Evidence map›Paper›PMID 42261111›Full record

Trial reportAlimentary pharmacology & therapeutics2026

Clinical Trial: Predicting Response to Iron Therapy in Patients With Active Inflammatory Bowel Disease Using Hepcidin and Functional Iron Indices: A Multicentre Randomised Trial.

Lola J M Koppelman, Roberta Loveikyte, Rogier L Goetgebuer, Sander van der Marel, Annemarie C de Vries, Gerard Dijkstra, Andrea E van der Meulen-de Jong, Dutch Iron Study Group

Erratum issued 2 registry-linked trialsAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Alimentary pharmacology & therapeutics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to 2 registered trials, which are not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT05456932 phase4unknown statusnot on this map

Predicting Response to Iron Supplementation in Patients With Active Inflammatory Bowel Disease

TypeinterventionalSponsorLeiden University Medical CenterRan2022 to 2023Enrolled90ConditionsInflammatory Bowel Diseases, Iron-deficiency, Iron Deficiency AnemiaArmsIntravenous iron, Ferric maltol, Ferrous fumarate
NCT05581420 naunknown statusnot on this map

Oral Versus Intravenous Iron in IBD Patients With Anti-inflammatory Therapy

TypeinterventionalSponsorLeiden University Medical CenterRan2022 to 2025Enrolled152ConditionsInflammatory Bowel DiseasesArmsFerrous fumarate, MonoFer
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Trial
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Lola J M KoppelmanDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0003-0357-2146
Roberta LoveikyteDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.
Rogier L GoetgebuerDepartment of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam, the Netherlands.
Sander van der MarelDepartment of Gastroenterology and Hepatology, Haaglanden Medical Center, Den Haag, the Netherlands.ORCID https://orcid.org/0009-0002-7672-2483
Annemarie C de VriesDepartment of Gastroenterology and Hepatology, Erasmus University Medical Center, Rotterdam, the Netherlands.ORCID https://orcid.org/0000-0002-3988-9201
Gerard DijkstraDepartment of Gastroenterology and Hepatology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.
Andrea E van der Meulen-de JongDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, the Netherlands.ORCID https://orcid.org/0000-0001-9353-5431
Dutch Iron Study Group

Funding

NorgineZonMw 10140022010008
6 · The paper itself

Abstract

backgroundIron deficiency anaemia (IDA) is common in inflammatory bowel disease (IBD) and impairs quality of life. Hepcidin, the regulator of systemic iron homeostasis, may predict response to iron therapy; however, its utility in IBD remains unclear. This study evaluated whether baseline hepcidin predicts response to oral and intravenous (IV) iron in active IBD to guide personalised treatment.

methodsNinety adults with active IBD and iron deficiency (with or without anaemia) from two randomised trials received IV iron, oral ferrous fumarate (FF) or oral ferric maltol (FM). Response at 12 weeks was defined as haemoglobin increase ≥ 1.2 mmol/L (19.3 g/L) or normalisation in IDA or ferritin > 100 μg/L and transferrin saturation > 20% in iron deficient patients. Baseline iron indices including ferritin, hepcidin, and soluble transferrin receptor (sTfR) were measured. Logistic regression and receiver operating curve analyses evaluated predictive performance.

resultsBaseline hepcidin strongly predicted response to iron therapy: AUC

conclusionBaseline hepcidin supports route selection for iron therapy: higher levels favour IV iron, while lower levels indicate likely oral response. Ferritin-based indices, notably transferrin/log

trial registrationClinicalTrials.gov identifier: NCT05581420 and NCT05456932.

Indexed as

Anemia, Iron-DeficiencyFerric CompoundsFerrous CompoundsHepcidinsInflammatory Bowel DiseasesIronAdministration, OralAdultBiomarkersFemaleFerritinsHumansMaleMiddle AgedPredictive Value of TestsPyronesBiomarkersFerric Compoundsferric maltolFerritinsFerrous Compoundsferrous fumarateHepcidinsIronPyronesanaemiahepcidininflammatory bowel diseaseiron deficiencyiron therapypersonalised medicine

Identifiers

PMID42261111
PMCPMC13309206

What OpenQuestion holds

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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.