Iron Deficiency and Hereditary Haemorrhagic Telangiectasia

Imperial College London

Status: Terminated

Conditions: Hereditary Haemorrhagic Telangiectasia

Treatments: Drug: Ferrous sulphate 200mg oral tablet

Study type: Interventional

Funder types: Other

Identifiers

NCT01908543

CLS 2013/1

Details and patient eligibility

About

Managing iron deficiency is important for more than 1 billion individuals worldwide, to avoid blood transfusions, or excessive strain on vital organs that depend on iron-containing haemoglobin to deliver oxygen to the tissues. Iron deficiency is a particular problem for people with the inherited condition hereditary haemorrhagic telangiectasia (HHT). Their iron deficiency and anaemia results from blood losses, especially from the nose (nosebleeds, and they often need additional iron to replace that lost through bleeding.

Our goal is to stratify HHT patients into high/low absorbers of iron; to define what extra iron they need to adjust for their current and likely future blood losses; and to work out how to achieve this most safely for each individual to improve their later health.

We will test the hypothesis that informed assessment of iron intake and post absorption cellular profiles changes the recommendations for iron intake for HHT patients.

Full description

Relevant patients due to come to clinic or the programmed investigation unit will be offered the opportunity to participate in the study.

Up to 100 consenting individuals will

• have an additional 15 mls of supplementary research bloods taken
• receive a single tablet of ferrous sulphate 200mg
• fill in questionnaires that formally evaluate their nosebleed losses and dietary iron intake in the preceding 12 months
• have a second blood sample later that day (20 mls of blood)

The primary outcome measure is the change in serum iron levels post iron tablet.

Other outcome measures will include:

• Haematinic indices indicating whether their iron requirements have been met previously.
• Additional predicted iron intake requirements to adjust for haemorrhagic iron losses

Enrollment: 3 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Hereditary haemorrhagic telangiectasia (HHT). Definite diagnosis of HHT by international criteria.
• No iron tablets or treatment taken on day of assessment
• Ability to provide informed consent.

Exclusion criteria

• Inability to provide informed consent
• Intercurrent infection or illness predicted to modify iron absorption.
• Needle phobia.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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3 participants in 1 patient group

Iron treatment

Experimental group

Description:

INTERVENTION: Ferrous sulphate 200mg oral tablet This is a single arm study. Individuals in this arm will * have an additional 15 mls of supplementary research bloods taken with their usual clinic bloods * receive a single tablet of ferrous sulphate 200mg * fill in questionnaires that formally evaluate their nosebleed losses and dietary iron intake in the preceding 12 months * have a second blood sample later that day (20 mls of blood Total number of participants in arm = 100

Treatment:

Drug: Ferrous sulphate 200mg oral tablet