PMID- 19875408 OWN - NLM STAT- MEDLINE DCOM- 20100325 LR - 20211020 IS - 1879-0844 (Electronic) IS - 1388-9842 (Print) IS - 1388-9842 (Linking) VI - 11 IP - 11 DP - 2009 Nov TI - Rationale and design of Ferinject assessment in patients with IRon deficiency and chronic Heart Failure (FAIR-HF) study: a randomized, placebo-controlled study of intravenous iron supplementation in patients with and without anaemia. PG - 1084-91 LID - 10.1093/eurjhf/hfp140 [doi] AB - AIMS: Iron deficiency (ID) and anaemia are common in patients with chronic heart failure (CHF). The presence of anaemia is associated with increased morbidity and mortality in CHF, and ID is a major reason for the development of anaemia. Preliminary studies using intravenous (i.v.) iron supplementation alone in patients with CHF and ID have shown improvements in symptom status. FAIR-HF (Clinical Trials.gov NCT00520780) was designed to determine the effect of i.v. iron repletion therapy using ferric carboxymaltose on self-reported patient global assessment (PGA) and New York Heart Association (NYHA) in patients with CHF and ID. METHODS AND RESULTS: This is a multi-centre, randomized, double-blind, placebo-controlled study recruiting ambulatory patients with symptomatic CHF with LVEF < or = 40% (NYHA II) or < or =45% (NYHA III), ID [ferritin <100 ng/mL or ferritin 100-300 ng/mL when transferrin saturation (TSAT) < 20%], and haemoglobin 9.5-13.5 g/dL. Patients were randomized in a 2:1 ratio to receive ferric carboxymaltose (Ferinject((R))) 200 mg iron i.v. or saline i.v. weekly until iron repletion (correction phase), then monthly until Week 24 (maintenance phase). Primary endpoints are (i) self-reported PGA at Week 24 and (ii) NYHA class at Week 24, adjusted for baseline NYHA class. CONCLUSION: This study will provide evidence on the efficacy and safety of iron repletion with ferric carboxymaltose in CHF patients with ID with and without anaemia. FAU - Anker, Stefan D AU - Anker SD AD - Department of Cardiology, Charite, Campus Virchow-Klinikum, Augustenburger Platz 1, Berlin D-13353, Germany. FAU - Colet, Josep Comin AU - Colet JC FAU - Filippatos, Gerasimos AU - Filippatos G FAU - Willenheimer, Ronnie AU - Willenheimer R FAU - Dickstein, Kenneth AU - Dickstein K FAU - Drexler, Helmut AU - Drexler H FAU - Luscher, Thomas F AU - Luscher TF FAU - Mori, Claudio AU - Mori C FAU - von Eisenhart Rothe, Barbara AU - von Eisenhart Rothe B FAU - Pocock, Stuart AU - Pocock S FAU - Poole-Wilson, Philip A AU - Poole-Wilson PA FAU - Ponikowski, Piotr AU - Ponikowski P CN - FAIR-HF committees and investigators LA - eng SI - ClinicalTrials.gov/NCT00520780 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PL - England TA - Eur J Heart Fail JT - European journal of heart failure JID - 100887595 RN - 0 (Ferric Compounds) RN - 6897GXD6OE (ferric carboxymaltose) RN - 69-79-4 (Maltose) SB - IM MH - Algorithms MH - Anemia, Iron-Deficiency/*drug therapy/physiopathology MH - Chronic Disease MH - Clinical Protocols MH - Double-Blind Method MH - Female MH - Ferric Compounds/*administration & dosage MH - Heart Failure/complications/*drug therapy MH - Humans MH - Injections, Intravenous MH - Male MH - Maltose/administration & dosage/*analogs & derivatives MH - Patient Care/*methods MH - Reference Values MH - Research Design MH - Treatment Outcome PMC - PMC2770581 EDAT- 2009/10/31 06:00 MHDA- 2010/03/26 06:00 PMCR- 2009/11/01 CRDT- 2009/10/31 06:00 PHST- 2009/10/31 06:00 [entrez] PHST- 2009/10/31 06:00 [pubmed] PHST- 2010/03/26 06:00 [medline] PHST- 2009/11/01 00:00 [pmc-release] AID - hfp140 [pii] AID - 10.1093/eurjhf/hfp140 [doi] PST - ppublish SO - Eur J Heart Fail. 2009 Nov;11(11):1084-91. doi: 10.1093/eurjhf/hfp140.