EFfect of Ferric Carboxymaltose on exercIse CApacity and Cardiac Function in Patients With Iron deficiencY and Chronic Heart Failure

NCT ID: NCT00821717

Last Updated: 2015-06-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

35 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2011-01-31

Brief Summary

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This study is designed to assess, relative to placebo, the effects on the evolution of exercise capacity and symptomatic status of the addition of iron treatment with FCM (ferric carboxymaltose) to the basic regimen of ambulatory patients with stable symptomatic chronic CHF (congestive heart failure) and iron deficiency.

Detailed Description

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Conditions

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Chronic Heart Failure Iron Deficiency Iron Deficiency Anemia Anaemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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1:

Group Type EXPERIMENTAL

Ferinject ® (Ferric carboxymaltose)

Intervention Type DRUG

Ferinject® will be administered in doses of 200 mg (4 mL) weekly up to iron repletion (correction phase of variable duration depending on individual iron deficit). The calculated dose will be rounded to the next 100 mg iron, i.e. the final dose may be 100 mg iron depending on the individual iron deficit.

After the correction phase, Ferinject® will be given monthly in doses of 200 mg until the 24th week (maintenance phase).

2

Group Type PLACEBO_COMPARATOR

Normal saline (0.9%)

Intervention Type DRUG

During the correction phase, patients will receive the number of normal saline injections (4 mL weekly) corresponding to the calculated total iron dose needed according to the individual iron deficit. During the maintenance phase, placebo patients will receive 4 mL normal saline monthly.

Interventions

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Ferinject ® (Ferric carboxymaltose)

Ferinject® will be administered in doses of 200 mg (4 mL) weekly up to iron repletion (correction phase of variable duration depending on individual iron deficit). The calculated dose will be rounded to the next 100 mg iron, i.e. the final dose may be 100 mg iron depending on the individual iron deficit.

After the correction phase, Ferinject® will be given monthly in doses of 200 mg until the 24th week (maintenance phase).

Intervention Type DRUG

Normal saline (0.9%)

During the correction phase, patients will receive the number of normal saline injections (4 mL weekly) corresponding to the calculated total iron dose needed according to the individual iron deficit. During the maintenance phase, placebo patients will receive 4 mL normal saline monthly.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* In New York Heart Association (NYHA) II-III functional class due to stable symptomatic chronic heart failure (CHF)
* Left ventricular ejection fraction (LVEF) 40% or lower for patients in NYHA II and 45% or lower in NYHA III
* Screening haemoglobin (Hb) at least 9.5 g/dL but below or equal to 13.5 g/dL (average of 2 haemoglobin concentrations)
* Screening ferritin below 100 µg/L, or below 300 µg/L when transferrin saturation (TSAT) is below 20%

Exclusion Criteria

* History of acquired iron overload.
* Known active infection, clinically significant bleeding, active malignancy.
* Chronic liver disease and/or screening alanine transaminase (ALT) or aspartate transaminase (AST)
* Anaemia due to reasons other than iron deficiency
* Immunosuppressive therapy or renal dialysis (current or planned within the next 6 months).
* 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.
* Unstable angina pectoris as judged by the investigator, clinically significant uncorrected valvular disease or left ventricular outflow obstruction, obstructive cardiomyopathy, poorly controlled fast atrial fibrillation or flutter, poorly controlled symptomatic brady- or tachyarrhythmias.
* Acute myocardial infarction or acute coronary syndrome, transient ischaemic attack or stroke within the last 3 months.
* 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.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Socar Research SA

NETWORK

Sponsor Role collaborator

Vifor Pharma

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Motro, MD, FACC

Role: STUDY_CHAIR

Sheba Medical Center, Tel-Hashomer 52621, Israel

Locations

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Research Site

Copenhagen S, , Denmark

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Esbjerg, , Denmark

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Fredericia, , Denmark

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Glostrup Municipality, , Denmark

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Hellerup, , Denmark

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Herning, , Denmark

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Hilleroed, , Denmark

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Svendborg, , Denmark

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Boulogne, , France

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Dijon, , France

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Lyon, , France

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Montpellier, , France

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Nantes, , France

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Pontoise, , France

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Rennes, , France

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Saintes, , France

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Strasbourg, , France

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Cologne, , Germany

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Düren, , Germany

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Frankfurt, , Germany

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Homburg/Saar, , Germany

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Mainz, , Germany

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Würzburg, , Germany

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Afula, , Israel

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Ashkelon, , Israel

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Haifa, , Israel

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Holon, , Israel

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Jerusalem, , Israel

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Kfar Saba, , Israel

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Rehovot, , Israel

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Safed, , Israel

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Tel Aviv, , Israel

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Tel Litwinsky, , Israel

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's-Hertogenbosch, , Netherlands

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Amsterdam, , Netherlands

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Eindhoven, , Netherlands

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Heerenveen, , Netherlands

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Leiden, , Netherlands

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Nieuwegein, , Netherlands

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Tilburg, , Netherlands

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Utrecht, , Netherlands

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Countries

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Denmark France Germany Israel Netherlands

Other Identifiers

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FER-CARS-03

Identifier Type: -

Identifier Source: org_study_id

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