IRONHEART: Intravenous Iron in Non-ischaemic Heart Failure

Trial statusRecruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorUniversity Hospital Southampton NHS Foundation Trust

About this trial

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.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

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.

Disqualifiers

New York Heart Association classification Score >IV

Ischaemic cardiomyopathy

Chronic kidney stage: Estimated Glomerular Filtration Rate (eGFR) < 30

Requirement for renal dialysis

Trial population

Participants with non-ischaemic cardiomyopathy with a left ventricular function less than 40% and iron deficient as per the following criteria: Transferrin saturations \< 20%

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

  • Ferric derisomaltose

    Drug

    See group descriptions

Treatment groups

16 Participants
are divided into 1 treatment group
Group A: IRONHEART Observational Study Group1 intervention

Trial outcomes

Primary outcomes

1

Ejection Fraction quantified on Cardiac Magnetic Resonance Imaging

Changes in Ejection Fraction quoted in (%)

Time frame
24 Hours and 30 days

Secondary outcomes

1

T1 Mapping quantified on Cardiac Magnetic Resonance Imaging

Changes in T1 Parametric Mapping quantified in (msec)

Time frame
24 Hours and 30 days
2

T2 Mapping quantified on Cardiac Magnetic Resonance Imaging

Changes in T2 Parametric Mapping quantified in (msec)

Time frame
24 Hours and 30 Days
3

Extracellular Volume (ECV) Fraction quantified on Cardiac Magnetic Resonance Imaging

Changes in ECV Fraction quoted in (%)

Time frame
24 Hours and 30 Days
4

Ventricular Volumes quantified on Cardiac Magnetic Resonance Imaging

Changes in left and right ventricular volumes quantified in (ml)

Time frame
24 Hours and 30 Days

Other outcomes

Sponsors and contacts

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