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Feralgine™——一种治疗乳糜泻患者缺铁性贫血的新方法。

Feralgine™ a New Approach for Iron Deficiency Anemia in Celiac Patients.

机构信息

Department of Pediatrics, Pugliese-Ciaccio Hospital-Magna Graecia University, 88100 Catanzaro, Italy.

Clinical Chemistry Laboratory, Pugliese-Ciaccio Hospital, 88100 Catanzaro, Italy.

出版信息

Nutrients. 2019 Apr 20;11(4):887. doi: 10.3390/nu11040887.

Abstract

BACKGROUND

Celiac disease (CD) is an immunologically-mediated disorder characterized by duodenal mucosa villi atrophy. Iron absorption is usually reduced in celiac patients making every kind of oral iron treatment unhelpful because of malasorption. Feralgine™ is a new product that has been demonstrated to be more bioavailable. As such, the aim of our study was to evaluate the absorption of Feralgine™ in adult patients with CD.

METHODS

Twenty-six adults affected by Iron Deficiency Anemia (IDA), of which 14 were also affected by CD and 12 were not affected by CD, were enrolled. An oral iron absorption test (OIAT) was performed in each patient by administrating Feralgine™, and serum iron was evaluated at baseline (T0) and after 2 h (T1) from the oral iron ingestion.

RESULTS

The OIAT was well tolerated in all patients, and, surprisingly, an equivalent statistically significant improvement in serum iron occurred in the two groups of patients (IDA plus CD: T0 = 28.21 µg/dL vs. T1 = 94.14 µg/dL = 0.004 and IDA without CD: T0 = 34.91 µg/dL vs. T1 = 118.83 µg/dL, = 0.0003).

CONCLUSIONS

These results demonstrated the high absorption of Feralgine™ in celiac patients, confirming our previous data obtained with Ferrous Bysglicinate in children with CD.

摘要

背景

乳糜泻(CD)是一种免疫介导的疾病,其特征是十二指肠黏膜绒毛萎缩。铁吸收通常在乳糜泻患者中减少,使得各种口服铁治疗因吸收不良而无效。Feralgine™是一种新的产品,已被证明具有更高的生物利用度。因此,我们的研究目的是评估 Feralgine™在成年 CD 患者中的吸收情况。

方法

我们招募了 26 名患有缺铁性贫血(IDA)的成年人,其中 14 名也患有 CD,12 名未患有 CD。对每位患者进行口服铁吸收试验(OIAT),通过给予 Feralgine™口服,在基线(T0)和口服铁摄入后 2 小时(T1)评估血清铁。

结果

OIAT 在所有患者中均耐受良好,令人惊讶的是,两组患者的血清铁均有统计学意义上的显著改善(CD 合并 IDA:T0=28.21µg/dL 与 T1=94.14µg/dL,=0.004;无 CD 的 IDA:T0=34.91µg/dL 与 T1=118.83µg/dL,=0.0003)。

结论

这些结果表明 Feralgine™在乳糜泻患者中的吸收良好,证实了我们之前在 CD 儿童中用甘氨酸亚铁获得的研究数据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece6/6520849/a6cb3e9d8f53/nutrients-11-00887-g001.jpg

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