The Efficacy of Ferumoxytol for Iron Deficiency Anemia : A Meta-Analysis of Randomized Controlled Trials

© 2019 S. Karger AG, Basel..

INTRODUCTION: This systematic review and meta-analysis aims to explore the influence of ferumoxytol versus placebo on iron deficiency anemia.

METHODS: We search for randomized controlled trials (RCTs) assessing the effect of ferumoxytol on iron deficiency anemia on PubMed, EMbase, Web of science, EBSCO, and Cochrane library databases. This meta-analysis is performed using the random-effects model.

RESULTS: Four RCTs are included in the meta-analysis. Compared with the control group for iron deficiency anemia, intravenous ferumoxytol can significantly improve the proportion of patients with a ≥20 g/L hemoglobin (Hb) increase (RR = 18.43; 95% CI = 7.29-46.57; p < 0.00001), the proportion of patients with an Hb level ≥120 g/L (RR = 18.55; 95% CI = 8.66-39.72; p < 0.00001), transferrin saturation (mean difference = 11.08; 95% CI = 9.86-12.31; p < 0.00001) and FACIT-fatigue score (mean difference = 4.60; 95% CI = 3.21-6.00; p < 0.00001), but has no remarkable influence on adverse events (RR = 1.33; 95% CI = 0.84-2.10; p = 0.22), serious adverse events (RR = 1.22; 95% CI = 0.74-2.02; p = 0.44), and death (RR = 0.32; 95% CI = 0.05-1.95; p = 0.22).

CONCLUSIONS: Intravenous ferumoxytol can provide the important benefits for iron deficiency anemia.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:142

Enthalten in:

Acta haematologica - 142(2019), 3 vom: 13., Seite 125-131

Sprache:

Englisch

Beteiligte Personen:

Shao, Yanping [VerfasserIn]
Luo, Wenda [VerfasserIn]
Xu, Haiyan [VerfasserIn]
Zhang, Li [VerfasserIn]
Guo, Qunyi [VerfasserIn]

Links:

Volltext

Themen:

69071-62-1
Ferrosoferric Oxide
Ferumoxytol
Hemoglobin L
Hemoglobin level
Hemoglobins
Iron deficiency anemia
Journal Article
Meta-Analysis
Meta-analysis
Randomized controlled trials
Research Support, Non-U.S. Gov't
Systematic Review
XM0M87F357

Anmerkungen:

Date Completed 11.02.2020

Date Revised 11.02.2020

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1159/000498937

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM300439180