Evidence map›Paper›PMID 27326766›Full record

Trial reportScandinavian journal of gastroenterology2016

High-dose fast infusion of parenteral iron isomaltoside is efficacious in inflammatory bowel disease patients with iron-deficiency anaemia without profound changes in phosphate or fibroblast growth factor 23.

Jens Frederik Dahlerup, Bent A Jacobsen, Janneke van der Woude, Lars-Åke Bark, Lars L Thomsen, Stefan Lindgren

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Scandinavian journal of gastroenterology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 9% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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
    Trial
  5. Trial
  6. Trial
  7. Trial
  8. Intravenous iron in ulcerative colitis-Raising the (iron) bar.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Intravenous Irons: From Basic Science to Clinical Practice.Pharmaceuticals (Basel, Switzerland) · 2018
    Review
  18. Management of Anemia in Patients with Inflammatory Bowel Disease (IBD).Current treatment options in gastroenterology · 2018
    Review
  19. Article
  20. Safety of intravenous iron use in chronic kidney disease.Current opinion in nephrology and hypertension · 2016
    Review
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

6 authors at 6 institutions in 3 countries.

Jens Frederik Dahlerupa Department of Hepatology and Gastroenterology , Aarhus University Hospital , Aarhus , Denmark ;
Bent A Jacobsenb Department of Gastroenterology and Hepatology , Aalborg University Hospital , Aalborg , Denmark ;
Janneke van der Woudec Department of Gastroenterology and Hepatology , Erasmus MC Rotterdam , Rotterdam , the Netherlands ;
Lars-Åke Barkd Department of Gastroenterology and Hepatology , Karolinska University Hospital , Stockholm , Sweden ;
Lars L Thomsene Pharmacosmos A/S , Holbaek , Denmark ;
Stefan Lindgrenf Gastroenterology Division, Department of Clinical Sciences , Lund University, University Hospital Skane , Malmö , Sweden.
Aalborg University Hospital · DKAarhus University Hospital · DKErasmus University Rotterdam · NLKarolinska University Hospital · SELund University · SEPharmacosmos (Denmark) · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIron isomaltoside (Monofer(®)) is a high-dose intravenous iron preparation with good tolerability and efficacy in inflammatory bowel disease (IBD) patients with iron deficiency anaemia (IDA). This trial evaluates the safety and efficacy, including effect on intact fibroblast growth factor 23 (iFGF23) of a high single dose and cumulative doses of iron isomaltoside in IBD patients with IDA. MATERIALS AND

methodsThe trial was a prospective, open-label, multi-centre trial conducted in IBD patients with IDA. Based upon haemoglobin (Hb) levels at baseline and weight, the patients received 1500, 2000, 2500 or 3000 mg of iron isomaltoside infused in single doses up to 2000 mg. The outcome measurements included adverse drug reactions (ADRs) and changes in haematology and biochemistry parameters.

resultsTwenty-one IBD patients with IDA were enrolled, receiving 1500 (seven patients), 2000 (eight patients), 2500 mg (four patients) or 3000 (two patients) mg of iron. No serious ADRs were observed. Four patients experienced nine mild to moderate ADRs (hypersensitivity, pyrexia, vomiting, constipation, abdominal pain, dyspepsia (two events) and eye allergy (two events)). In total, 15 (75%) patients had an increase in Hb of ≥2.0 g/dL during the trial, with normalisation of ferritin. No changes in iFGF23 or clinically significant hypophosphataemia were found.

conclusionRapid infusions of high-dose iron isomaltoside, administered as single doses up to 2000 mg and cumulative doses up to 3000 mg, were without safety concerns and were efficacious in increasing Hb levels in IBD patients. Iron isomaltoside did not induce profound phosphate wasting via increased iFGF23 levels.

Indexed as

Administration, IntravenousAdultAgedAnemia, Iron-DeficiencyDenmarkDisaccharidesDose-Response Relationship, DrugFemaleFerric CompoundsFerritinsFibroblast Growth Factor-23Fibroblast Growth FactorsHemoglobinsHumansInflammatory Bowel DiseasesMaleDisaccharidesFerric CompoundsFerritinsFGF23 protein, humanFibroblast Growth Factor-23Fibroblast Growth FactorsHemoglobinsiron isomaltoside 1000PhosphatesAnaemiaferric derisomaltoseFGF23hypophosphataemiaIBDintravenous ironiron deficiency

Identifiers

PMID27326766
PMCPMC5152597
OpenAlexW2466673568

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.