Protocol summary

Study aim
Determination and comparison of the effect of oral and intravenous iron supplementation on quality of life and function of patients with heart failure: a randomized clinical trial
Design
Clinical trial with control group, with parallel groups, randomized, phase 3 on 180 patients to allocate consumption to the subjects will use the randomized block method. The website http://www.randomization.com will also be used for randomization.
Settings and conduct
One handerd eighty patients with heart failure referred to the outpatient clinic of Dr. Heshmat Rasht Hospital. patients in two groups of 90 will be subjected to intervention with oral iron supplement (furosulfate) 150 mg twice a day for 16 weeks and the other group with injectable iron supplement. And the placebo control group in the group receiving Becomplex oral iron supplement and placebo in the group receiving injectable iron supplement is oral multivitamin.
Participants/Inclusion and exclusion criteria
Inclusion criteria: patients with heart failure, age over 18 years and with serum levels of ferritin<100 or TS<20% and ferritin 100-300 and hemoglobin below 15 Exclusion criteria: , acute heart failure
Intervention groups
Intervention group: one group receiving oral iron supplement 150 mg twice a day for 16 weeks and another group receiving injectable iron supplement Control group: placebo in the oral iron group, Becomplex injection and placebo in the iron injection group, taking oral multivitamins
Main outcome variables
Quality of life and performance of patients

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20180205038626N15
Registration date: 2024-06-16, 1403/03/27
Registration timing: prospective

Last update: 2024-06-16, 1403/03/27
Update count: 0
Registration date
2024-06-16, 1403/03/27
Registrant information
Name
Zahra Ahmadnia
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 13 3361 8177
Email address
zahmadnia@gums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-06-21, 1403/04/01
Expected recruitment end date
2024-12-21, 1403/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of oral and intravenous iron supplementation on quality of life and function of patients with heart failure: a randomized clinical trial
Public title
Comparison of the effect of oral and intravenous iron supplementation on quality of life and function of patients with heart failure
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with heart failure Age above 18 years Serum ferritin levels <100 or TS <20% Ferritin 100-300 and hemoglobin below 15
Exclusion criteria:
Known and treated anemia Allergy or intolerance to iron supplements Duodenal or gastric ulcer, gastrointestinal disease with impaired iron absorption Oncological diseases History of surgery 6 months before entering the study Active bleeding and the need for blood transfusion in patients with shock or sepsis Unwillingness to continue the study or cause any dissatisfaction in the field of taking iron supplements or participating in the study Acute heart failure
Age
From 18 years old
Gender
Both
Phase
3
Groups that have been masked
No information
Sample size
Target sample size: 180
Randomization (investigator's opinion)
Randomized
Randomization description
The method of sampling and randomization of the parallel-group clinical trial study will be stratified block randomization. each person was randomly assigned to the intervention or control group using 1: 4 random blocks. Took. In this method, each group will be assigned one of the letters A or B. The website will also be used for randomization. The list of codes obtained from this website will be provided to the researchers, and each referring patient who met the inclusion criteria and did not meet the inclusion criteria and was willing to participate in the study, first entered the desired age group and based on The assigned code A or B enters the design. For concealment, in this study, random allocation concealment, which is the method used to execute a random sequence on the study participants, will be used in such a way that the assigned group is not known before the individual is assigned. In this way, using opaque envelopes sealed with a random sequence, in this method, each of the random sequences created is recorded on a card and the cards are placed inside the envelopes in order. In order to maintain a random sequence, the envelopes are numbered in the same way on the outer surface. Finally, the lids of the letter envelopes are glued and placed inside a box, respectively. At the beginning of the registration of participants, based on the order of entry of eligible participants into the study, one of the envelopes of the letter is opened in order and the assigned group of the participant is revealed.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Guilan University of Medical Sciences
Street address
Technology & Research Vice-chancellor of University; Shahid Siadati St; Namjoo St., Rasht
City
Rasht
Province
Guilan
Postal code
41446-66949
Approval date
2024-05-08, 1403/02/19
Ethics committee reference number
IR.GUMS.REC.1403.075

Health conditions studied

1

Description of health condition studied
Anaemia in chronic diseases classified elsewhere
ICD-10 code
D63.8
ICD-10 code description
Anaemia in chronic diseases classified elsewhere

Primary outcomes

1

Description
Quality of life
Timepoint
At the beginning of the study and 16 weeks later
Method of measurement
Minnesota Living With Heart Failure questionnaire

2

Description
Function of patients with heart failure
Timepoint
At the beginning of the study and 16 weeks later
Method of measurement
6 minute walk test

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: In this study, one group will receive oral iron supplement (furosulfate) 150 mg twice a day for 16 weeks from Obeidi Pharmaceutical Company. The other group of injectable iron supplements from Franjket Company is based on the amount of hemoglobin <10, 1500mg of injectable iron and if hemoglobin is between 10-14mg 1000, injectable iron and hemoglobin >14, 500mg of injectable iron.
Category
Treatment - Drugs

2

Description
Control group: The placebo in the group receiving oral iron supplementation is Becomplex injection and the placebo in the group receiving iron supplementation is oral multivitamin.
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Dr. Heshmat Rasht Hospital
Full name of responsible person
Zahra Ahmadnia
Street address
Dr. Heshmat Hospital; Bayani St; Mosala Square; Rasht.
City
Rasht
Province
Guilan
Postal code
4193955588
Phone
+98 13 3361 8177
Email
zahmadnia1365@gmail.com

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
Ramyar Farzan
Street address
Technology & Research Vice-chancellor of University; Shahid Siadati St; Namjoo St., Rasht
City
Rasht
Province
Guilan
Postal code
41446-66949
Phone
+98 13 3333 5821
Email
ramyarfarzan@yahoo.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
No
Title of funding source
Guilan university of medical sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
Zahra Ahmadnia
Position
Nursery
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Dr. Heshmat Hospital; Bayani St; Mosala Square; Rasht.
City
Rasht
Province
Guilan
Postal code
4193955588
Phone
+98 13 3361 8177
Email
zahmadnia1365@gmail.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
Zahra Ahmadnia
Position
Nursery
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Dr. Heshmat Hospital; Bayani St; Mosala Square; Rasht
City
Rasht
Province
Guilan
Postal code
4193955588
Phone
+98 13 3361 8177
Email
zahmadnia1365@gmail.com

Person responsible for updating data

Contact
Name of organization / entity
Rasht University of Medical Sciences
Full name of responsible person
Zahra Ahmadnia
Position
Nursery
Latest degree
Master
Other areas of specialty/work
Nursery
Street address
Dr. Heshmat Hospital; Bayani St; Mosala Square; Rasht.
City
Rasht
Province
Guilan
Postal code
4193955588
Phone
+98 13 3361 8177
Email
zahmadnia1365@gmail.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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