Serial Phlebotomy in Voluntary Blood Donors
Study Details
Study Description
Brief Summary
Blood donation has been proposed to be associated with reduced risk of cardiovascular disease, but the effects of phlebotomy on vascular function in human subjects have not been well characterized. A prospective randomized double-blind study was undertaken to determine the effects of iron loss and red blood cell loss induced by serial phlebotomy on vascular endothelial function in the brachial artery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
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N/A |
Detailed Description
84 Fe-replete, non-anemic subjects were randomly assigned to one of three experimental serial phlebotomy procedures designed to induce Fe loss or RBC loss. Brachial artery reactivity (BAR, %) in response to transient oxidative stress induced by oral methionine was measured with high-resolution duplex ultrasound imaging before and after study phlebotomy procedures.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Phlebotomy plus normal saline Four serial phlebotomy procedures followed by infusion of normal saline |
Other: Phlebotomy
Removal of 500 cc of blood via forearm vein
Other Names:
|
Experimental: Phlebotomy plus intravenous iron Four serial phlebotomy procedures followed by infusion of intravenous iron sucrose |
Other: Phlebotomy
Removal of 500 cc of blood via forearm vein
Other Names:
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Placebo Comparator: Sham Phlebotomy Four serial sham phlebotomy procedures followed by infusion of normal saline |
Other: Phlebotomy
Removal of 500 cc of blood via forearm vein
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Brachial artery reactivity response to oral methionine administration [Before and 1 week after completion of assigned phlebotomy procedures]
Measure by vascular ultrasound imaging
Secondary Outcome Measures
- Iron deficiency anemia [before each phlebotomy procedure, and at 1, 8, and 16 weeks after completion of assigned phlebotomy procedures]
hemoglobin level measured by hemocue or complete blood count
Other Outcome Measures
- Serum ferritin [Before and 1 week after completion of assigned phlebotomy procedures]
- Serum nitrotyrosine [Before and 1 week after completion of assigned phlebotomy procedures]
- Whole blood viscosity [Before and 1 week after completion of assigned phlebotomy procedures]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
hemoglobin levels >13.5 g/dl for men, or >12.5 g/dl for women
-
serum ferritin 50-400 ng/ml
Exclusion Criteria:
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known intolerance of phlebotomy procedures
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major trauma or surgical procedures in the last 2 years
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menstrual or other uterine bleeding in the last 2 years
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chronic oral anticoagulation or dual antiplatelet therapy
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chronic non-steroidal anti-inflammatory drug use
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known history of hemochromatosis or other disorder of hematopoiesis or Fe metabolism
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chronic oral Fe supplementation other than Fe-containing multivitamins
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history of active cancer in the past 2 years
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known history of chronic inflammatory disease
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uncontrolled hypertension
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electrocardiographic evidence of prior myocardial infarction
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diabetes mellitus
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fasting glucose >100 mg/dL
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body mass index >40 kg/m2
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any tobacco use in the past 6 months
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | New York University Langone Medical Center | New York | New York | United States | 10016 |
Sponsors and Collaborators
- NYU Langone Health
- National Heart, Lung, and Blood Institute (NHLBI)
- National Center for Research Resources (NCRR)
Investigators
- Principal Investigator: Stuart Katz, MD, NYU Langone Health
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 08-411
- 1R01HL086932
- UL1TR000038