Evidence map›Paper›PMID 27237709›Full record

Trial reportAlimentary pharmacology & therapeutics2016

Ferric maltol therapy for iron deficiency anaemia in patients with inflammatory bowel disease: long-term extension data from a Phase 3 study.

C Schmidt, T Ahmad, Z Tulassay, D C Baumgart, B Bokemeyer, S Howaldt, A Stallmach, C Büning, AEGIS Study Group

2 registry-linked trialsOpen access · hybridAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
2.0field-weighted citation impact, top 12% 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.

NCT01340872 phase3completednot on this map

A Prospective, Multicentre, Randomised, Double-blind, Placebo Controlled Study With Oral ST10-021 for the Treatment of Iron Deficiency Anaemia in Subjects With Quiescent Ulcerative Colitis Where Oral Ferrous Preparations Have Failed or Cannot be Used (AEGIS 1)

TypeinterventionalSponsorShield TherapeuticsRan2011 to 2014Enrolled128ConditionsIron Deficiency Anaemia, Inflammatory Bowel Disease, Ulcerative ColitisArmsST10-021, Placebo Comparator
NCT01352221 phase3completednot on this map

A Prospective, Multicentre, Randomised, Double-blind, Placebo Controlled Study With Oral ST10-021 for the Treatment of Iron Deficiency Anaemia in Subjects With Quiescent Crohn's Disease Where Oral Ferrous Preparations Have Failed or Cannot be Used (AEGIS 2)

TypeinterventionalSponsorShield TherapeuticsRan2011 to 2014Enrolled128ConditionsIron Deficiency Anaemia, Inflammatory Bowel Disease, Crohn's DiseaseArmsST10, Placebo oral capsule
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 3 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Guideline
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  3. Interventions for fatigue in inflammatory bowel disease.The Cochrane database of systematic reviews · 2020
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  17. Observational
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4 · The record

Corrections and comments

  • Commented on by
    2021
5 · Who and what money

Authors and funding

9 authors at 7 institutions in 3 countries.

C SchmidtClinic of Internal Medicine IV, Jena University Hospital, Jena, Germany.
T AhmadUniversity of Exeter Medical School, Exeter, UK.
Z TulassayDepartment of Medicine, Semmelweis University of Medicine, Budapest, Hungary.
D C BaumgartDivision of Gastroenterology and Hepatology, Department of Medicine, Charité Medical School, Humboldt-University of Berlin, Berlin, Germany.
B BokemeyerGastroenterology Practice, Minden, Germany.
S HowaldtDivision of Inflammatory Bowel Disease, Hamburg Institute of Research, Hamburg, Germany.
A StallmachClinic of Internal Medicine IV, Jena University Hospital, Jena, Germany.
C BüningDepartment of Internal Medicine, Hospital Waldfriede, Berlin, Germany.
AEGIS Study Group
Jena University Hospital · DECharité - Universitätsmedizin Berlin · DEHamburg Institut (Germany) · DEJohannes Wesling Klinikum Minden · DEKrankenhaus Waldfriede · DESemmelweis University · HUUniversity of Exeter · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFerric maltol was effective and well-tolerated in iron deficiency anaemia patients with inflammatory bowel disease during a 12-week placebo-controlled trial.

aimTo perform a Phase 3 extension study evaluating long-term efficacy and safety with ferric maltol in inflammatory bowel disease patients in whom oral ferrous therapies had failed to correct iron deficiency anaemia.

methodsAfter 12 weeks of randomised, double-blind treatment, patients with iron deficiency anaemia and mild-to-moderate ulcerative colitis or Crohn's disease received open-label ferric maltol 30 mg b.d. for 52 weeks.

results111 patients completed randomised treatment and 97 entered the open-label ferric maltol extension. In patients randomised to ferric maltol ('continued'; n = 50), mean ± s.d. haemoglobin increased by 3.07 ± 1.46 g/dL between baseline and Week 64. In patients randomised to placebo ('switch'; n = 47), haemoglobin increased by 2.19 ± 1.61 g/dL. Normal haemoglobin was achieved in high proportions of both continued and switch patients (89% and 83% at Week 64, respectively). Serum ferritin increased from 8.9 μg/L (baseline) to 26.0 μg/L (Week 12) in ferric maltol-treated patients, and to 57.4 μg/L amongst all patients at Week 64. In total, 80% of patients reported ≥1 adverse event by Week 64. Adverse events considered related to ferric maltol were recorded in 27/111 (24%) patients: 8/18 discontinuations due to adverse events were treatment-related. One patient was withdrawn due to increased ulcerative colitis activity.

conclusionsNormal haemoglobin was observed in ≥80% of patients from weeks 20-64 of long-term ferric maltol treatment, with concomitant increases in iron storage parameters. Ferric maltol was well-tolerated throughout this 64-week study.

Indexed as

Administration, OralAdultAgedAnemia, Iron-DeficiencyColitis, UlcerativeCrohn DiseaseDouble-Blind MethodFemaleFerric CompoundsHemoglobins, AbnormalHumansInflammatory Bowel DiseasesIronMaleMiddle AgedPyronesFerric Compoundsferric maltolhemoglobin DHemoglobins, AbnormalIronPyrones

Identifiers

PMID27237709
PMCPMC5089582
OpenAlexW2403525598

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.