> Trialight public data. Index of pages: https://trialight.com/llms.txt
> Web page: https://trialight.com/data/trial/multi-center-trial-of-ferric-derisomaltose-versus-no-fe891be8-6673-4490-96ad-a4adcfd8db60
> Record changed: 2026-10-13

# Multi-center Trial of Ferric Derisomaltose Versus no Intravenous Iron in Iron-deficient Subjects With Symptomatic Chronic Heart Failure

NCT06929806

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Phase

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Recruitment status

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Participants

1,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Lead sponsor

Pharmacosmos A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Start date

2025-05-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

Number of sites

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Title and summary

**Summary**

The goal of this clinical trial is to learn if the IV Iron treatment ferric derisomaltose helps in the treatment of chronic heart failure in people with iron deficiency. The main question it aims to answer is: • How many participants are admitted to the hospital or die from a disease in the heart or blood vessels Researchers will compare treatment with ferric derisomaltose to no treatment with ferric derisomaltose. This will be done to see how well ferric derisomaltose works. Participants will: \* Be randomized 50/50 to either treatment with Ferric derisomaltose or to no treatment with ferric derisomaltose \* All participants receives standard of care \* Visit site 4-5 times and have 7 video/phone-calls

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Acronym**

ICONIC-HF

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Short title**

Multi-center Trial of Ferric Derisomaltose Versus no Intravenous Iron in Iron-deficient Subjects With Symptomatic Chronic Heart Failure

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Official title**

A Phase III, Randomized, Open-label, Blinded Endpoint, Comparative Trial of Ferric Derisomaltose Versus no Intravenous Iron in Iron-deficient Subjects With Symptomatic Chronic Heart Failure

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Status and phase

**Registry reports results**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Listing at source**

Listed

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Recruitment status**

Recruiting

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Phase**

Phase 3

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Study type**

Interventional

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Dates

**Completion date**

2027-12-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**First posted**

2025-04-16

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Registry last updated**

2025-07-23

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Primary completion date**

2027-12-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Start date**

2025-05-01

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Size and sites

**Participants**

1,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Participant count basis**

Estimated

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Planned participants**

1,900

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Protocol amendments**

0

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Number of sites**

1

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Sponsor and oversight

**Data monitoring committee**

No

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Registry sponsor category**

Industry

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Lead sponsor**

Pharmacosmos A/S

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Source registry**

ClinicalTrials.gov

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Identifiers

**Registry ID**

NCT06929806

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**ClinicalTrials.gov ID**

NCT06929806

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

**Registry record**

Open registry record

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Study design

**Allocation**

Randomised

**Model**

Parallel groups

**Purpose**

Treatment

**Masking**

Single masking

**Masked roles**

Outcome assessors

Sources for study design

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Outcomes

### Primary outcomes

1. Number of cardiovascular deaths and hospitalizations for worsening heart failure  
Timeframe: From enrollment to the end of follow-up at 52 weeks

### Secondary outcomes

1. Number of hospitalizations for worsening heart failure  
Timeframe: From enrollment and no longer than end of follow-up at 52 weeks
2. Time to cardiovascular death  
Timeframe: From enrollment to the end of follow-up at 52 weeks
3. Number of all-cause hospitalizations  
Timeframe: From enrollment to the end of follow-up at 52 weeks
4. Time to all-cause death  
Timeframe: From enrollment to the end of follow-up at 52 weeks
5. Time to first hospitalization for worsening heart failure or cardiovascular death  
Timeframe: From enrollment to the end of follow-up at 52 weeks
6. Number of hospitalizations for cardiovascular, respiratory, or renal disease  
Timeframe: From enrollment to the end of follow-up at 52 weeks
7. Time to cardiovascular, respiratory, or renal death  
Timeframe: From enrollment to the end of follow-up at 52 weeks
8. Number of hospitalizations for cardiovascular events: stroke, AMI and heart failure  
Timeframe: From enrollment to the end of follow-up at 52 weeks
9. Time to cardiovascular death or first hospitalization for cardiovascular event: stroke, AMI and heart failure  
Timeframe: From enrollment to the end of follow-up at 52 weeks
10. Time to all-cause death or first hospitalization  
Timeframe: From enrollment to the end of follow-up at 52 weeks
11. Days hospitalized or dead for cardiovascular reasons at week 52  
Timeframe: From enrollment to the end of follow-up at 52 weeks
12. Days hospitalized or dead for any reason at week 52  
Timeframe: From enrollment to the end of follow-up at 52 weeks
13. Change in NYHA from baseline to weeks 12, 26 and 52  
Timeframe: From enrollment to weeks 12, 26 and 52
14. All-cause rehospitalizations at 30 and 60 days  
Timeframe: From enrollment to 30 and 60 days
15. Rehospitalizations for worsening heart failure at 30 and 60 days  
Timeframe: From enrollment to 30 and 60 days
16. Number of cardiovascular deaths and hospitalizations for worsening heart failure including urgent and unscheduled outpatient IV diuretic treatment  
Timeframe: From enrollment to the end of follow-up at 52 weeks
17. Number of urgent and unscheduled outpatient IV diuretic treatment  
Timeframe: From enrollment to the end of follow-up at 52 weeks

Sources for outcomes

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Eligibility

**Sex**

All

**Age groups**

Adults, Older adults

**Minimum age**

18 Years

**Healthy volunteers**

No

### Inclusion criteria

- 18 years or older
- Both women and men can join
- Heart failure that causes fatigue, shortness of breath, or other symptoms during physical activity
- Have left ventricle (chamber) ejection fraction (pumping ability) that is 45% or less
- Have low iron levels in the blood
- New York Heart Association (NYHA) Heart Failure Classification II, III or IV

### Exclusion criteria

- Planned cardiac surgery or revascularization or cardiac device implantation
- Pregnant or nursing women
- Treatment with iron Intravenous (through the vein) or intramuscular (injection in the muscle) within the past 6 months
- Treatment with radiotherapy or chemotherapy

Sources for eligibility

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Sites

- Private clinicPasadena, United StatesRecruiting

Sources for sites

Source: [clinicaltrials.gov](https://clinicaltrials.gov/study/NCT06929806)

## Related records

### Drugs (1)

- [Ferric derisomaltose](https://trialight.com/data/asset/ferric-derisomaltose-f4b6f95c-a24f-4330-84fc-de6f99ab2af7.md)

### Lead sponsors (1)

- [Pharmacosmos A/S](https://trialight.com/data/company/pharmacosmos-a-s-f4d70414-bfa9-4d2e-8598-601d93ca0aba.md)

---

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