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CTRI Number  CTRI/2020/12/029785 [Registered on: 14/12/2020] Trial Registered Prospectively
Last Modified On: 21/01/2021
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective observational 
Study Design  Other 
Public Title of Study   Ferric Carboxymaltose Injection in Pregnant women: Retrospective analysis 
Scientific Title of Study   Efficacy and Safety of Ferric Carboxymaltose Injection in Pregnant women: Retrospective analysis at Indian Real-life Scenario 
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sanjay Gupte 
Designation  Director and Obstetrician gynecologist  
Affiliation  Gupte Hospital and Centre for Research in Reproduction 
Address  Ground Floor, Obstetrics And Gynaecology Department
Gupte Hospital and Centre for Research in Reproduction
Pune
MAHARASHTRA
411004
India 
Phone    
Fax    
Email  guptehospital@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Aparna Mudholkar 
Designation  Senior Gynaecologist Obstetrician Doctor 
Affiliation  Gupte Hospital and Centre for Research in Reproduction 
Address  Room no. 101, First floor, Obstetrics And Gynaecology Department
Gupte Hospital and Centre for Research in Reproduction
Pune
MAHARASHTRA
411004
India 
Phone    
Fax    
Email  aparnajayu@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Shweta Jangam 
Designation  Clinical Research Associate 
Affiliation  Gupte Hospital and Centre for Research in Reproduction 
Address  Third floor, Clinical Research Divison
Gupte Hospital and Centre for Research in Reproduction
Pune
MAHARASHTRA
411004
India 
Phone    
Fax    
Email  research.gupte@gmail.com  
 
Source of Monetary or Material Support  
Nil 
 
Primary Sponsor  
Name  Gupte Hospital 
Address  904 Bhandarkar Rd Ganeshwadi Deccan Gymkhana Pune Maharashtra 411004 
Type of Sponsor  Research institution and hospital 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Aparna Mudholkar  Gupte Hospital  Obstetrics And Gynaecology Department
Pune
MAHARASHTRA 
9881045069

aparnajayu@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Independent Ethics Committee Dhanashree Hospital  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D508||Other iron deficiency anemias, (2) ICD-10 Condition: O251||Malnutrition in pregnancy,  
 
Intervention / Comparator Agent  
Type  Name  Details 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  50.00 Year(s)
Gender  Female 
Details  1. Pregnant female patients aged more than 18 years of age who visited to department of Obstetrics and Gynecology in their 2nd and 3rd trimester of gestation.
2. Documented Iron deficiency anemia and received FCM injection.
3. Data for hematological parameters (hemoglobin, serum ferritin) are available at baseline and for minimum at 4 ± 2 weeks.
4. Patients already provided informed consent for future use of their medical records for research.
 
 
ExclusionCriteria 
Details  1. Any other type of anemia apart from Iron Deficiency anemia
2. Evidence of iron overload conditions (e.g. hemochromatosis / hemosiderosis).
3. Any malignancy.
4. Presence of active liver disease/ HBV or HCV infection, CKD, HIV infection / AIDS, asthma, or rheumatoid arthritis.
5. Any condition that, in the opinion of the investigator, does not justify the patient’s inclusion in the study.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Mean change in hemoglobin level from baseline to week 4 (± 2)  Baseline to week 4 (± 2) 
 
Secondary Outcome  
Outcome  TimePoints 
1. Change in serum ferritin levels
2. Change in hematological parameters (PCV, MCV, MCH, MCHC) if available
3. Change in serum iron levels, if available
4. Change in TSAT value, if available
5. The adverse events: incidence, severity and relation to FCM will be retrieved and analyzed. 
Baseline to week 4 (± 2) 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "168"
Final Enrollment numbers achieved (India)="168" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/12/2020 
Date of Study Completion (India) 19/01/2021 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   Not yet 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

Iron Deficiency Anemia (IDA) is prevalent in Indian pregnant women; around 47% of women suffer from anemia during pregnancy.  If  IDA remains untreated during pregnancy it can cause perinatal mortality as well as maternal mortality. Therapy for ID includes mainly dietary modification, oral iron supplementation and some cases intravenous iron and blood transfusion. Oral iron therapy is mainstay in treating IDA in pregnancy but it also has associated gastrointestinal side effects. Oral iron therapy is not adequate to treat moderate to severe anemia in the late second and third trimester. Parenteral iron therapy is the treatment of choice in this condition.

FCM is an attractive alternative to iron sucrose complex (ISC) in terms of safety, efficacy, convenience, and resource utilization. Very little literature is available on the use of FCM in pregnancy and there are limited prospective studies on FCM in pregnancy also. Therefore, the present study will be conducted with objective of evaluation of the efficacy and safety of FCM for treatment of moderate to severe iron deficiency anemia in pregnancy.

This is Single center, Retrospective, Observational data collection at real-life scenario. Data of female patients (at baseline and after 4 (±) 2 weeks) who had prior visited to department of Obstetrics and Gynecology for treatment of Iron Deficiency Anemia (IDA) and received ferric carboxymaltose (FCM) injection will be retrieved and analyzed.

 
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