The Effects of Intravenous Iron on Mobility in Elderly Patients Following Hip Fracture Surgery

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age65+
SponsorSoren Overgaard

About this trial

The primary aim of this clinical trial is to investigate the effects of intravenous iron on recovery in mobility compared to the pre-fracture level in patients with a hip fracture

The main questions it aims to answer are:

It is hypothesize that intravenous iron will enhance gains in mobility and hereby recovery of mobility, increase hemoglobin (Hgb), lower fatigue, have a positive effect on skeletal muscles in the weeks and months after administration.

The primary objective is to compare the effect of a single dose of ferric derisomaltose (FDI) (20 mg/kg body weight) relative to placebo on patients' recovery of functional mobility, measured as the change from baseline in the New Mobility Score.

Participants will:

\- Receive either a single dose of intravenous FDI (20 mg/kg body weight) (and saline) or placebo (saline) at 1-5 days after surgery.

This trial will be conducted at three hospitals in Denmark, involving an anticipated 210 participants.

Eligibility criteria

Qualifiers

65 years of age or older

Acute proximal femur fracture surgery

A hemoglobin measurement ≤6.5 mmol/L (10.5 g/dL) on day 1 to 5 postoperatively

Independent prefracture indoor walking ability, indoor NMS ≥ 2

Disqualifiers

Known allergy to intravenous iron

Residing permanently at a nursing home

Hematological conditions with a risk of iron overload e.g. haemochromatosis, hemosiderosis, or where alternative treatments are necessary e.g. haematological malignancies

Other contraindication to iron treatment, e.g. severe liver cirrhosis and hepatitis

Trial design

Treatments tested in this trial

  • Ferric Derisomaltose
  • Saline (NaCl 0,9 %) (placebo)

Treatment groups

210 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Soren Overgaard

Lead sponsor

University Hospital Bispebjerg and Frederiksberg

Sponsor institution

University Hospital Bispebjerg and Frederiksberg

Collaborator

Copenhagen University Hospital at Herlev

Collaborator

Odense University Hospital

Collaborator

Musculoskeletal Statistics Unit, The Parker Institute

Collaborator

Svendborg Hospital

Collaborator