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. Author manuscript; available in PMC: 2018 Aug 6.
Published in final edited form as: Circ Heart Fail. 2016 May;9(5):e000345. doi: 10.1161/CIRCHEARTFAILURE.115.000345

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.