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. 2020 Apr 16;2020(4):CD012005. doi: 10.1002/14651858.CD012005.pub2

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
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
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
Notes No additional information supplied by the author
Study 2 (active comparator ‐ iron sucrose) excluded as fatigue not assessed
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