Oral Versus Intravenous Iron in IBD Patients With Anti-inflammatory Therapy
Objective: The hypothesis is that patients with mild to moderate IBD activity on immunosuppressive medication, show the same level of Hb increase after 12 weeks after either oral or iv iron supplementation, while the price of oral iron supplementation is significantly lower.
• Established IBD diagnosis (Crohn's disease, ulcerative colitis, IBD-unclassified)
• Adults (≥18 years of age)
• Any single Hb level between 6,2 - 7,3 mmol/L (females) 6,2 - 8,0 mmol/L (males)
• Any single ferritin \<100 μg/L and transferrin saturation \<20% within 4 weeks of study inclusion
• CRP \> 5 mg/L and / or fecal calprotectin \> 150 within 4 weeks of randomization
• Patients on immunosuppressive medication (thiopurine, methotrexate, biologicals, JAK inhibitor) for at least 8 weeks or if prednisone, for at least 2 weeks
• Mild to moderate disease according to the treating physician; a Physician Global Assessment (PGA) score of 1 or 2
• Documented informed consent