Cardiac MRI-guided Deferiprone Therapy for Acute Myocardial Infarction Patients (MIRON-DFP)

Inclusion Criteria Index Anterior wall STEMI, based on American Heart Association guidelines diagnostic criteria: Symptoms of myocardial ischemia (such as chest pain, shortness of breath, jaw pain, arm pain, diaphoresis, or any anginal equivalent) and ECG: New or presumed new ST-segment elevation at the J point in two or more contiguous leads with the cut-off points ≥0.2 mV in leads V1, V2, V3, or V4 and ≥ 0.1 mV in other leads Elevated biomarkers (Troponin) Coronary angiogram with primary PCI to occur irrespective of the duration of the symptoms. Exclusion Criteria Prior history of MI / PCI / CABG Patients with history of LVEF < 40% Use of investigational drugs or devices 30 days prior to randomization Known allergy or contra-indication to gadolinium/contrast agents eGFR < 30 ml/kg/min Any contraindication against cardiac MRI (such as metal implants) Women who are pregnant or breastfeeding. Women of reproductive potential must have a negative pregnancy test prior to randomization Body weight > 140 kg (or 309 lbs.) Absolute neutrophil count of ANC < 1.0 x 109 /L Elevated hepatic enzymes (SGPT/ SGLT > 2 times of upper normal limit) Patients with iron storage disease (hemochromatosis, thalassemia) or who are already treated with iron chelators Any clinically significant abnormality identified prior to randomization that in the judgment of the Investigator or Sponsor would preclude safe completion of the study or confound the anticipated benefit of LIPOMED. Life expectancy of less than 1 year due to non-cardiac pathology