Table 2.
Trials evaluating intravenous iron supplementation for treatment of heart failure.
| Drug | Authors/ Journal |
N | Subjects Studied |
Iron Deficiency Definition |
Time | Primary Endpoint |
Findings |
|---|---|---|---|---|---|---|---|
| IV Iron Sucrose |
Bolger39 JACC 2006 |
16 | NYHA 2–3 LVEF <0.35 |
Ferritin<400 mg/ml | 12 wks |
∆ 6MWT | ↑ 6MWD, ↓NYHA ↓ MLHF Scores |
| IV Iron Sucrose |
Tobilli22 JACC 2007 |
40 | NYHA 3–4 LVEF<0.35 |
Ferritin<100ng/ml and/or Tsat<20% |
5 wks |
∆ Global Assessment score |
↑ PGAS, ↑ 6MWD ↓ NT-BNP, ↑ LVEF |
| IV iron Sucrose |
Usmanov40 J Nephrol 2008 |
32 | NYHA 3–4 LVEF<0.35 |
Hb < 11g/dl Iron indices not specified |
26 wks |
∆ NYHA | ↓ NYHA, ↑ LVEF |
| IV Iron Sucrose |
Okonko41 JACC 2008 |
35 | NYHA 2–3 LVEF<0.35 |
Ferritin<100 ng/ml or 100–300 with Tsat<20% |
16 wks |
Δ peak VO2 | ↑ PGAS, ↓ NYHA ↑ Peak VO2 α Δ Tsat |
| IV Iron Carboxy maltose |
Anker42 NEJM 2009 |
45 | NYHA 2–3 LVEF<0.4 Hb 9.5–13.5 |
Ferritin<100 ng/ml or 100–300 with Tsat <20% |
24 wks |
∆ Global Assessment Score |
↑ PGAS, ↓NYHA ↑ 6MWD Similar benefit Hb<>12 |
| IV Iron Carboxy maltose |
Ponikowski43 EHJ 2014 |
30 | NYHA 2–3 LVEF<0.45 Hb <15 |
Ferritin<100 ng/ml or 100–300 with Tsat<20% |
52 wk |
∆ 6MWD | ↑ 6MWD ↑ PGAS, ↓NYHA Similar benefit Hb<>12 ↓ HF hospitalization |
Tsat, transferrin saturation; 6MWD, 6-minute walk distance; PGAS, patient global assessment score; NT-BNP, N-terminal pro B-type natriuretic peptide; NYHA, New York Heart Association functional class; VO2, oxygen consumption; Hb, hemoglobin; HF, heart failure.