Intravenous Iron in Patients With Systolic Heart Failure and Iron Deficiency to Improve Morbidity & Mortality (FAIR-HF2)
Systolic Heart Failure, Iron Deficiency
About this trial
This is an interventional treatment trial for Systolic Heart Failure focused on measuring intravenous iron, systolic heart failure, iron deficiency, morbidity, mortality
Eligibility Criteria
Inclusion Criteria:
- Patients with chronic HFrEF (CHF) of at least 3 months duration and a history of documented LVEF<45%.
- Confirmed presence of ID (ferritin < 100 ng/mL or ferritin 100 - 299 ng/mL with TSAT < 20 %)
- Serum haemoglobin of 9.5 - 14.0 g/dL
- At time of screening considered re-stabilised and planned for discharge within next 24 h (NYHA 2 or 3), or stable ambulatory with a HF hospitalisation in the past 12 months (NYHA 2-4), or stable ambulatory with BNP > 100 pg/mL or NT-proBNP > 300 pg/mL or MR-proANP > 120 pmol/L (NYHA 2-4)
- Written informed consent
Exclusion Criteria:
- Hypersensitivity to the active substance, to FCM or any of its excipients
- Known serious hypersensitivity to other parenteral iron products
- Anaemia not attributed to iron deficiency, e.g. other microcytic anaemia
- Evidence of iron overload or disturbances in the utilisation of iron
- History of severe asthma with known FEV1 <50%
- Acute bacterial infection
- Presence of a deficiency for vitamin B12 and/or serum folate (if present, this needs to be corrected first)
- Use of renal replacement therapy
- Treatment with an erythropoietin stimulating agent (ESA), any i.v. iron and/or a blood transfusion in the previous 6 weeks prior to randomisation.
- More than 500 meters in the initial 6-minutes walking-test
Sites / Locations
- SLK-Kliniken Heilbronn GmbH Klinikum am PlattenwaldRecruiting
- Kerckhoff Klinik Bad NauheimRecruiting
- Studienzentrum Rankestrasse
- Universitätsmedizin Berlin Campus Benjamin FranklinRecruiting
- Charité Berlin (Campus Virchow-Klinikum)Recruiting
- Stiftung Bremer Herzen Bremer Institut für Herz- und Kreislauf- ForschungRecruiting
- Herzzentrum Dresden, Universitätsklinik
- Uniklinik Greifswald, Klinik und Poliklinik für Innere Medizin BRecruiting
- Universitätsmedizin GöttingenRecruiting
- Universitätsklinikum Halle (Saale)
- Universitärsklinikum Hamburg-EppendorfRecruiting
- Cardiologicum HamburgRecruiting
- Universitätsklinikum HeidelbergRecruiting
- Universitätsklinikum des SaarlandesRecruiting
- Universitätsklinikum Jena, KardiologieRecruiting
- Universitätsklinikum Schleswig-Holstein Campus KielRecruiting
- Universitätsklinikum Schleswig-Holstein Campus LübeckRecruiting
- Universitätsklinikum MagdeburgRecruiting
- Universitätsmedizin der Johannes Gutenberg-Universität MainzRecruiting
- Universitätsmedizin MannheimRecruiting
- Kliniken Maria Hilf GmbH, Innere Medizin II, Klinik für Kardiologie
- Praxis Dr. Schön Mühldorf
- LMU München Medizinische Klinik und Poliklinik 1Recruiting
- Klinikum rechts der Isar I. Medizinische Klinik und Poliklinik
- Gemeinschaftspraxis Hagenmiller/ JeserichRecruiting
- Universitätsklinik Medizinische Klinik 8 - Kardiologie Paracelsus Medizinische Privatuniversität Klinikum Nürnberg, Campus Süd
- KardioPrax RemscheidRecruiting
- Kardiologische Praxis Dr. Jens PlackeRecruiting
- Studienzentrum Herzklinik Ulm GbR
- Universitätsklinikum UlmRecruiting
- Szent Imre Kórház
- Semmelweis EgyetemRecruiting
- Szent János kórház és Észak-budai Egyesített kórházak
- Honvéd KórházRecruiting
- Pécsi OrvostudományiRecruiting
- Almási Balogh Pál KórházRecruiting
- IRCCS San Raffaele Pisana (06-01)Recruiting
- Cermed Hernik (05-07)
- Oddział Kardiologii Uniwersyteckiego (05-06)
- Klinika Niewydolności Serca I Transplantologii (05-04)Recruiting
- Wroclaw Medical University (05-01)Recruiting
- KLIMED Marek Klimkiewicz Lomza (05-05)
- Hospital de la LuzRecruiting
- Santa Maria University HospitalRecruiting
- Clinical Hospital Center Zemun
- Clinical Center of Serbia, Department of Cardiology
- Clinical Hospital Center Zvezdara
- Institute of Cardiovascular Diseases "Dedinje"
- General Hospital "Sveti Luka"
- Institute for Cardiovascular Diseases of Vojvodina
- University Medical Centre Ljubljana (07-03)Recruiting
- General Hospital Murska Sobota Division of Cardiology (07-01)Recruiting
- Hospital Topolšica (07-03)Recruiting
- Hospital del Mar (04-01)
- Hospital Universitario Clinico San Carlos Madrid (04-04)
- Hospital Universitarion Virgen de la Victoria (04-03)
- Hospital Clinico Universitario Valencia (04-02)
- Hospital la Fe de Valencia (04-05)
Arms of the Study
Arm 1
Arm 2
Experimental
Placebo Comparator
Verum group (FCM)
Placebo group (NaCL)
I.v. iron administration in the form of FCM will be carried out according to SmPC. I.v. iron bolus administration (1000 mg) will be followed by an optional administration of 500-1000 mg within the first 4 weeks, (up to a total of 2000 mg which is in-label), according to the approved dosing rules, followed by administration of 500 mg FCM at every 4 months, except when haemoglobin is > 16.0 g/dL or ferritin is > 800 µg/L .In the verum group, all patients will receive a saline administration, when no iron is indicated at the time of the visit and according to the values listed above.
Administration of i.v. NaCl at a volume according to the dosing rules for FCM, i.e. as described for the verum group.