About this trial
The goal of this study is to investigate the effect of oral sucrosomial iron on exercise capacity and quality of life in patients with heart failure (HF) and iron deficiency (ID).
The main question the study aims to answer is whether oral sucrosomial iron improved exercise capacity, assessed by six-minute walk test, and quality of life, assessed by Kansas City Cardiomyopathy Questionnaire, compared with placebo.
One group of participants will receive treatment with oral sucrosomial iron and the other group will receive treatment with placebo.
Eligibility criteria
Qualifiers
Chronic HF (New York Heart Association [NYHA] functional class II-IV) patients, on optimal therapy, and clinically stable for at least 4 weeks with no dose changes of HF drugs
LVEF<50% at screening visit (historical value can be used if performed within 6 months of screening visit)
Either a documented hospitalization for HF in the previous 12 months of enrolment or an elevated NT-proBNP: ≥250 pg/mL (or BNP ≥75 pg/mL) for patients in normal sinus rhythm; ≥1,000 pg/mL (or BNP ≥400 pg/mL) for patients in atrial fibrillation
TSAT <20%
Disqualifiers
Neuromuscular, orthopedic or other non-cardiac condition that prevents the patient from exercise testing
Exercise training program in the previous 3 months, or planned in the next 3 months
Recent (<3 month) acute coronary syndrome, coronary artery bypass surgery, percutaneous coronary interventions, transient ischemic attack, or stroke
Severe valvular disease, hypertrophic obstructive cardiomyopathy, restrictive or constrictive cardiomyopathy, acute myocarditis
Trial design
Treatments tested in this trial
- Sucrosomial iron
- Placebo
Treatment groups
Locations
1Sponsors and collaborators
Raffaele De Caterina
Lead sponsor
Azienda Ospedaliero, Universitaria Pisana
Sponsor institution
University of Pisa
Collaborator