Ferric carboxymaltose versus ferric gluconate in hemodialysis patients: reduction of erythropoietin dose in 4 years of follow-up

Background: Ferric carboxymaltose (FCM) is a parenteral, dextran-free iron formulation designed to overcome the limitations of existing iron preparations. The main aim of this study was to retrospectively examine results obtained from a long period of FCM therapy in hemodialysis patients who have be...

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Veröffentlicht in:Kidney research and clinical practice 2020-09, Vol.39 (3), p.334
Hauptverfasser: Antonio Lacquaniti, Patrizio Pasqualetti, Teresa Casuscelli Di Tocco, Susanna Campo, Stefania Rovito, Maurizio Bucca, Antonino Ragusa, Paolo Monardo
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container_end_page
container_issue 3
container_start_page 334
container_title Kidney research and clinical practice
container_volume 39
creator Antonio Lacquaniti
Patrizio Pasqualetti
Teresa Casuscelli Di Tocco
Susanna Campo
Stefania Rovito
Maurizio Bucca
Antonino Ragusa
Paolo Monardo
description Background: Ferric carboxymaltose (FCM) is a parenteral, dextran-free iron formulation designed to overcome the limitations of existing iron preparations. The main aim of this study was to retrospectively examine results obtained from a long period of FCM therapy in hemodialysis patients who have been previously treated with ferric gluconate (FX). Markers of iron metabolism, erythropoietin (EPO) doses, and effects on anemic status have been analysed. Methods: The study was performed with a follow up period of 4 years, when patients were treated before with FX and then switched to FCM. A total of 25 patients were included in the study. Results: FCM increased transferrin saturation (TSAT) levels by 11.9% (P < 0.001) with respect to FX. Events of TSAT less than 20% were reduced during FCM. The monthly dose of EPO was reduced in the FCM period (-6,404.1 international unit [IU]; 95% confidence interval, -10,643.5 IU; -2,164.6 IU; P = 0.003), as well as the erythropoietin resistance index (P = 0.004). During the period with FCM, ferritin levels were higher than during FX (P < 0.001), while transferrin was reduced (P = 0.001). Conclusion: During FCM treatment, minor doses of EPO were administered if compared to those delivered during FX therapy. Stable and on target levels of hemoglobin were maintained with better control of anemia through high levels of ferritin and TSAT.
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The main aim of this study was to retrospectively examine results obtained from a long period of FCM therapy in hemodialysis patients who have been previously treated with ferric gluconate (FX). Markers of iron metabolism, erythropoietin (EPO) doses, and effects on anemic status have been analysed. Methods: The study was performed with a follow up period of 4 years, when patients were treated before with FX and then switched to FCM. A total of 25 patients were included in the study. Results: FCM increased transferrin saturation (TSAT) levels by 11.9% (P &lt; 0.001) with respect to FX. Events of TSAT less than 20% were reduced during FCM. The monthly dose of EPO was reduced in the FCM period (-6,404.1 international unit [IU]; 95% confidence interval, -10,643.5 IU; -2,164.6 IU; P = 0.003), as well as the erythropoietin resistance index (P = 0.004). During the period with FCM, ferritin levels were higher than during FX (P &lt; 0.001), while transferrin was reduced (P = 0.001). Conclusion: During FCM treatment, minor doses of EPO were administered if compared to those delivered during FX therapy. Stable and on target levels of hemoglobin were maintained with better control of anemia through high levels of ferritin and TSAT.</description><identifier>ISSN: 2211-9132</identifier><language>kor</language><publisher>대한신장학회</publisher><subject>Anemia ; Erythropoietin resistance index ; Ferric carboxymaltose ; Hemodialysis</subject><ispartof>Kidney research and clinical practice, 2020-09, Vol.39 (3), p.334</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,782,786</link.rule.ids></links><search><creatorcontrib>Antonio Lacquaniti</creatorcontrib><creatorcontrib>Patrizio Pasqualetti</creatorcontrib><creatorcontrib>Teresa Casuscelli Di Tocco</creatorcontrib><creatorcontrib>Susanna Campo</creatorcontrib><creatorcontrib>Stefania Rovito</creatorcontrib><creatorcontrib>Maurizio Bucca</creatorcontrib><creatorcontrib>Antonino Ragusa</creatorcontrib><creatorcontrib>Paolo Monardo</creatorcontrib><title>Ferric carboxymaltose versus ferric gluconate in hemodialysis patients: reduction of erythropoietin dose in 4 years of follow-up</title><title>Kidney research and clinical practice</title><addtitle>Kidney Research and Clinical Practice(구 대한신장학회지)</addtitle><description>Background: Ferric carboxymaltose (FCM) is a parenteral, dextran-free iron formulation designed to overcome the limitations of existing iron preparations. 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subjects Anemia
Erythropoietin resistance index
Ferric carboxymaltose
Hemodialysis
title Ferric carboxymaltose versus ferric gluconate in hemodialysis patients: reduction of erythropoietin dose in 4 years of follow-up
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