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Trial registered on ANZCTR
Registration number
ACTRN12609000432213
Ethics application status
Approved
Date submitted
10/06/2009
Date registered
10/06/2009
Date last updated
6/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
A randomised controlled trial of oral HEMe iron polypeptide Against Treatment with Oral Controlled Release Iron Tablets for the correction of anaemia in peritoneal dialysis patients (HEMATOCRIT trial)
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Scientific title
A randomised controlled trial of oral HEMe iron polypeptide Against Treatment with Oral Controlled Release Iron Tablets for the correction of anaemia in peritoneal dialysis patients (HEMATOCRIT trial)
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Secondary ID [1]
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Cochrane Renal Group Registry number CRG110600094.
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Universal Trial Number (UTN)
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Trial acronym
The HEMATOCRIT trial
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Iron deficiency anaemia
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Condition category
Condition code
Renal and Urogenital
237295
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0
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Kidney disease
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Administration of oral Heme Iron Polypeptide [HIP; Proferrin (Registered trademark) ES, Colorado Biolabs, USA] 12mg (1 tablet) twice daily for 6 months
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
Administration of oral slow-release ferrous sulphate [Ferrogradumet (Registered Trademark), Abbott, Sydney, Australia] 325mg (1 tablet) twice daily for 6 months
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Control group
Active
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Outcomes
Primary outcome [1]
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Transferrin saturation (TSAT) values measured via blood analysis
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Assessment method [1]
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Timepoint [1]
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At baseline then every 2 months for 6 months
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Secondary outcome [1]
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Serum ferritin concentrations measured via blood analysis
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Assessment method [1]
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Timepoint [1]
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At baseline then every 2 months for 6 months
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Secondary outcome [2]
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Haemoglobin levels measured via blood analysis
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Assessment method [2]
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Timepoint [2]
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At baseline then every month for 6 months
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Secondary outcome [3]
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Prescribed dosages of darbepoietin alpha [DPO; Aranesp(Registered trademark) Amgen]. Study participants will be questioned regarding DPO dosage at each 2nd monthly clinical review.
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Assessment method [3]
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Timepoint [3]
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At baseline then every 2 months for 6 months
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Secondary outcome [4]
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Key's index (DPO dosage divided by haemoglobin concentration). Study participants will be questioned regarding DPO dosage at each 2nd monthly clinical review. Haemoglobin concentration will be measured via blood analysis.
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Assessment method [4]
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Timepoint [4]
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At baseline then every 2 months for 6 months
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Secondary outcome [5]
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Significant side effects. Study participants will questioned at each 2nd monthly clinical review as to whether they have encountered any problems with the trial medication. They will also be specifically questioned regarding whether they have experienced any gastrointestinal side effects (nausea, vomiting, altered bowel habit).
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Assessment method [5]
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Timepoint [5]
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Every 2 months for 6 months
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Eligibility
Key inclusion criteria
1. On peritoneal dialysis for 1 month or longer.
2. On DPO for 1 month or longer.
3. 18 years or over.
4. Able to give informed consent.
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients with a history of psychological illness or condition which interferes with their ability to understand or comply with the requirements of the study.
2. Pregnancy or breast-feeding.
3. Known hypersensitivity to, or intolerance of, oral iron, HIP or DPO.
4. Active peptic ulcer disease.
5. Vitamin B12 or folate deficiency.
6. Recent (within 1 month) acute infection.
7. Parathyroid hormone level > 100 pmol/L.
8. Serum aluminium > 2 micromol/L.
9. Presence of systemic haematological disease (including antibody-mediated pure red cell aplasia) or known haemoglobinopathy
10. Major surgery, infection, acute myocardial infarction or malignancy within the last 3 months.
11. Intravenous iron therapy, vitamin C therapy, melatonin treatment, androgen therapy or blood transfusion within the previous month.
12. Serum ferritin 500 microgram/mL or greater or transferrin saturation (TSAT) 50% or greater.
13. Religious or other objection to consuming product prepared from bovine blood.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Randomisation will be performed using sequentially numbered, opaque, sealed envelopes, stratified for the presence or absence of a TSAT less than or equal to 20%.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
The sequence of interventions was obtained from a computer-generated random number list in permuted blocks provided through the Australasian Kidney Trials (AKTN) network.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
11/09/2006
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Commercial sector/Industry
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Name [1]
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Amgen Australia Pty. Ltd.
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Address [1]
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Level 7, 123 Epping Rd
North Ryde NSW 2113
(PO Box 410 North Ryde NSW 1670)
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Country [1]
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Australia
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Primary sponsor type
Individual
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Name
Professor David Johnson
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Address
Department of Nephrology
Level 2 ARTS building
Princess Alexandra Hospital
199 Ipswich Rd
Woollongabba 4102
Victoria
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Country
Australia
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Secondary sponsor category [1]
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Individual
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Name [1]
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Dr. Katherine Barraclough
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Address [1]
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Department of Nephrology
Level 2 ARTS building
Princess Alexandra Hospital
199 Ipswich Rd
Woollongabba 4102
Victoria
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Princess Alexandra Human Reseach Ethics Committee
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Ethics committee address [1]
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Princess Alexandra Hospital 199 Ipswich Rd Woolloongabba 4102 QLD
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
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Approval date [1]
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15/11/2006
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Ethics approval number [1]
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2006/144
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Ethics committee name [2]
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West Moreton South Burnett Health Service District Human Ethics Committee
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Ethics committee address [2]
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Ipswich Hospital Chelmsford Avenue Ipswich Qld 4305
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Ethics committee country [2]
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Australia
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Date submitted for ethics approval [2]
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Approval date [2]
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10/10/2007
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Ethics approval number [2]
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4/08/2009
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Summary
Brief summary
The main hypothesis of the study is that Heme Iron Polypeptide [HIP; Proferrin (registered trademark) ES] administration will more effectively augment iron stores in erythropoeitin stimulating agent-treated peritoneal dialysis (PD) patients than conventional oral iron supplementation [Ferrogradumet (Registered Trademark)]. Patients will be randomized to receive either slow-release ferrous sulphate (1 tablet twice daily; control) or HIP (1 tablet twice daily) orally for a period of 6 months. The study will follow an open-label design but outcome assessors will be blinded to study treatment. During this 6 month study period, haemoglobin levels will be measured monthly and iron studies (including transferring saturation [TSAT] measurements) will be performed bi-monthly (as per usual clinical practice). Patients will be reviewed by PD nursing staff monthly and by nephrologists bi-monthly (as per usual clinical practice). The primary outcome measure will be the difference in TSAT levels between the 2 groups at the end of the 6 month study period, adjusted for baseline values using analysis of covariance. Secondary outcome measures will include serum ferritin concentration, haemoglobin level, darbapoeitin dosage, Key’s index (darbapoetin dosage divided by haemoglobin concentration), and occurrence of adverse events (especially gastrointestinal adverse events).
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Dr Katherine Barraclough
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Address
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Level 2 ARTS building
Princess ALexandra Hospital
199 Ipswich Road
Woolloongabba
4102 QLD
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Country
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Australia
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Phone
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+61 7 3240 5080
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Professor David Johson
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Address
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Level 2 ARTS building
Princess ALexandra Hospital
199 Ipswich Road
Woolloongabba
4102 QLD
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Country
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Australia
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Phone
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+61 7 3240 5080
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
Rationale and design of the oral HEMe iron polypeptide Against Treatment with Oral Controlled Release Iron Tablets trial for the correction of anaemia in peritoneal dialysis patients (HEMATOCRIT trial)
2009
https://doi.org/10.1186/1471-2369-10-20
N.B. These documents automatically identified may not have been verified by the study sponsor.
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