Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia

Objective. To evaluate safety and efficacy of intravenous ferric carboxymaltose (FCM) versus standard medical care (SMC) for iron-deficiency anemia (IDA) in postpartum women and women with heavy menstrual bleeding. Study Design. This open-label, multicenter study randomized women with IDA (hemoglobi...

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Main Authors: Melvin H. Seid, Angelia D. Butcher, Ashwin Chatwani
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Anemia
Online Access:http://dx.doi.org/10.1155/2017/9642027
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author Melvin H. Seid
Angelia D. Butcher
Ashwin Chatwani
author_facet Melvin H. Seid
Angelia D. Butcher
Ashwin Chatwani
author_sort Melvin H. Seid
collection DOAJ
description Objective. To evaluate safety and efficacy of intravenous ferric carboxymaltose (FCM) versus standard medical care (SMC) for iron-deficiency anemia (IDA) in postpartum women and women with heavy menstrual bleeding. Study Design. This open-label, multicenter study randomized women with IDA (hemoglobin ≤ 11.0 g/dL) to single doses of FCM (15 mg/kg [maximum 1000 mg]) or SMC (this treatment was determined by the investigator and there may have been no treatment). Safety data (primary outcome) were collected for 30 days. Results. Of 2045 subjects enrolled (FCM: n=1023; SMC: n=1022), 996 received FCM and 1022 received SMC. At least 1 serious adverse event (AE) was reported by 0.6% and 2.2% of subjects in the FCM and SMC groups, respectively; none were considered treatment related. The difference in serious AEs was primarily due to higher rates of uterine leiomyoma, uterine hemorrhage, and menorrhagia in SMC subjects with heavy menstrual bleeding. Common AEs were generally predictable, with higher rates of infusion site reactions in FCM subjects and gastrointestinal AEs in SMC subjects. Mean hemoglobin increases were greater in the FCM group than the SMC group. Conclusion. FCM was well tolerated and effectively increased mean hemoglobin levels in postpartum women or women with heavy menstrual bleeding and IDA. This trial is registered with ClinicalTrials.gov, NCT00548860.
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spelling doaj-art-67ab2ee5e486416e8c14ccbc93e526c92025-02-03T05:47:51ZengWileyAnemia2090-12672090-12752017-01-01201710.1155/2017/96420279642027Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency AnemiaMelvin H. Seid0Angelia D. Butcher1Ashwin Chatwani2Unified Women’s Clinical Research, 1100-C South Stratford Road, Suite 310, Winston-Salem, NC 27103, USALuitpold Pharmaceuticals, Inc., 800 Adams Ave, Suite 100, Norrisville, PA 19403, USADepartment of Obstetrics and Gynecology, Temple University School of Medicine, Philadelphia, PA 19140, USAObjective. To evaluate safety and efficacy of intravenous ferric carboxymaltose (FCM) versus standard medical care (SMC) for iron-deficiency anemia (IDA) in postpartum women and women with heavy menstrual bleeding. Study Design. This open-label, multicenter study randomized women with IDA (hemoglobin ≤ 11.0 g/dL) to single doses of FCM (15 mg/kg [maximum 1000 mg]) or SMC (this treatment was determined by the investigator and there may have been no treatment). Safety data (primary outcome) were collected for 30 days. Results. Of 2045 subjects enrolled (FCM: n=1023; SMC: n=1022), 996 received FCM and 1022 received SMC. At least 1 serious adverse event (AE) was reported by 0.6% and 2.2% of subjects in the FCM and SMC groups, respectively; none were considered treatment related. The difference in serious AEs was primarily due to higher rates of uterine leiomyoma, uterine hemorrhage, and menorrhagia in SMC subjects with heavy menstrual bleeding. Common AEs were generally predictable, with higher rates of infusion site reactions in FCM subjects and gastrointestinal AEs in SMC subjects. Mean hemoglobin increases were greater in the FCM group than the SMC group. Conclusion. FCM was well tolerated and effectively increased mean hemoglobin levels in postpartum women or women with heavy menstrual bleeding and IDA. This trial is registered with ClinicalTrials.gov, NCT00548860.http://dx.doi.org/10.1155/2017/9642027
spellingShingle Melvin H. Seid
Angelia D. Butcher
Ashwin Chatwani
Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
Anemia
title Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
title_full Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
title_fullStr Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
title_full_unstemmed Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
title_short Ferric Carboxymaltose as Treatment in Women with Iron-Deficiency Anemia
title_sort ferric carboxymaltose as treatment in women with iron deficiency anemia
url http://dx.doi.org/10.1155/2017/9642027
work_keys_str_mv AT melvinhseid ferriccarboxymaltoseastreatmentinwomenwithirondeficiencyanemia
AT angeliadbutcher ferriccarboxymaltoseastreatmentinwomenwithirondeficiencyanemia
AT ashwinchatwani ferriccarboxymaltoseastreatmentinwomenwithirondeficiencyanemia