks 1, 2, 4 and 6. Pooled data (USA+Japan+RoW) between study regions.

Time frame
6 weeks
4

Pooled data change in serum ferritin

Mean change in serum ferritin from baseline to weeks 1, 2, 4 and 6. Pooled data (USA+Japan+RoW) between study regions.

Time frame
6 weeks

Sponsors and contacts

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