Evidence map›Paper›PMID 26250435›Full record

Trial reportNephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association2016

A randomized trial of iron isomaltoside 1000 versus oral iron in non-dialysis-dependent chronic kidney disease patients with anaemia.

Philip A Kalra, Sunil Bhandari, Sanjiv Saxena, Dhananjai Agarwal, Georg Wirtz, Josef Kletzmayr, Lars L Thomsen, Daniel W Coyne

Registry-linked trialOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06830941 (Efficacy and Safety of Iron Isomaltoside in the Treatment of Peritoneal Dialysis Patients with Renal Related Anemia), which is not on this map. Cited by 52 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 5 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06830941 phase4not yet recruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy and Safety of Iron Isomaltoside in the Treatment of Peritoneal Dialysis Patients with Renal Related Anemia: a Randomized Controlled Trial

TypeinterventionalSponsorXie Jingyuan, MDRan2025 to 2027Enrolled124ConditionsRenal Anemia, Peritoneal Dialysis (PD)ArmsIron isomaltoside, Ferrous succinate
3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 5 syntheses or guidelines pooled it, 98 citations in OpenAlex.

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  9. Safety and efficacy of iron isomaltoside 1000/ferric derisomaltose versus iron sucrose in patients with chronic kidney disease: the FERWON-NEPHRO randomized, open-label, comparative trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2021
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  12. Safety of intravenous ferric carboxymaltose versus oral iron in patients with nondialysis-dependent CKD: an analysis of the 1-year FIND-CKD trial.Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Philip A KalraSalford Royal NHS Foundation Trust, Salford, UK.
Sunil BhandariHull and East Yorkshire Hospitals NHS Trust, Hull and Hull York Medical School, Kingston Upon Hull, UK.
Sanjiv SaxenaPushpawati Singhaniya Research Institute, New Delhi, India.
Dhananjai AgarwalSMS Medical College Hospital, Jaipur, Rajasthan, India.
Georg WirtzDialysis Centre Kamen, Kamen, Germany.
Josef Kletzmayr3 Department of Medicine, Socio-Medical Centre East-Danube Hospital, Vienna, Austria.
Lars L ThomsenPharmacosmos A/S, Holbaek, Denmark.
Daniel W CoyneWashington University School of Medicine, St. Louis, MO, USA.
Hull and East Yorkshire Hospitals NHS Trust · GBPharmacosmos (Denmark) · DKPushpawati Singhania Research Institute · INSalford Royal NHS Foundation Trust · GBSawai ManSingh Medical College and Hospital · INWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron deficiency anaemia is common in patients with non-dialysis-dependent chronic kidney disease (NDD-CKD) and is often treated with oral or intravenous (IV) iron therapy. This trial compared the efficacy and safety of IV iron isomaltoside 1000 (Monofer®) and oral iron in NDD-CKD patients with renal-related anaemia.

methodsThe trial was a Phase III open-label, comparative, multicentre, non-inferiority trial conducted in 351 iron-deficient NDD-CKD patients, randomized 2:1 to either iron isomaltoside 1000 (Group A) or iron sulphate administered as 100 mg elemental oral iron twice daily (200 mg daily) for 8 weeks (Group B). The patients in Group A were randomized into A1 (infusion of max. 1000 mg single doses over 15 min) and A2 (bolus injections of 500 mg over 2 min). A modified Ganzoni formula was used to calculate IV iron need. The primary end point was change in haemoglobin concentrations from baseline to Week 4.

resultsIron isomaltoside 1000 was both non-inferior to oral iron at Week 4 (P < 0.001) and sustained a superior increase in haemoglobin from Week 3 until the end of the study at Week 8 (P = 0.009 at Week 3). The haemoglobin response was more pronounced with iron isomaltoside 1000 doses ≥1000 mg (P < 0.05). Serum-ferritin and transferrin saturation concentrations were also significantly increased with IV iron. Adverse drug reactions were observed in 10.5% in the iron isomaltoside 1000 group and 10.3% in the oral iron group. More patients treated with oral iron sulphate withdrew from the study due to adverse events (4.3 versus 0.9%, P = 0.2).

conclusionsIron isomaltoside 1000 was more efficacious than oral iron for increase in haemoglobin and proved to be well tolerated at the tested dose levels in NDD-CKD patients.

Indexed as

Administration, OralAdultAgedAged, 80 and overAnemia, Iron-DeficiencyDisaccharidesFemaleFerric CompoundsHemoglobinsHumansIronMaleMiddle AgedProspective StudiesRenal DialysisRenal Insufficiency, ChronicDisaccharidesFerric CompoundsHemoglobinsIroniron isomaltoside 1000chronic kidney diseaseiron isomaltoside 1000iron treatment

Identifiers

PMID26250435
PMCPMC4805129
OpenAlexW2150702340

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.