Systolic heart failure (heart failure with reduced ejection fraction, HFREF) + iron deficiency with serum ferritin <100 µg/l or 100 – 299 µg/L when transferrin saturation (TSAT) is <20%
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Written informed consent. - Age > 18 yrs - Symptomatic HFREF (LV ejection fraction 60 ml/min/1,73 m3 Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 24 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 24
Exclusion criteria
Exclusion criteria: - Known hypersensitivity to ferric carboxymaltose or any constituents of the formulation, - Plasma Phosphate < 2.5 mg/dL at screening, - Renal replacement therapy/transplantation, - Pregnancy or lactation - iron substitution therapy or erythropoetin (epo) therapy within 6 weeks before - participation in another clinical trial with an experimental drug - expectation of missing compliance - alcohol or drug abuse - The subject is mentally or legally incapacitated - patients who are in a relationship of dependence or in a working relationship to the sponsor, the investigator or his representative
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Effects of ferric carboxymaltose single HD (1000 mg) infusion upon FGF23 in patients with isolated HFREF compared to patients with HFREF+CKD (all pts with iron deficiency). This study aims at identification of the optimal target population for a follow-up (“main”) study.;Secondary Objective: To investigate the following parameters: - Serum and Urine phosphate - serum calcitriol - serum S-klotho;Primary end point(s): Changes in blood intact and c-term FGF23 after FCM 1000 mg i.v. iron;Timepoint(s) of evaluation of this end point: 4 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - additional serum and urinary biomarkers belonging to CKD-MBD (phosphate and vitamin D metabolism) - urinary markers of tubular damage - Inflammatory mediators (IL1, IL6, TNF alpha hsCRP) - phosphate level < 1,25 mg/dL;Timepoint(s) of evaluation of this end point: 4 weeks | — |
Countries
Germany
Contacts
RWTH Aachen