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Observes how iron given by infusion affects the heart in heart failure

Observes iron infusion effects in adults with heart failure and iron deficiency.

Plain-language title generated from the registry record
Registry title: IRONHEART: Intravenous Iron in Non-ischaemic Heart Failure

Key facts

Where
Southampton, United KingdomSee the site

Where in United Kingdom

  • University Hospital Southampton NHS Foundation TrustSouthampton, United KingdomTaking people

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Trial details

Who runs it
University Hospital Southampton NHS Foundation Trust
Trial code
NCT06542822
Record updated
7 August 2024
Original description
The aim of this study is to observe the effect of intravenous ferric derisomaltose in participants with non-ischaemic heart failure (LVEF<40%), iron deficiency (TSATS<20%) and established on heart failure therapy including Sodium-glucose cotransporter 2 inhibitors (SGLT2i). Participants will undergo baseline laboratory blood tests, cardiac magnetic resonance imaging (cMRI), six-minute walk test, musculoskeletal function test and Kansas City Cardiomyopathy Questionnaire (KCCQ). These investigations will be repeated at 24 hours and 30 days after the administration of intravenous ferric derisomaltose.Read full original descriptionShow less

Immediate Effects of Intravenous Iron Therapy in Patients With Systolic Heart Failure and Iron Deficiency as Evaluated by Cardiac Magnetic Resonance Imaging: An Observational Prospective Study

The aim of this study is to observe the effect of intravenous ferric derisomaltose in participants with non-ischaemic heart failure (LVEF<40%), iron deficiency (TSATS<20%) and established on heart failure therapy including Sodium-glucose cotransporter 2 inhibitors (SGLT2i). Participants will undergo baseline laboratory blood tests, cardiac magnetic resonance imaging (cMRI), six-minute walk test, musculoskeletal function test and Kansas City Cardiomyopathy Questionnaire (KCCQ). These investigations will be repeated at 24 hours and 30 days after the administration of intravenous ferric derisomaltose.

Inclusion: Participants capable of giving informed consent; Aged 18yrs and above; Diagnosed with heart failure and a reduction of their ejection fraction < 40% by any modality; Non ischaemic cardiomyopathy as determined by baseline cardiac magnetic resonance imaging; Iron deficient per this definition: Transferrin saturations < 20%; Established on Heart failure therapy including SGLT2i therapy for a minimum of four weeks prior to recruitment; New York Heart Association score of I - III class.

Exclusion: New York Heart Association classification Score >IV; Non cardiac and cardiac palliative diagnosis; Active cancer diagnosis; Moderate to severe valvular heart disease; Cardiac electronic implantable device: Cardiac resynchronization therapy, Implantable cardioverter-defibrillator, left ventricular assist device; Cardiac \& non cardiac transplant participants; Myocardial infarction, Percutaneous Coronary Intervention, Coronary Artery Bypass Graft surgery in the last 30 days; Complex congenital heart disease; Chronic kidney stage: Estimated Glomerular Filtration Rate (eGFR) < 30; Ischaemic cardiomyopathy; Requirement for renal dialysis; Atrial fibrillation / atrial flutter; Pregnancy.

ClinicalTrials.gov NCT06542822