Pharmacokinetics and Absolute Bioavailability of Fer-In-Sol and Triferic Administered Orally With Shohl's Solution in Healthy Volunteers
Condition: Iron-refractory, Iron-deficiency Anemia (IRIDA)
MeSH terms: Anemia, Iron-Deficiency; Iron Deficiencies
Intervention: Triferic; Fer-In-Sol; Shohl's solution
Intervention MeSH terms: Citric Acid; Sodium Citrate
Phase: Phase 1
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: None (Open Label)
Enrollment: 14.0
Sex: All
Minimum age: 18 Years
Maximum age: 65 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: pharmacokinetics; healthy adult volunteer

Summary:

      The main purpose is to determine the pharmacokinetics (PK) of Triferic iron administered
      orally in healthy adult volunteers. It is a randomized multiple treatments, single dose
      study.
    

Eligibility criteria:

        Inclusion Criteria:

          1. The patient must be able to provide informed consent and have personally signed and
             dated the study written informed consent document before completing any study-related
             procedures.

          2. The patient has hemoglobin, MCV and reticulocyte values within the reference range for
             gender. (Male: Hgb ≥13.0 g/dL; Female Hgb ≥ 12.0 g/dL) at Screening.

          3. The patient must have transferrin saturation (TSAT) of ≥20% at Screening.

          4. The patient must have a total iron binding capacity (TIBC) of ≥250 ug/dL at Screening.

          5. The patient must have a serum ferritin within the following reference range for gender
             at Screening: (Males: 23-336 ng/mL; Females: 11-306 ng/mL).

          6. The patient must agree to discontinue all iron preparations for 14 days prior to
             Baseline.

          7. If the patient is female, she must be non-pregnant and non-lactating, and be at least
             90 days post-partum (if applicable) at Screening. Women of childbearing potential must
             be willing to use appropriate birth control during the entire duration of the study.

          8. The patient must be willing and able to comply with all study procedures and
             restrictions.

          9. The patient must have no clinically significant abnormal findings on medical history,
             vital signs, physical examination, or clinical laboratory results during Screening.

         10. The patient must have a body mass index (BMI) of ≤35.0 kg/m2 at Screening.

        Exclusion Criteria:

          1. The patient has had administration of oral iron supplements within 14 days prior to
             Baseline.

          2. The patient has received IV iron within 6 months prior to Screening.

          3. The patient has a serum CRP concentration above the upper limit of normal at Screening
             or Baseline (> 6.0 mg/L).

          4. The patient has concurrent or recurrent disease (e.g., cardiovascular, renal, hepatic,
             gastrointestinal, malignant, etc.) that could affect the action or disposition of the
             investigational product utilized in this study, or could affect clinical or laboratory
             assessments.

          5. The patient has an acute illness within 14 days prior to Baseline.

          6. The patient is currently using any medication (including prescription,
             over-the-counter (OTC), herbal, or homeopathic preparations) within 14 days prior to
             Baseline. Exceptions are contraceptives, hormone replacement therapy, acetaminophen,
             and non-steroidal anti-inflammatory drugs.

          7. The patient has known or suspected intolerance or hypersensitivity to iron-containing
             products.

          8. The patient has a history of alcohol or substance abuse within the past year.

          9. The patient has a positive screen for cotinine or drugs of abuse.

         10. The patient is positive for HIV, hepatitis B, or hepatitis C by history.

         11. The patient donated blood or blood products (e.g., plasma or platelets) within 30 days
             prior to Screening.

         12. The patient has participated in an investigational drug study within 30 days prior to
             Screening.

         13. The patient is pregnant or intends to become pregnant before completing the study.

         14. The patient's current medical status, in the investigator's opinion, would preclude
             participation in the study.