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Safety and efficacy of intravenous ferric derisomaltose compared with iron sucrose for iron deficiency anemia in patients with chronic kidney disease with and without heart failure

The American Journal of Cardiology Jun 25, 2021

Ambrosy AP, von Haehling S, Kalra PR, et al. - Researchers undertook this randomized, open-label, multicenter clinical trial (FERWON-NEPHRO) to assess safety as well as efficacy of a single infusion of ferric derisomaltose (FDI; an intravenous high-dose iron formulation) 1,000 mg vs up to 5 doses of iron sucrose (IS) 200 mg (recommended cumulative dose, 1,000 mg) over 8 weeks in patients suffering from non-dialysis-dependent chronic kidney disease (NDD-CKD) and iron deficiency anemia. There were 1,525 patients in the safety analysis, of whom 244 (16%) had a history of heart failure (HF). Findings showed not only the safety and good tolerability of a single infusion of FDI in NDD-CKD cases but also fewer cardiovascular adverse events and a faster hematological response conferred by this treatment, relative to multiple doses of IS. These impacts were shown to be similar for cases with and without HF.

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