The purpose of the study is to monitor initiated Diafer® therapy administered according to hospital practice and the product labeling in routine clinical practice in haemodialysis patients with Chronic Kidney Disease.
Parenteral iron is the iron treatment of choice for haemodialysis (HD) patients with Chronic Kidney Disease (CKD), who may suffer from absolute iron deficiency due to continuous blood losses and/or functional iron deficiency due to erythropoiesis stimulating agent treatment or impaired release from iron stores. Much evidence indicates that adequate iron supply is necessary to achieve optimal responses to ESAs and thereby potentially avoid ESA induced ADRs. Pharmacosmos has been working with dialysis providers for many years and identified a medical need for a new safe and cost-effective low dose intravenous (IV) iron that can be administered frequently. Diafer® is a new low dose iron formulation based on iron isomaltoside 1000, with doses restricted to maximum 200 mg iron pr. injection. No test dose is needed and Diafer® may be administered as a push injection. The primary objective of the study is to monitor initiated Diafer® therapy administered according to hospital practice and the product labeling in routine clinical practice in HD patients with CKD. The scientific rationale being to fulfil a need for systematic information/auditing on applied practice including long term experience with the use of IV iron in the HD setting. This information will provide an evidence base for optimised treatment procedures.
Study Type
OBSERVATIONAL
Enrollment
209
Administered according to local routines and product labeling in doses at the doctors discretion
Heleneholmsdialysen
Malmo, Sweden
Morriston Hospital, Renal Department
Swansea, Wales, United Kingdom
Hb (Change in Hb compared to baseline at 3 months intervals)
Change in Hb compared to baseline at 3 months intervals
Time frame: 12 month
Adverse drug reactions
Time frame: 12 month
Adverse Events
AEs of special interest defined as hypersensitivity symptoms such as urticaria, oedema, bronchospasm, hypotension, cardiorespiratory arrest, syncope, unresponsiveness or loss of consciousness at pre-specified time points in relation to administration of study drug
Time frame: 12 month
ESA (use of ESA and dose)
Use of ESA and dose
Time frame: 12 month
Blood Transfusion (Number of blood transfusions)
Number of blood transfusions
Time frame: 12 month
IV iron dose (Total needed dose)
Total needed dose
Time frame: 12 month
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