The purpose of this study is to to establish proof-of-concept for efficacy of iron isomaltoside 1000 in subjects with Restless Legs Syndrome. The study is a randomised, comparative, double-blind study with a 3 months extension. Subjects with restless leg syndrome (RLS) will be randomised 2:1 to one of the following treat-ment groups: * Group A (42 subjects): 1000 mg iron isomaltoside 1000 * Group B (21 subjects): Placebo infusion Furthermore, non-responders, who continue to meet entry requirements, will receive 1000 mg iron isomaltoside 1000 at week 6.
RLS is a disorder of sensation with a prevalence of around 2-5 % of the population. RLS is extremely responsive to dopaminergic agents, but a second issue is that iron deficiency states may precipitate RLS in as much as 25-30 % of subjects with iron deficiency. RLS appears to be related to deficits in brain iron content and metabolism. Magnetic resonance imaging (MRI) images demonstrate a decrease in substantia nigra and red nucleus iron content. The severity of this decrease in brain iron content is correlated with the severity of symptoms. A number of patients are quite resistant to dietary iron repletion but do resolve symptoms with high doses of intravenous (IV) iron. For the individual subject, there will be 4 phases to the study which includes teleconferences (TCs) and 2 visits. The treatment and treatment evaluation is the main study.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Intravenous treatment
Intravenous treatment
To measure the change in RLS symptoms from baseline to week 6 measured by the clinical global impression (CGI) score
Time frame: 6 weeks
Change in RLS symptoms from baseline to week 4 and month 2 and 3 measured by the CGI score
Time frame: 3 months
Change in RLS symptoms from baseline to week 4 and 6 and month 2 and 3 measured by the International Restless Legs Scale (IRLS)
Time frame: from baseline to t = 12 weeks
Time from baseline to start of RLS medication
Time frame: from baseline to t = 6 weeks
Time from baseline to start of RLS medication or non-response (CGI ≥ 3 at week 6)
Time frame: from baseline to t = 6 weeks
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