Title
Treatment of Women After Severe Postpartum Haemorrhage
A Randomized Comparative, Open-Label Study of Intravenous Iron Isomaltoside 1000 (Monofer®) Administered by High Single Dose In-fusions or Red Blood Cell Transfusion in Women With Severe Postpartum Iron Deficiency Anaemia
Phase
Phase 3Lead Sponsor
PharmacosmosStudy Type
InterventionalStatus
Completed No Results PostedIndication/Condition
Severe Postpartum HaemorrhageIntervention/Treatment
ferric derisomaltose red blood cells ...Study Participants
13The primary purpose of this study is to get explorative information about IV high single dose infusion of iron isomaltoside 1000 compared to RBC transfusion in the treatment of severe PP-IDA evaluated as physical fatigue
A single dose of 1500 mg iron isomaltoside 1000 is given. The dose is diluted in 100 ml 0.9% sodium chloride and given over approximately 15 min.
Allogenic RBC transfusion is dosed to trigger Hb: Women with Hb 5.5 - 6.4 g/dL (3.5-3.9 mmol/L) will receive 2 units of RBC Women with Hb 6.5 - 8.0 g/dL (4.0-5.0 mmol/L) will receive 1 unit of RBC
Inclusion Criteria: PPH > 1000 mL Hb ≥ 5.5 and ≤ 8.0 g/dL (≥ 3.5 and ≤ 5.0 mmol/L) Willingness to participate and signed the informed consent form Exclusion Criteria: Women aged < 18 years Multiple births Peripartum RBC transfusion Known iron overload or disturbances in utilisation of iron (e.g. haemochromatosis and haemosiderosis) Known hypersensitivity to parenteral iron or any excipients in the investigational drug products Women with a history of active asthma within the last 5 years or a history of multiple allergies Known decompensated liver cirrhosis and active hepatitis Women with HELLP (Haemolysis Elevated Liver enzymes Low Platelet count) syndrome (defined according to "Dansk Selskab for Obstetrik og Gynækologi guidelines") Active acute infection assessed by clinical judgement Rheumatoid arthritis with symptoms or signs of active joint inflammation History of anaemia caused by e. g. thalassemia, hypersplenism or haemolytic anaemia (known haematologic disorder other than iron deficiency) Not able to read, speak and understand the Danish language Participation in any other clinical study where the study drug has not passed 5 half-lives prior to the baseline Any other medical condition that, in the opinion of Investigator, may cause the patient to be unsuitable for completion of the study or place the patient at potential risk from being in the study. For example, a malignancy, uncontrolled hypertension, unstable ischaemic heart disease or uncontrolled diabetes mellitus