Hetzel 2013a.
| Methods | Two studies, Phase III, RCTs | |
| Participants | Patients with inflammatory bowel disease and iron deficiency (baseline haemogloblin (Hgb) < 10g/dL and > 7g/dL and transferrin saturation (TSAT) < 20%) Exclusion criteria: Not reported A total of 116 participants were included in the analysis of Study 1. Participants were randomised to the ferumoxytol group (n = 79; Study 1 n = 47), iron sucrose group (n = 25) and placebo group (n = 12). Loss to follow‐up: Not reported |
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| Interventions | Ferumoxytol Dosing regimen: 2 injections each 510 mg, 3‐8 days apart Mode of delivery: Intravenous Duration: 5 weeks Setting: Not reported Comparision treatment: Study 1 ‐ placebo (comparator) Co‐interventions: Not reported |
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| Outcomes | Fatigue was assessed using the Functional Assessment of Chronic Illness Therapy‐Fatigue (FACIT‐F) Quality of life was not assessed Adverse events (AEs) were assessed as follows: all AEs; related AEs; serious AEs; related serious AEs, AEs of special interest – protocol defined (included protocol defined signs and symptoms of hypotension and hypersensitivity); cardiovascular AE composite endpoint (included myocardial infarctions, heart failure, moderate to severe hypertension, and hospitalisation due to any cardiovascular cause); AEs resulting in study discontinuation; death Other outcomes assessed: Change in Hgb, transferrin saturation Assessment time points: Baseline, week 2, week 3, week 4, week 5 |
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| Notes | No additional information supplied by the author Study 2 (active comparator ‐ iron sucrose) excluded as fatigue not assessed |
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| Risk of bias | ||
| Bias | Authors' judgement | Support for judgement |
| Random sequence generation (selection bias) | Unclear risk | No information on the methods used to generate a sequence provided |
| Allocation concealment (selection bias) | Unclear risk | No information on how allocation to groups occurred |
| Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | No information on whether the study personnel, participant, clinical staff were blinded |
| Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Subjective outcome but unclear if blinding occurred |
| Incomplete outcome data (attrition bias) All outcomes | Unclear risk | The number of participants randomised to each group and the number included in the analysis for study one was unclear. No information on the number of withdrawals and exclusion following randomisation and the reasons for this |
| Selective reporting (reporting bias) | High risk | Presented data on change from baseline in FACIT‐F score for the intervention group and the overall placebo population, but not the IBD placebo group |
| Other bias | Unclear risk | No information presented on the baseline characteristics of the interventions and placebo groups in study one or no information of the disease activity status of the participants |