Intravenous iron for treatment of anaemia before cardiac surgery

Intravenous iron for treatment of anaemia before cardiac surgery

 

ITACS: IV iron for Treatment of Anaemia before Cardiac Surgery

The IV iron for Treatment of Anaemia before Cardiac Surgery study is a randomised double-blind, controlled phase IV trial that will compare the efficacy, safety and cost-effectiveness of preoperative IV iron with placebo in patients with anaemia before elective cardiac surgery.

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Principal investigator

Professor Paul Myles (Monash University and Alfred Health).

Progress

The trial completed recruitment in December 2023. The trial recruited 955 patients in New Zealand, Australia, South Africa, Singapore, Hong Kong, Malaysia, Abu Dhabi, Canada, Germany and the United Kingdom. 

Trial summary

Design
This randomised double-blind, controlled phase 4 trial will compare the efficacy, safety and cost-effectiveness of preoperative IV iron with placebo in patients with anaemia before elective cardiac surgery.

Sample Size
1000 patients.

Study Duration
Four years.

Primary Endpoint
Days alive and at home up to 90 days after surgery (DAH90). This endpoint therefore encompasses death, hospital stay, need for ongoing rehabilitation, and re-admission(s). It reflects personal, social and economic benefits of a good recovery after surgery.

Secondary Endpoints
Correction of anaemia (∆Hb) from treatment to day of surgery, red cell transfusions, postoperative complications, ICU and hospital stay, disability-free survival, days alive and at home 30 days after surgery (DAH30) and 90-day mortality. Patient reported quality of life will be assessed by the MacNew Heart Disease Questionnaire and EQ5D, and disability using WHODAS. Patients will be assessed at baseline, before operation, at discharge, Day 30, and at three and six months after surgery.

Funding

The Australian National Health and Medical Research Council.

Trial registration

ClinicalTrials.gov Identifier: NCT02632760

Per patient payment

$A1100

How to get involved

For further information about this study, please contact the ITACS Project Manager, Sophie Wallace by email.

For more information

Participating hospitals

Australian hospitals
Alfred Hospital
Austin Hospital
Fiona Stanley Hosptial
Flinders Medical Centre
Geelong Hospital
John Hunter Hospital
Monash Medical Centre
Prince of Wales
Royal Adelaide Hospital
Royal Hobart Hospital
Royal Melbourne Hospital
St Vincent's Hospital
St Vincent's Hospital NSW
Westmead Hospital
New Zealand hospitals 
Auckland City Hospital
Waikato Hospital
International hospitals
Cleveland Clinic Abu Dhabi
Groote Schuur Hospital
Inkosi Albert Luthuli Central Hospital
Institut Jantung Negara
James Cook University Hospital
King's College Hospital
Manchester Royal Infirmary 
National Heart Centre Of Singapore
Papworth Hospital
Plymouth NHS Trust
Prince of Wales Hong Kong
Royal Infirmary of Edinburgh
Southampton General Hospital
Toronto General Hospital
Unimedizin Mainz Herzchirurgie
University Hospital Bonn
University Hospital of Wales
University Hospital Oldenburg

Last updated 12:52 19.12.2023