Iron Deficiency and Hereditary Haemorrhagic Telangiectasia

Study Overview
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Brief Summary
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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.

Detailed Description
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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

Official Title
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Iron Deficiency and Hereditary Haemorrhagic Telangiectasia

Conditions
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Hereditary Haemorrhagic Telangiectasia

Intervention / Treatment
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* Drug: Ferrous sulphate 200mg oral tablet


Participation Criteria
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Eligibility Criteria
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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.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Iron treatment<br>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 | Drug: Ferrous sulphate 200mg oral tablet<br>* Administration by mouth<br>* Other names: Iron tablet;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Blood iron indices |  | 4-5 hours after iron tablet ingestion | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Iron deficiency, Nosebleeds