Evidence map›Paper›PMID 31243803›Full record

Trial reportAmerican journal of hematology2019

A prospective, multi-center, randomized comparison of iron isomaltoside 1000 versus iron sucrose in patients with iron deficiency anemia; the FERWON-IDA trial.

Michael Auerbach, David Henry, Richard J Derman, Maureen M Achebe, Lars L Thomsen, John Glaspy

2 registry-linked trialsOpen access · hybridAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in American journal of hematology, 2019. 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 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
9.0field-weighted citation impact, top 2% 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.

NCT02940886 phase3completednot on this map

A Phase III, Randomised, Open-label, Comparative Safety and Efficacy Trial of Intravenous Iron Isomaltoside/Ferric Derisomaltose (Monofer®/Monoferric®) and Iron Sucrose in Subjects With Iron Deficiency Anemia (FERWON-IDA)

TypeinterventionalSponsorPharmacosmos A/SRan2016 to 2018Enrolled1,512ConditionsIron Deficiency Anaemia, Iron Deficiency AnemiaArmsIron isomaltoside/ferric derisomaltose, Iron sucrose
NCT05258825 phase4completednot on this mapstarted 2023, after this paper: background citation

The Use of Preoperative Monoferric Infusion for Enhanced Recovery After Surgery-driven Elective Abdominal Surgery

TypeinterventionalSponsorBrigham and Women's HospitalRan2023 to 2025Enrolled37ConditionsAnemia, SurgeryArmsMonoferric
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 102 citations in OpenAlex.

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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

6 authors at 6 institutions in 2 countries.

Michael AuerbachDepartment of Medicine, Georgetown University School of Medicine, Washington, DC.ORCID 0000-0003-0707-8647
David HenryDepartment of Medicine, Division of Hematology and Oncology, Pennsylvania Hospital, Philadelphia, Pennsylvania.
Richard J DermanThomas Jefferson University, Philadelphia, Pennsylvania.
Maureen M AchebeBrigham and Women's Hospital, Dana Farber Cancer Institute, Harvard Medical School, Boston, Massachusetts.
Lars L ThomsenDepartment of Clinical and Non-clinical Research, Pharmacosmos A/S, Holbaek, Denmark.
John GlaspyDepartment of Medicine, Division of Hematology Oncology, UCLA School of Medicine, Los Angeles, California.
Brigham and Women's Hospital · USGeorgetown University · USPennsylvania Hospital · USPharmacosmos (Denmark) · DKThomas Jefferson University · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Iron deficiency anemia (IDA) is prevalent, and intravenous iron, especially if given in a single dose, may result in better adherence compared with oral iron. The present trial (FERWON-IDA) is part of the FERWON program with iron isomaltoside 1000/ferric derisomaltose (IIM), evaluating safety and efficacy of high dose IIM in IDA patients of mixed etiologies. This was a randomized, open-label, comparative, multi-center trial conducted in the USA. The IDA patients were randomized 2:1 to a single dose of 1000 mg IIM, or iron sucrose (IS) administered as 200 mg intravenous injections, up to five times. The co-primary endpoints were adjudicated serious or severe hypersensitivity reactions, and change in hemoglobin from baseline to week eight. A total of 1512 patients were enrolled. The frequency of patients with serious or severe hypersensitivity reactions was 0.3% (95% confidence interval: 0.06;0.88) vs 0.4% (0.05;1.45) in the IIM and IS group, respectively. The co-primary safety objective was met, and no risk difference was observed between groups. The co-primary efficacy endpoint of non-inferiority in hemoglobin change was met, and IIM led to a significantly more rapid hematological response in the first two weeks. The frequency of cardiovascular events was 0.8% and 1.2% in the IIM and IS group, respectively (P = .570). The frequency of hypophosphatemia was low in both groups. Iron isomaltoside administered as 1000 mg resulted in a more rapid and more pronounced hematological response, compared with IS, which required multiple visits. The safety profile was similar with a low frequency of hypersensitivity reactions and cardiovascular events.

Indexed as

AdultAnemia, Iron-DeficiencyDisaccharidesFemaleFerric CompoundsFerric Oxide, SaccharatedHumansMaleMiddle AgedProspective StudiesDisaccharidesFerric CompoundsFerric Oxide, Saccharatediron isomaltoside 1000

Identifiers

PMID31243803
PMCPMC6772897
OpenAlexW2955819440

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.