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Intravenous ferric derisomaltose for iron-deficiency anemia associated with gastrointestinal diseases: a single-arm, randomized, uncontrolled, open-label study.

Abstract
Iron-deficiency anemia (IDA) associated with gastrointestinal diseases is the second most common etiology of IDA in Japan, and is most often caused by gastrointestinal bleeding. A multicenter, single-arm (2 groups), open-label, phase III study was conducted to assess the efficacy and safety of ferric derisomaltose (FDI) when administered by intravenous (IV) bolus injection (n = 30) or drip infusion (n = 10) in Japanese patients with IDA associated with gastrointestinal diseases. The primary endpoint, which was the mean maximum change in hemoglobin (Hb) concentration from baseline, was 4.33 (95% confidence interval, 3.82-4.83) g/dL in the overall population (4.27 [3.83-4.71] g/dL in the bolus injection group and 4.49 [2.69-6.29] g/dL in the drip infusion group). Treatment-emergent adverse events (TEAEs) were reported in 24 patients (60.0%) in the overall population (18 patients [60.0%] in the bolus injection group and 6 patients [60.0%] in the drip infusion group). No serious treatment-related TEAEs or unexpected safety findings were reported during the study. These findings reveal a favorable efficacy and safety profile for FDI when administered by IV bolus injection or drip infusion in Japanese patients with IDA associated with gastrointestinal diseases.
AuthorsHiroshi Kawabata, Takeshi Tamura, Soichiro Tamai, Tomoki Takahashi, Jun Kato, Study Group
JournalInternational journal of hematology (Int J Hematol) Vol. 116 Issue 6 Pg. 846-855 (Dec 2022) ISSN: 1865-3774 [Electronic] Japan
PMID35867202 (Publication Type: Multicenter Study, Journal Article)
Copyright© 2022. The Author(s).
Chemical References
  • ferric derisomaltose
  • Maltose
  • Hemoglobins
  • Ferric Compounds
Topics
  • Humans
  • Anemia, Iron-Deficiency (drug therapy, etiology)
  • Maltose
  • Hemoglobins (analysis)
  • Ferric Compounds (adverse effects)
  • Gastrointestinal Diseases (drug therapy, etiology)

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