A Phase III Safety Study of Ferumoxytol Compared to Ferric Carboxymaltose for the Treatment of Iron Deficiency Anemia (IDA)

Sponsor
AMAG Pharmaceuticals, Inc. (Industry)
Overall Status
Completed
CT.gov ID
NCT02694978
Collaborator
(none)
2,014
127
2
16.6
15.9
1

Study Details

Study Description

Brief Summary

To evaluate the safety of 1.020 grams (g) of intravenous (IV) ferumoxytol compared to 1.500 g of IV ferric carboxymaltose (FCM).

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
2014 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Official Title:
A Phase III, Randomized, Multicenter, Double-Blind, Safety Study of Ferumoxytol Compared to Ferric Carboxymaltose for the Treatment of Iron Deficiency Anemia (IDA)
Actual Study Start Date :
Feb 29, 2016
Actual Primary Completion Date :
Jan 16, 2017
Actual Study Completion Date :
Jul 17, 2017

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ferumoxytol

Participants received an IV infusion of ferumoxytol 510 milligram (mg) diluted (17 milliliter [mL]) in 233 mL 0.9% sodium chloride injection, United States Pharmacopeia (USP) (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g.

Drug: Ferumoxytol
Other Names:
  • Feraheme
  • Active Comparator: FCM

    Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.

    Drug: FCM
    Other Names:
  • Injectafer, Ferinject
  • Outcome Measures

    Primary Outcome Measures

    1. Participants With Treatment-Emergent (TE) Moderate To Severe Hypersensitivity Reactions (Rxns), Including Anaphylaxis, Or Moderate To Severe Hypotension [Day 1 (after first dosing) through Week 5]

      All IV iron formulations carry some risk of serious hypersensitivity reactions or anaphylaxis. Signs and symptoms potentially representing hypersensitivity were recorded and adjudicated by a blinded Clinical Events Committee (CEC). Hypotension is defined as a >30% drop in systolic blood pressure from baseline or decrease of >20 mmHg for systolic blood pressure. Statistical analysis was only performed on composite data. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

    Secondary Outcome Measures

    1. Participants With Moderate To Severe Hypersensitivity Reactions, Including Anaphylaxis, Serious Cardiovascular Events, And Death [Day 1 (after first dosing) through Week 5]

      All IV iron formulations carry some risk of serious hypersensitivity reactions or anaphylaxis. Signs and symptoms potentially representing hypersensitivity were recorded and adjudicated by a blinded Clinical Events Committee (CEC). A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.

    2. Mean Change In Hemoglobin From Baseline To Week 5 [Baseline (Day 1), Week 5]

      Mean change in hemoglobin from Baseline to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline). Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information.

    3. Mean Change In Hemoglobin Per Gram Of Iron Administered From Baseline To Week 5 [Baseline (Day 1), Week 5]

      Mean change in hemoglobin per g of iron administered from Baseline (Day 1) to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline). Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Key Inclusion Criteria include:
    • Participants with IDA and in whom IV iron treatment is indicated and defined as:

    • Participants with documented hemoglobin <12.0 g per deciliter (dL) for females and <14.0 g/dL for males within 60 days of dosing And

    • Participants with documented transferrin saturation (TSAT) ≤20% or Ferritin ≤100 nanograms (ng) per mL within 60 days of dosing

    • Documented history of unsatisfactory oral iron therapy or in whom oral iron cannot be tolerated, or for whom oral iron is considered medically inappropriate (as per oral iron history questionnaire)

    • All participants (male and female) of childbearing potential who are sexually active who agree to routinely use adequate contraception from randomization throughout the duration of the study

    Key Exclusion Criteria include:
    • Known hypersensitivity reaction to any component of ferumoxytol or FCM

    • History of allergy to an IV iron

    • History of multiple drug allergies

    • Participants with dialysis-dependent chronic kidney disease

    • Hemoglobin ≤7.0 g/dL

    • Female participants who are pregnant, intend to become pregnant, are breastfeeding, have a positive serum/urine pregnancy test or not willing to use effective contraceptive precautions during the study (including females of childbearing potential who are partners of male participants)

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Huntsville Alabama United States
    2 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tucson Arizona United States 85741
    3 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tucson Arizona United States
    4 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Anaheim California United States
    5 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Chula Vista California United States
    6 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Corona California United States
    7 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Encino California United States
    8 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Fountain Valley California United States
    9 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Granada Hills California United States
    10 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. La Mesa California United States
    11 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Orange California United States
    12 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Oxnard California United States
    13 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Riverside California United States
    14 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Diego California United States
    15 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. West Hollywood California United States
    16 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Westminster California United States
    17 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bristol Connecticut United States
    18 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Norwalk Connecticut United States
    19 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Clearwater Florida United States
    20 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Gainesville Florida United States
    21 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lauderdale Lakes Florida United States 33313
    22 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Lauderdale Lakes Florida United States
    23 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Miami Lakes Florida United States
    24 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Miami Florida United States 33135
    25 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Miami Florida United States
    26 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. North Miami Florida United States
    27 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. South Miami Florida United States
    28 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. West Palm Beach Florida United States
    29 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Winter Haven Florida United States
    30 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Atlanta Georgia United States
    31 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Augusta Georgia United States
    32 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Savannah Georgia United States
    33 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Thomasville Georgia United States
    34 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Elk Grove Village Illinois United States
    35 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Evergreen Park Illinois United States
    36 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Hazel Crest Illinois United States
    37 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Skokie Illinois United States 60202
    38 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Skokie Illinois United States
    39 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wichita Kansas United States
    40 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Crestview Hills Kentucky United States
    41 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Metairie Louisiana United States
    42 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. New Orleans Louisiana United States
    43 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Baltimore Maryland United States
    44 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bethesda Maryland United States
    45 AMAG Pharmaceuticals, Inc. Waltham Massachusetts United States 02451
    46 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Bay City Michigan United States
    47 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Flint Michigan United States
    48 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Saginaw Michigan United States 48706
    49 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Saginaw Michigan United States
    50 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Chesterfield Missouri United States
    51 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kansas City Missouri United States
    52 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kirksville Missouri United States
    53 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Las Vegas Nevada United States
    54 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. East Setauket New York United States
    55 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Flushing New York United States
    56 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. New York New York United States
    57 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Rosedale New York United States
    58 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Asheville North Carolina United States 28801
    59 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Asheville North Carolina United States
    60 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Charlotte North Carolina United States
    61 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Greensboro North Carolina United States
    62 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Hickory North Carolina United States
    63 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Jacksonville North Carolina United States
    64 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Morehead City North Carolina United States
    65 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Raleigh North Carolina United States
    66 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wilmington North Carolina United States
    67 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Winston-Salem North Carolina United States
    68 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Cincinnati Ohio United States 45224
    69 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Cincinnati Ohio United States
    70 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Marion Ohio United States
    71 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Norman Oklahoma United States
    72 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tulsa Oklahoma United States 74104
    73 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Tulsa Oklahoma United States
    74 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Jenkintown Pennsylvania United States
    75 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Levittown Pennsylvania United States
    76 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Scottdale Pennsylvania United States
    77 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Smithfield Pennsylvania United States
    78 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Upland Pennsylvania United States
    79 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Greenville South Carolina United States 29615
    80 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Greenville South Carolina United States
    81 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Greer South Carolina United States
    82 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Rapid City South Dakota United States
    83 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Germantown Tennessee United States
    84 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kingsport Tennessee United States
    85 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Memphis Tennessee United States
    86 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Austin Texas United States
    87 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Fort Sam Houston Texas United States
    88 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Houston Texas United States 77030
    89 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Houston Texas United States 77081
    90 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Houston Texas United States
    91 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Longview Texas United States
    92 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Antonio Texas United States 78215
    93 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Antonio Texas United States 78217
    94 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Antonio Texas United States 78229
    95 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. San Antonio Texas United States
    96 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Schertz Texas United States
    97 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Orem Utah United States
    98 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Fredericksburg Virginia United States
    99 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Norfolk Virginia United States
    100 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Seattle Washington United States
    101 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Sault Ste. Marie Ontario Canada
    102 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Vaughan Ontario Canada
    103 For additional information regarding investigative sites for this trial, contact 1-877-411-2510 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Montréal Quebec Canada
    104 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Budapest Hungary
    105 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Debrecen Hungary
    106 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Komárom Hungary
    107 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Szekszárd Hungary
    108 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Vác Hungary
    109 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Jelgava Latvia
    110 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kraslava Latvia
    111 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Liepāja Latvia
    112 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Riga Latvia LV-1002
    113 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Riga Latvia LV-1006
    114 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Riga Latvia LV-1010
    115 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Ventspils Latvia
    116 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kaunas Lithuania LT-44320
    117 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kaunas Lithuania LT-48259
    118 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Kaunas Lithuania LT-49449
    119 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Klaipėda Lithuania
    120 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Utena Lithuania
    121 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Vilnius Lithuania
    122 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Šiauliai Lithuania
    123 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Białystok Poland 15-224
    124 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Białystok Poland 15-732
    125 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Warszawa Poland
    126 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Wrocław Poland
    127 For additional information regarding investigative sites for this trial, contact 1-617-498-3300 Mon-Fri from 9 AM to 5 PM Eastern Time (UTC/GMT - 5 hours, EST), or speak with your personal physician. Ponce Puerto Rico

    Sponsors and Collaborators

    • AMAG Pharmaceuticals, Inc.

    Investigators

    None specified.

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    Responsible Party:
    AMAG Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02694978
    Other Study ID Numbers:
    • AMAG-FER-IDA-304
    First Posted:
    Mar 1, 2016
    Last Update Posted:
    Jun 11, 2018
    Last Verified:
    May 1, 2018
    Individual Participant Data (IPD) Sharing Statement:
    No
    Plan to Share IPD:
    No
    Keywords provided by AMAG Pharmaceuticals, Inc.
    Additional relevant MeSH terms:

    Study Results

    Participant Flow

    Recruitment Details Participants with iron deficiency anemia (IDA), <12.0 grams (g) per deciliter (dL) for females and <14.0 g/dL for males within 60 days of dosing and transferrin saturation (TSAT) <20% or Ferritin ≤100 nanograms (ng) per milliliter (mL) within 60 days of dosing and a history of unsatisfactory oral iron therapy or in whom oral iron could not be used.
    Pre-assignment Detail
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 milligram (mg) diluted (17 milliliter [mL]) in 233 mL 0.9% sodium chloride injection, United States Pharmacopeia (USP) (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    Period Title: Overall Study
    STARTED 1006 1008
    Received at Least 1 Dose of Study Drug 997 1000
    COMPLETED 935 948
    NOT COMPLETED 71 60

    Baseline Characteristics

    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM) Total
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g. Total of all reporting groups
    Overall Participants 997 1000 1997
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    55.6
    (17.30)
    54.8
    (17.02)
    55.2
    (17.16)
    Sex: Female, Male (Count of Participants)
    Female
    743
    74.5%
    776
    77.6%
    1519
    76.1%
    Male
    254
    25.5%
    224
    22.4%
    478
    23.9%

    Outcome Measures

    1. Primary Outcome
    Title Participants With Treatment-Emergent (TE) Moderate To Severe Hypersensitivity Reactions (Rxns), Including Anaphylaxis, Or Moderate To Severe Hypotension
    Description All IV iron formulations carry some risk of serious hypersensitivity reactions or anaphylaxis. Signs and symptoms potentially representing hypersensitivity were recorded and adjudicated by a blinded Clinical Events Committee (CEC). Hypotension is defined as a >30% drop in systolic blood pressure from baseline or decrease of >20 mmHg for systolic blood pressure. Statistical analysis was only performed on composite data. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.
    Time Frame Day 1 (after first dosing) through Week 5

    Outcome Measure Data

    Analysis Population Description
    The safety population included any randomized participant who received any amount of study drug. Treatment group was based on actual treatment.
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    Measure Participants 997 1000
    Moderate hypersensitivity reaction
    3
    0.3%
    6
    0.6%
    Severe hypersensitivity reaction
    1
    0.1%
    0
    0%
    Anaphylaxis
    0
    0%
    0
    0%
    Moderate hypotension
    2
    0.2%
    1
    0.1%
    Severe hypotension
    0
    0%
    0
    0%
    Any TE moderate to severe hypersensitivity rxn
    6
    0.6%
    7
    0.7%
    Statistical Analysis 1
    Statistical Analysis Overview Comparison Group Selection Ferumoxytol, Ferric Carboxymaltose (FCM)
    Comments Statistical analysis was only performed on composite reaction data (that is, the "Any TE moderate to severe hypersensitivity rxn" row in the data table).
    Type of Statistical Test Non-Inferiority
    Comments The non-inferiority margin of 2.64% was used for the primary endpoint statistical analysis.
    Statistical Test of Hypothesis p-Value 0.0001
    Comments
    Method Wald
    Comments The p-value was calculated using the Wald large sample assumption.
    Method of Estimation Estimation Parameter Treatment difference
    Estimated Value -0.10
    Confidence Interval (2-Sided) 95%
    -0.80 to 0.61
    Parameter Dispersion Type:
    Value:
    Estimation Comments
    2. Secondary Outcome
    Title Participants With Moderate To Severe Hypersensitivity Reactions, Including Anaphylaxis, Serious Cardiovascular Events, And Death
    Description All IV iron formulations carry some risk of serious hypersensitivity reactions or anaphylaxis. Signs and symptoms potentially representing hypersensitivity were recorded and adjudicated by a blinded Clinical Events Committee (CEC). A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse Events module.
    Time Frame Day 1 (after first dosing) through Week 5

    Outcome Measure Data

    Analysis Population Description
    The safety population included any randomized participant who received any amount of study drug. Treatment group was based on actual treatment.
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    Measure Participants 997 1000
    Moderate hypersensitivity reaction
    3
    0.3%
    6
    0.6%
    Severe hypersensitivity reaction
    1
    0.1%
    0
    0%
    Anaphylaxis
    0
    0%
    0
    0%
    Serious cardiovascular event
    6
    0.6%
    13
    1.3%
    Death
    4
    0.4%
    2
    0.2%
    Any moderate to severe hypersensitivity rxn
    13
    1.3%
    20
    2%
    3. Secondary Outcome
    Title Mean Change In Hemoglobin From Baseline To Week 5
    Description Mean change in hemoglobin from Baseline to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline). Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information.
    Time Frame Baseline (Day 1), Week 5

    Outcome Measure Data

    Analysis Population Description
    Intent-to-treat (ITT) population: any randomized participant who had any exposure to study drug, based on randomized treatment assignment.
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    Measure Participants 997 1000
    Mean (Standard Deviation) [g/dL]
    1.38
    (1.351)
    1.63
    (1.535)
    4. Secondary Outcome
    Title Mean Change In Hemoglobin Per Gram Of Iron Administered From Baseline To Week 5
    Description Mean change in hemoglobin per g of iron administered from Baseline (Day 1) to Week 5 was calculated for each participant as: Hemoglobin Change = Hemoglobin (Week 5) - Hemoglobin (Baseline). Baseline was defined as the Day 1 value (prior to injection of study drug). The screening or most recent value prior to Day 1 was used for any participant with missing Day 1 information.
    Time Frame Baseline (Day 1), Week 5

    Outcome Measure Data

    Analysis Population Description
    ITT population: any randomized participant who had any exposure to study drug, based on randomized treatment assignment.
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    Measure Participants 997 1000
    Mean (Standard Deviation) [g/dL]
    1.35
    (1.353)
    1.10
    (1.050)

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Ferumoxytol Ferric Carboxymaltose (FCM)
    Arm/Group Description Participants received an IV infusion of ferumoxytol 510 mg diluted (17 mL) in 233 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.020 g. Participants received an IV infusion of FCM 750 mg diluted (15 mL) in 235 mL 0.9% sodium chloride injection, USP (normal saline) (final volume 250 mL) over at least 15 minutes with a second dose 7-8 days after the first dose, for a total cumulative dose of 1.500 g.
    All Cause Mortality
    Ferumoxytol Ferric Carboxymaltose (FCM)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total / (NaN) / (NaN)
    Serious Adverse Events
    Ferumoxytol Ferric Carboxymaltose (FCM)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 36/997 (3.6%) 35/1000 (3.5%)
    Blood and lymphatic system disorders
    Haemorrhagic anaemia 2/997 (0.2%) 0/1000 (0%)
    Anaemia vitamin B12 deficiency 1/997 (0.1%) 0/1000 (0%)
    Cardiac disorders
    Cardiac failure congestive 1/997 (0.1%) 3/1000 (0.3%)
    Cardiorespiratory arrest 1/997 (0.1%) 0/1000 (0%)
    Left ventricular failure 1/997 (0.1%) 0/1000 (0%)
    Angina pectoris 0/997 (0%) 2/1000 (0.2%)
    Atrial fibrillation 0/997 (0%) 2/1000 (0.2%)
    Cardiac failure 0/997 (0%) 1/1000 (0.1%)
    Cardiac failure chronic 0/997 (0%) 1/1000 (0.1%)
    Acute myocardial infarction 0/997 (0%) 1/1000 (0.1%)
    Gastrointestinal disorders
    Gastric ulcer haemorrhage 1/997 (0.1%) 1/1000 (0.1%)
    Abdominal pain 1/997 (0.1%) 0/1000 (0%)
    Ascites 1/997 (0.1%) 0/1000 (0%)
    Pancreatitis acute 1/997 (0.1%) 0/1000 (0%)
    Gastric haemorrhage 0/997 (0%) 1/1000 (0.1%)
    Gastroduodenal ulcer 0/997 (0%) 1/1000 (0.1%)
    Gastrointestinal haemorrhage 0/997 (0%) 1/1000 (0.1%)
    Impaired gastric emptying 0/997 (0%) 1/1000 (0.1%)
    Pancreatitis chronic 0/997 (0%) 1/1000 (0.1%)
    General disorders
    Chest pain 0/997 (0%) 1/1000 (0.1%)
    Hepatobiliary disorders
    Hepatitis acute 0/997 (0%) 1/1000 (0.1%)
    Immune system disorders
    Anaphylactic reaction 1/997 (0.1%) 0/1000 (0%)
    Infections and infestations
    Gastroenteritis 3/997 (0.3%) 1/1000 (0.1%)
    Pneumonia 2/997 (0.2%) 0/1000 (0%)
    Osteomyelitis chronic 1/997 (0.1%) 0/1000 (0%)
    Joint abscess 1/997 (0.1%) 0/1000 (0%)
    Anal abscess 1/997 (0.1%) 0/1000 (0%)
    Cellulitis 1/997 (0.1%) 1/1000 (0.1%)
    Sepsis 1/997 (0.1%) 0/1000 (0%)
    Sepsis syndrome 1/997 (0.1%) 0/1000 (0%)
    Osteomyelitis 0/997 (0%) 1/1000 (0.1%)
    Injury, poisoning and procedural complications
    Anastomotic ulcer 1/997 (0.1%) 0/1000 (0%)
    Intentional overdose 1/997 (0.1%) 0/1000 (0%)
    Fall 0/997 (0%) 1/1000 (0.1%)
    Post-procedural haemorrhage 0/997 (0%) 1/1000 (0.1%)
    Wound dehiscence 0/997 (0%) 1/1000 (0.1%)
    Metabolism and nutrition disorders
    Fluid overload 1/997 (0.1%) 1/1000 (0.1%)
    Hyperkalaemia 1/997 (0.1%) 0/1000 (0%)
    Hypokalaemia 1/997 (0.1%) 0/1000 (0%)
    Musculoskeletal and connective tissue disorders
    Haemarthrosis 1/997 (0.1%) 0/1000 (0%)
    Arthritis 0/997 (0%) 1/1000 (0.1%)
    Neoplasms benign, malignant and unspecified (incl cysts and polyps)
    Adenocarcinoma of colon 1/997 (0.1%) 1/1000 (0.1%)
    Bladder cancer 0/997 (0%) 1/1000 (0.1%)
    Breast cancer metastatic 0/997 (0%) 1/1000 (0.1%)
    Metastatic uterine cancer 0/743 (0%) 1/776 (0.1%)
    Mixed hepatocellular cholangiocarcinoma 0/997 (0%) 1/1000 (0.1%)
    Nervous system disorders
    Seizure 2/997 (0.2%) 0/1000 (0%)
    Syncope 3/997 (0.3%) 3/1000 (0.3%)
    Cerebrovascular accident 1/997 (0.1%) 0/1000 (0%)
    Restless legs syndrome 0/997 (0%) 1/1000 (0.1%)
    Pregnancy, puerperium and perinatal conditions
    Abortion spontaneous 1/743 (0.1%) 0/776 (0%)
    Ectopic pregnancy 1/743 (0.1%) 0/776 (0%)
    Psychiatric disorders
    Completed suicide 1/997 (0.1%) 0/1000 (0%)
    Bipolar disorder 0/997 (0%) 1/1000 (0.1%)
    Renal and urinary disorders
    Acute kidney injury 2/997 (0.2%) 0/1000 (0%)
    End stage renal disease 0/997 (0%) 1/1000 (0.1%)
    Haematuria 0/997 (0%) 1/1000 (0.1%)
    Respiratory, thoracic and mediastinal disorders
    Pleural effusion 1/997 (0.1%) 0/1000 (0%)
    Respiratory distress 1/997 (0.1%) 0/1000 (0%)
    Respiratory failure 1/997 (0.1%) 0/1000 (0%)
    Asthma 0/997 (0%) 1/1000 (0.1%)
    Pulmonary embolism 0/997 (0%) 1/1000 (0.1%)
    Skin and subcutaneous tissue disorders
    Rash maculopapular 1/997 (0.1%) 0/1000 (0%)
    Vascular disorders
    Aortic stenosis 1/997 (0.1%) 0/1000 (0%)
    Hypertensive crisis 1/997 (0.1%) 0/1000 (0%)
    Aortic aneurysm 0/997 (0%) 1/1000 (0.1%)
    Hypertensive emergency 0/997 (0%) 1/1000 (0.1%)
    Hypotension 0/997 (0%) 1/1000 (0.1%)
    Other (Not Including Serious) Adverse Events
    Ferumoxytol Ferric Carboxymaltose (FCM)
    Affected / at Risk (%) # Events Affected / at Risk (%) # Events
    Total 186/997 (18.7%) 245/1000 (24.5%)
    Gastrointestinal disorders
    Nausea 35/997 (3.5%) 60/1000 (6%)
    Diarrhoea 29/997 (2.9%) 33/1000 (3.3%)
    Abdominal pain 17/997 (1.7%) 21/1000 (2.1%)
    Constipation 14/997 (1.4%) 13/1000 (1.3%)
    Vomiting 11/997 (1.1%) 13/1000 (1.3%)
    General disorders
    Fatigue 30/997 (3%) 36/1000 (3.6%)
    Chest discomfort 8/997 (0.8%) 11/1000 (1.1%)
    Pyrexia 7/997 (0.7%) 22/1000 (2.2%)
    Chest pain 10/997 (1%) 4/1000 (0.4%)
    Metabolism and nutrition disorders
    Hypophosphataemia 0/997 (0%) 18/1000 (1.8%)
    Musculoskeletal and connective tissue disorders
    Back pain 19/997 (1.9%) 16/1000 (1.6%)
    Arthralgia 14/997 (1.4%) 12/1000 (1.2%)
    Nervous system disorders
    Headache 60/997 (6%) 82/1000 (8.2%)
    Dizziness 25/997 (2.5%) 40/1000 (4%)
    Respiratory, thoracic and mediastinal disorders
    Cough 15/997 (1.5%) 13/1000 (1.3%)
    Dyspnoea 11/997 (1.1%) 18/1000 (1.8%)
    Skin and subcutaneous tissue disorders
    Pruritus 12/997 (1.2%) 11/1000 (1.1%)
    Urticaria 3/997 (0.3%) 13/1000 (1.3%)
    Vascular disorders
    Flushing 11/997 (1.1%) 16/1000 (1.6%)
    Hypertension 7/997 (0.7%) 15/1000 (1.5%)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    If there is no multi-site publication within 18 months after the Study has been completed or terminated at all Study sites, and all data have been received by Sponsor, the Site, and SMO shall have the right to publish its results from the Study for non-commercial purposes, if submitted to Sponsor for review 60 days prior to submission of publication. Publication must remove all confidential information and may be delayed by up to 180 days to allow Sponsor to protect its interests.

    Results Point of Contact

    Name/Title Medical Information
    Organization AMAG Pharmaceuticals, Inc.
    Phone 1-877-411-2510
    Email amag@druginfo.com
    Responsible Party:
    AMAG Pharmaceuticals, Inc.
    ClinicalTrials.gov Identifier:
    NCT02694978
    Other Study ID Numbers:
    • AMAG-FER-IDA-304
    First Posted:
    Mar 1, 2016
    Last Update Posted:
    Jun 11, 2018
    Last Verified:
    May 1, 2018