> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/asset/ferric-derisomaltose-f4b6f95c-a24f-4330-84fc-de6f99ab2af7
> Record changed: 2026-10-13

# Ferric derisomaltose

Highest phase reached

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

Drug type

Oligosaccharide

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

First approval year

2020

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

## Development status

**First approval year**

2020

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

**Listing at source**

Listed

**Highest phase reached**

Approved

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

## Names and chemistry

**Drug type**

Oligosaccharide

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

**Drug name**

Ferric derisomaltose

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

### Brand names (14)

- diafertm
- Diafertm
- monofartm
- Monofartm
- monoferric
- Monoferric
- monoferrictm
- Monoferrictm
- monoferrotm
- Monoferrotm
- monofertm
- Monofertm
- monovertm
- Monovertm

### Other names (23)

- .ALPHA.-D-GLUCAN, (1-6)-, REDUCED, REACTION PRODUCTS WITH IRON HYDROXIDE (FE(OH)3)
- alpha d glucan 1 6 reduced reaction products with iron hydroxide fe oh 3
- derisomaltosa ferrica
- Derisomaltosa ferrica
- derisomaltose ferrique
- Derisomaltose ferrique
- ferric derisomaltose
- Ferric derisomaltose
- Ferric Derisomaltose
- ferric derisomaltose \[INN\]
- FERRIC DERISOMALTOSE \[JAN\]
- FERRIC DERISOMALTOSE \[ORANGE BOOK\]
- FERRIC DERISOMALTOSE \[USAN\]
- Ferric derisomaltose \[WHO-DD\]
- Ferric Derisomaltose Injection
- ferric derisomaltose inn
- ferric derisomaltose jan
- ferric derisomaltose orange book
- ferric derisomaltose usan
- ferric derisomaltose who dd
- Monoferric
- ns32
- NS32

## Identifiers

**CAS registry numbers**

- 1345510-43-1

**ChEMBL ID**

CHEMBL4298187

Source: [www.ebi.ac.uk](https://www.ebi.ac.uk/chembl/explore/compound/CHEMBL4298187)

**PubChem compound IDs**

- 86278348

**RxNorm IDs (RxCUI)**

- 2274394

**FDA ingredient codes (UNII)**

- AHU547PI9H

## Regulatory information

### United States

**Applicant**

PHARMACOSMOS

**Approval date**

16 Jan 2020

**Application number**

NDA208171

### Other regulatory facts

**Patents**

5

**Designations**

0

**Earliest recorded loss of exclusivity**

22 Jun 2036

**First in class**

No

**Fast track**

No

**Breakthrough designation**

No

**Orphan designation**

No

**Priority review**

No

**Orphan exclusivity**

No

**Accelerated approval**

No

**Availability**

Prescription only

## Pharmacology

### Drug classification

#### Administration routes

- Parenteral

### Investigated indications (4)

- **Condition**  
Renal Insufficiency, Chronic

**Highest recorded phase**  
3

**Condition identifier**  
EFO:0003884

**Subject identifier**  
D051436
- **Condition**  
Anemia

**Highest recorded phase**  
4

**Condition identifier**  
EFO:0004272

**Subject identifier**  
D000740
- **Condition**  
Anemia, Iron-Deficiency

**Highest recorded phase**  
4

**Condition identifier**  
HP:0001891

**Subject identifier**  
D018798
- **Condition**  
Anemia

**Highest recorded phase**  
4

**Condition identifier**  
MONDO:0002280

**Subject identifier**  
D000740

### Open Targets indications (15)

- **Condition identifier**  
EFO\_0000266

**Highest recorded phase**  
2
- **Condition identifier**  
EFO\_0003965
- **Condition identifier**  
EFO\_0004272

**Highest recorded phase**  
3
- **Condition identifier**  
EFO\_0020975
- **Condition identifier**  
HP\_0001518
- **Condition identifier**  
HP\_0001891
- **Condition identifier**  
HP\_0001891

**Highest recorded phase**  
4
- **Condition identifier**  
HP\_0012758
- **Condition identifier**  
MONDO\_0000313

**Highest recorded phase**  
3
- **Condition identifier**  
MONDO\_0002280
- **Condition identifier**  
MONDO\_0002280

**Highest recorded phase**  
4
- **Condition identifier**  
MONDO\_0005252
- **Condition identifier**  
MONDO\_0005300

**Highest recorded phase**  
3
- **Condition identifier**  
MONDO\_0005575

**Highest recorded phase**  
2
- **Condition identifier**  
MONDO\_0008170

**Highest recorded phase**  
3

### Reported adverse events (50)

- **Event**  
abdominal pain

**Reports**  
21

**Reporting signal score**

8.0099
- **Event**  
agonal respiration

**Reports**  
3

**Reporting signal score**

20.6099
- **Event**  
anaphylactic reaction

**Reports**  
27

**Reporting signal score**

41.0109
- **Event**  
anaphylactic shock

**Reports**  
7

**Reporting signal score**

7.77481
- **Event**  
back pain

**Reports**  
54

**Reporting signal score**

74.5141
- **Event**  
blood pressure decreased

**Reports**  
14

**Reporting signal score**

15.9344
- **Event**  
bradycardia

**Reports**  
22

**Reporting signal score**

25.8326
- **Event**  
bradycardia foetal

**Reports**  
4

**Reporting signal score**

14.0789
- **Event**  
cardiac arrest

**Reports**  
12

**Reporting signal score**

16.6367
- **Event**  
cardiovascular symptom

**Reports**  
2

**Reporting signal score**

9.41105
- **Event**  
chest discomfort

**Reports**  
47

**Reporting signal score**

87.1614
- **Event**  
chest pain

**Reports**  
32

**Reporting signal score**

29.8567
- **Event**  
cyanosis

**Reports**  
10

**Reporting signal score**

18.9021
- **Event**  
diaphragmalgia

**Reports**  
2

**Reporting signal score**

9.44244
- **Event**  
diarrhoea

**Reports**  
4

**Reporting signal score**

8.53535
- **Event**  
dizziness

**Reports**  
37

**Reporting signal score**

13.99
- **Event**  
dyspnoea

**Reports**  
95

**Reporting signal score**

95.6445
- **Event**  
erythema

**Reports**  
19

**Reporting signal score**

11.6702
- **Event**  
extravasation

**Reports**  
5

**Reporting signal score**

9.91444
- **Event**  
eye movement disorder

**Reports**  
4

**Reporting signal score**

8.26343
- **Event**  
feeling hot

**Reports**  
13

**Reporting signal score**

18.326
- **Event**  
fishbane reaction

**Reports**  
22

**Reporting signal score**

171.876
- **Event**  
flushing

**Reports**  
59

**Reporting signal score**

131.789
- **Event**  
hyperhidrosis

**Reports**  
24

**Reporting signal score**

25.4873
- **Event**  
hypersensitivity

**Reports**  
31

**Reporting signal score**

30.4618

And 25 more, listed on the interactive page.

### Trial references (9)

- NCT02940860  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02940860)
- NCT02940886  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02940886)
- NCT02962648  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT02962648)
- NCT03237065  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03237065)
- NCT03238911  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT03238911)
- NCT04913649  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT04913649)
- NCT05179226  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05179226)
- NCT05251493  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05251493)
- NCT05768997  
Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT05768997)

## Dosing

**Dose**

1000mg

**Route**

Intravenous

**How often**

Once

### Conditions of use

- Administer over at least 20 minutes

## Chemical properties

**Prodrug**

No

**Chirality**

Single enantiomer

**Inorganic**

No

**Natural product**

No

## National Drug Codes

- 73594-9301
- 73594-9305
- 73594-9310

## Related records

### Trials (32)

- A Clinical Trial Assessing the Efficacy of Intravenous Iron for the Treatment of Anemia Following Cardiac Surgery
- A Study of Ferric Derisomaltose Injection in Chinese Participants With Iron Deficiency Anemia Under Fasting Conditions
- Accelerated Recovery for Total Knee Replacement Surgery With Preoperative Intravenous Iron Combined With Human Erythropoietin for Rapid Hematopoietic Mobilization to Prevent Postoperative Anemia
- An Extension Trial to Assess the Safety of Re-dosing of Iron Isomaltoside/Ferric Derisomaltose (Monofer®/Monoferric®)
- Ferric Derisomaltose (Iron Isomaltoside) Versus Iron Sucrose for Treatment of Iron Deficiency in Pregnancy
- Ferric Derisomaltose and Outcomes in the Recovery of Gynecologic Oncology: ERAS (Enhanced Recovery After Surgery)
- Ferric Derisomaltose/Iron Isomaltoside and Outcomes in the Recovery of Gynecologic Oncology ERAS
- High Dose IV Iron Plus ESA in Chemotherapy-induced Anemia
- Impact of Intravenous Iron Repletion On Mechanisms of Exercise InTolerance in HFpEF (IRONMET-HFpEF)
- Incidence of Hypophosphatemia After Treatment With Iron Isomaltoside/Ferric Derisomaltose or Ferric Carboxymaltose in Subjects With Iron Deficiency Anaemia
- Incidence of Hypophosphatemia After Treatment With Iron Isomaltoside/Ferric Derisomaltose vs Ferric Carboxymaltose in Subjects With Iron Deficiency Anaemia
- Intravenous Iron to Improve Symptoms, Quality of Life and Exercise Capacity in HFpEF With Iron Deficiency
- Intravenous Iron to Treat Postoperative Anemia in Older Cardiac Surgery Patients
- Intravenous Iron Treatment in Patients With Heart Failure and Iron Deficiency: IRONMAN
- Intravenous Versus Oral Iron for Treating Iron-Deficiency Anemia in Pregnancy
- Iron Deficiency Anemia (IDA) and the Brain
- Iron Isomaltoside/Ferric Derisomaltose vs Iron Sucrose for the Treatment of Iron Deficiency Anemia (IDA)
- Iron Isomaltoside/Ferric Derisomaltose vs Iron Sucrose for Treatment of Iron Deficiency Anemia in Non-Dialysis-Dependent Chronic Kidney Disease
- IRONCARE: Iron Treatment in Older Patients With Hip Fractures
- IRONHEART: Intravenous Iron in Non-ischaemic Heart Failure

### Approved for (2)

- Anemia
- Iron deficiency anemia

### In development for (1)

- [Chronic kidney disease](https://trialight.com/data/condition/chronic-kidney-disease-dc1fecbb-338b-5bbc-8d68-08e49db49918.md) Phase 3

---

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