Efficacy and safety of low dose oral iron for anaemia in IBD (CAESAR)

  • Research type

    Research Study

  • Full title

    A Pilot Study to assess the efficacy and safety of reduced dose oral iron in the treatment of iron deficiency anaemia in inflammatory bowel disease patients

  • IRAS ID

    204608

  • Contact name

    Sreedhar Subramanian

  • Contact email

    sreedhar.subramanian@rlbuht.nhs.uk

  • Sponsor organisation

    Royal Liverpool University Hospital

  • Eudract number

    2018-002982-20

  • Duration of Study in the UK

    3 years, 0 months, 1 days

  • Research summary

    Anaemia (low blood count) is common in patients with inflammatory bowel disease(IBD). This is commonly due to a deficiency of iron. Treatment with oral iron supplements at standard doses may help to correct the blood count to normal but has previously been thought to potentially aggravate IBD symptoms. As a result, intravenous iron has been recommended but this is expensive and no more effective. Earlier studies have shown that low dose oral iron can be effective in restoring blood counts in other patient population such as elderly and pregnant patients whilst reducing the incidence of gastrointestinal side effects. This strategy has not been tried in IBD patients.

    We are proposing a pilot study to ascertain the optimal 'reduced' dose of oral iron (liquid ferrous fumarate) in patients with IBD whilst simultaneously assessing its tolerability and assessing changes in stool bacteria. We hope our findings in this preliminary study will help inform the sample size for a larger study

  • REC name

    East Midlands - Derby Research Ethics Committee

  • REC reference

    19/EM/0146

  • Date of REC Opinion

    20 Sep 2019

  • REC opinion

    Further Information Favourable Opinion