Comparison of Oral Ferrous Sulfate to Intravenous Ferumoxytol in Antepartum Iron Deficiency Anemia

Trial ID or NCT#

NCT04253626

Status

not recruiting iconNOT RECRUITING

Purpose

Evaluate the extent to which treatment of iron deficiency anemia beyond 24-34 weeks' gestation of pregnancy with intravenous iron increases hemoglobin compared to oral iron. The investigators will test the hypothesis that pregnant women who are anemic in the second and third trimester are more likely to significantly increase their hemoglobin with intravenous iron as opposed to the usual standard of care, oral iron.

Official Title

Comparison of Oral Ferrous Sulfate to Intravenous Ferumoxytol in Antepartum Iron Deficiency Anemia

Eligibility Criteria

Ages Eligible for Study: Older than 18 Years
Sexes Eligible for Study: Female
Accepts Healthy Volunteers: No
Inclusion Criteria:
  1. 1. Pregnant women 18 years old and above 2. Hemoglobin < 11 g/dL, serum ferritin < 30 ug/dL and or transferrin saturation (TSAT) < 20% 3. Between 24-34 weeks' pregnancy 4. Singleton pregnancy 5. Receiving prenatal care at Stanford/LPCH OB clinic and planning to deliver at LPCH 6. Hemodynamically stable
Exclusion Criteria:
  1. 1. Patients unable to give informed consent 2. Known allergy/hypersensitivity to IV iron 3. Inflammatory Bowel Disease or history of gastric bypass surgery 4. Dialysis-dependent Chronic Kidney Disease/ ESRD 5. Known Hemoglobinopathies such as sickle cell disease, beta-thalassemia, alpha thalassemia 6. Folate/Vitamin B12 deficiency 7. Known malignancy 8. Medication allergy to Tylenol (acetaminophen) 9. Hemoglobin above 12 or less than 7 g/dL 10. Patients with complex past medical histories which may include history of multiple medication allergies (greater than 2 allergies), connective tissue disorder, etc. 11. Diagnosis of placenta previa

Investigator(s)

Deirdre J. Lyell, M.D.
Deirdre J. Lyell, M.D.
Obstetrician and Gynecologist (OB-GYN)
Dunlevie Endowed Professor of Maternal-Fetal Medicine

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Contact

Anna Girsen, PhD
650-725-5720