Table 1.
Key inclusion criteria | Key exclusion criteria |
---|---|
NYHA II–III functional class due to stable symptomatic CHF and all of the following | Known active infection, C-reactive protein>20 mg/L, clinically significant bleeding, active malignancy |
Two weeks without cardiac hospitalization | ALT or AST >3× upper limit of normal |
Patients in NYHA II: acute care admission or emergency room visit for worsening heart failure within 24 months prior to start of treatment | Anaemia due to reasons other than iron deficiency (e.g. haemoglobinopathy) |
On optimal pharmacological treatment which includes a diuretic, a beta-blocker, and/or an ACE-inhibitor or ARB as determined by the investigator, unless contraindicated or not tolerated | Immunosuppressive therapy or renal dialysis |
No dose changes of heart failure drugs during the last 2 weeks (exception: diuretics) | History of erythropoietin, i.v. or oral iron therapy, and blood transfusion in previous 12 weeks and/or such therapy planned within the next 6 months |
No introduction of a new heart failure drug class during the last 4 weeks | Unstable angina pectoris, clinically significant uncorrected valvular disease or left ventricular outflow obstruction, obstructive cardiomyopathy |
LVEF ≤40% for patients in NYHA II and LVEF ≤ 45% in NYHA III | Acute myocardial infarction or acute coronary syndrome, transient ischaemic attack or stroke within the last 3 months |
Hb: 9.5–13.5 g/dL | Coronary-artery bypass graft, percutaneous intervention (e.g. cardiac, cerebrovascular, aortic; diagnostic catheters are allowed) or major surgery, including thoracic and cardiac surgery, within the last 3 months |
Evidence of absolute or functional iron deficiency: screening ferritin <100 ng/mL or 100–300 ng/mL when TSAT < 20% | |
Patient must be able to perform the 6 minute walk test according to investigator judgement |
ACE, angiotensin-converting enzyme; ALT, alanine transaminase; ARB, angiotensin II receptor blocker; AST, aspartate transaminase; CHF, chronic heart failure; Hb, haemoglobin; i.v., intravenous; LVEF, left ventricular ejection fraction; NYHA, New York Heart Association; TSAT, transferrin saturation.