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Acute Myocardial Infarction Type 1Phase 2MIRON-DFPNCT05604131

Cardiac MRI-guided Deferiprone Therapy for Acute Myocardial Infarction Patients

A Phase 2 study testing Deferiprone Tablets in people with Acute Myocardial Infarction Type 1, run by Rohan Dharmakumar at 2 sites in United States.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

The objective of this randomized, controlled pilot study is to determine the efficacy of Deferiprone to reduce the amount of free iron inside the hemorrhagic zone of myocardial infarction among hemorrhagic myocardial infarction patients. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Myocardial Infarction Type 1
What is being tested?
Deferiprone Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
89 participants
Where
2 sitesUnited States
Study dates
8 Nov 2022to 31 Mar 2029
Phase
Phase 2
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • At least 18 years of age
  • Index Anterior wall STEMI
  • Emergency coronary angiogram with primary PCI

Who cannot join

  • Prior history of MI / PCI / coronary artery bypass graft (CABG) within previous 1 year
  • Patients with previous history of left ventricular ejection fraction (LVEF) < 40%
  • Use of investigational drugs or devices 30 days prior to randomization
  • Known allergy or contra-indication to gadolinium/contrast agents
  • eGFR < 30 ml/kg/min
  • Any contraindication against cardiac MRI (such as metal implants)
Show all 14Show fewer
  • Women who are pregnant or breastfeeding. Women of reproductive potential must have a negative pregnancy test prior to randomization
  • Body weight > 140 kg (or 309 lbs.)
  • Absolute neutrophil count - ANC < 1.5 k/cumm
  • History of Chronic Liver Disease
  • Elevated hepatic enzymes (BOTH ALT and AST) > 2 times of upper normal limit
  • Patients with iron storage disease (hemochromatosis, thalassemia) or who are already treated with iron chelators
  • Any clinically significant abnormality identified prior to randomization that in the judgment of the Sponsor-Investigator or Delegate would preclude safe completion of the study or confound the anticipated benefit of deferiprone.
  • Life expectancy of less than 1 year due to non-cardiac pathology

Trial locations and contacts

2 sites in 1 country. Contact the study team or a site near you to ask about taking part.

Clinical Research Coordinator contact

(317) 274-0985

csaha@iu.edu

United States2 sites, 2 recruiting
  • IU Methodist Hospital (IUHealth)

    Indianapolis, Indiana, 46202

    Chandana Saha, PhD, 317-274-0985, csaha@iu.edu

    Recruiting
  • Minneapolis Heart Institute Foundation

    Minneapolis, Minnesota, 55407

    Colleen Quinlan, 763-688-7451, colleen.quinlan@allina.com

    Jay Traverse, MD

    Recruiting

Other trials in United States

About this study

The objective of this randomized, controlled pilot study is to determine the efficacy of Deferiprone to reduce the amount of free iron inside the hemorrhagic zone of myocardial infarction among hemorrhagic myocardial infarction patients.

Read the detailed description

Patients with newly diagnosed STEMI (ST-segment elevation myocardial infarction) who appear to meet eligibility criteria will be recruited for participation. Those who agree to participate and are confirmed to be eligible will undergo a cardiac MRI scan and will be randomized to take either deferiprone or placebo daily for 60 days. Total study participation will last 6 months, during which study participants will attend 7 study visits for blood draws, ECGs, and a repeat cardiac MRI at Day 180.

Being tested
Deferiprone Tablets, Placebo
Keywords
Acute Myocardial Infarction, Intramyocardial Hemorrhage, Deferiprone

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Deferiprone TabletsDrug

    Deferiprone tablets are the active medication for the active arm of the study groups. Randomization will be done by investigational drug services pharmacist and intervention will be double-blinded to investigators and patients.

  • PlaceboDrug

    Deferiprone placebo is the non-medicated formulation for a control arm of the study groups.

Study groups in NCT05604131
Study groupRoleWhat they receive
Hemorrhagic Myocardial Infarction - DeferiproneActive comparatorEnrolled patients with CMR confirmed presence of intramyocardial hemorrhage
Receives: Drug: Deferiprone Tablets
Non-hemorrhagic Myocardial Infarction - DeferiproneActive comparatorEnrolled patients with CMR confirmed absence of intramyocardial hemorrhage
Receives: Drug: Deferiprone Tablets
Hemorrhagic Myocardial Infarction - PlaceboPlacebo comparatorEnrolled patients with CMR confirmed presence of intramyocardial hemorrhage
Receives: Drug: Placebo
Non-hemorrhagic Myocardial Infarction - PlaceboPlacebo comparatorEnrolled patients with CMR confirmed absence of intramyocardial hemorrhage
Receives: Drug: Placebo

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Treatment Efficacy

    Percentage reduction of hemorrhagic zone iron content by cardiac magnetic resonance at 6 months relative to baseline

    Measured: 6 months

Secondary outcomes (5)
  1. Treatment Effect: Clinical Outcomes of Acute Heart Failure

    The proportion of subjects who experience an acute heart failure event

    Measured: 6 months

  2. Treatment Effect: Clinical Outcomes of Non-Fatal Cardiovascular morbidity

    The proportion of subjects who experience other non-fatal cardiovascular morbidity such as recurrent myocardial infarction, ventricular arrhythmia and CVA

    Measured: 6 months

  3. Safety and Tolerability - Rate of Discontinuation

    Rate of discontinuation of therapy due to side effects

    Measured: 6 months

  4. Safety and Tolerability - Severe Side Effects

    Rate of severe side effects requiring hospitalization, extension of length-of-stay.

    Measured: 6 months

  5. Safety and Tolerability - Reversibility of Side Effects without Treatment

    Percentage of Reversible of Side Effects without treatment

    Measured: 6 months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted3 Nov 2022
  2. Study start8 Nov 2022
  3. Primary completion31 Mar 2029 (estimated)
  4. Study completion31 Mar 2029 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
89 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05604131
Sponsor's protocol ID
13487
Other IDs
2R01HL133407-05
Acronym
MIRON-DFP
Status last verified
Aug 2026
First submitted
7 Oct 2022
Last updated
29 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kali A, Kumar A, Cokic I, Tang RL, Tsaftaris SA, Friedrich MG, Dharmakumar R. Chronic manifestation of postreperfusion intramyocardial hemorrhage as regional iron deposition: a cardiovascular magnetic resonance study with ex vivo validation. Circ Cardiovasc Imaging. 2013 Mar 1;6(2):218-28. doi: 10.1161/CIRCIMAGING.112.000133. Epub 2013 Feb 12.

    PubMed 23403335
  • Kali A, Cokic I, Tang R, Dohnalkova A, Kovarik L, Yang HJ, Kumar A, Prato FS, Wood JC, Underhill D, Marban E, Dharmakumar R. Persistent Microvascular Obstruction After Myocardial Infarction Culminates in the Confluence of Ferric Iron Oxide Crystals, Proinflammatory Burden, and Adverse Remodeling. Circ Cardiovasc Imaging. 2016 Nov;9(11):e004996. doi: 10.1161/CIRCIMAGING.115.004996.

    PubMed 27903536
  • Wang G, Yang HJ, Kali A, Cokic I, Tang R, Xie G, Yang Q, Francis J, Li S, Dharmakumar R. Influence of Myocardial Hemorrhage on Staging of Reperfused Myocardial Infarctions With T2 Cardiac Magnetic Resonance Imaging: Insights Into the Dependence on Infarction Type With Ex Vivo Validation. JACC Cardiovasc Imaging. 2019 Apr;12(4):693-703. doi: 10.1016/j.jcmg.2018.01.018. Epub 2018 Apr 18.

    PubMed 29680356
  • Liu T, Howarth AG, Chen Y, Nair AR, Yang HJ, Ren D, Tang R, Sykes J, Kovacs MS, Dey D, Slomka P, Wood JC, Finney R, Zeng M, Prato FS, Francis J, Berman DS, Shah PK, Kumar A, Dharmakumar R. Intramyocardial Hemorrhage and the "Wave Front" of Reperfusion Injury Compromising Myocardial Salvage. J Am Coll Cardiol. 2022 Jan 4;79(1):35-48. doi: 10.1016/j.jacc.2021.10.034.

    PubMed 34991787
  • Dharmakumar R. "Rusty Hearts": Is It Time to Rethink Iron Chelation Therapies in Post-Myocardial-Infarction Setting? Circ Cardiovasc Imaging. 2016 Oct;9(10):e005541. doi: 10.1161/CIRCIMAGING.116.005541. No abstract available.

    PubMed 27894072
  • Dharmakumar R. Colors of Myocardial Infarction: Can They Predict the Future? Circ Cardiovasc Imaging. 2017 Dec;10(12):e007291. doi: 10.1161/CIRCIMAGING.117.007291. No abstract available.

    PubMed 29242241
  • Dharmakumar R, Nair AR, Kumar A, Francis J. Myocardial Infarction and the Fine Balance of Iron. JACC Basic Transl Sci. 2021 Jul 26;6(7):581-583. doi: 10.1016/j.jacbts.2021.06.004. eCollection 2021 Jul.

    PubMed 34368506
  • Guan X, Chen Y, Yang HJ, Zhang X, Ren D, Sykes J, Butler J, Han H, Zeng M, Prato FS, Dharmakumar R. Assessment of intramyocardial hemorrhage with dark-blood T2*-weighted cardiovascular magnetic resonance. J Cardiovasc Magn Reson. 2021 Jul 15;23(1):88. doi: 10.1186/s12968-021-00787-4.

    PubMed 34261494
  • Chen Y, Ren D, Guan X, Yang HJ, Liu T, Tang R, Ho H, Jin H, Zeng M, Dharmakumar R. Quantification of myocardial hemorrhage using T2* cardiovascular magnetic resonance at 1.5T with ex-vivo validation. J Cardiovasc Magn Reson. 2021 Sep 30;23(1):104. doi: 10.1186/s12968-021-00779-4.

    PubMed 34587984
  • Kali A, Tang RL, Kumar A, Min JK, Dharmakumar R. Detection of acute reperfusion myocardial hemorrhage with cardiac MR imaging: T2 versus T2. Radiology. 2013 Nov;269(2):387-95. doi: 10.1148/radiology.13122397. Epub 2013 Jul 11.

    PubMed 23847253
  • Cokic I, Kali A, Yang HJ, Yee R, Tang R, Tighiouart M, Wang X, Jackman WS, Chugh SS, White JA, Dharmakumar R. Iron-Sensitive Cardiac Magnetic Resonance Imaging for Prediction of Ventricular Arrhythmia Risk in Patients With Chronic Myocardial Infarction: Early Evidence. Circ Cardiovasc Imaging. 2015 Aug;8(8):10.1161/CIRCIMAGING.115.003642 e003642. doi: 10.1161/CIRCIMAGING.115.003642.

    PubMed 26259581
  • Cokic I, Kali A, Wang X, Yang HJ, Tang RL, Thajudeen A, Shehata M, Amorn AM, Liu E, Stewart B, Bennett N, Harlev D, Tsaftaris SA, Jackman WM, Chugh SS, Dharmakumar R. Iron deposition following chronic myocardial infarction as a substrate for cardiac electrical anomalies: initial findings in a canine model. PLoS One. 2013 Sep 16;8(9):e73193. doi: 10.1371/journal.pone.0073193. eCollection 2013.

    PubMed 24066038
  • Nair AR, Johnson EA, Yang HJ, Cokic I, Francis J, Dharmakumar R. Reperfused hemorrhagic myocardial infarction in rats. PLoS One. 2020 Dec 2;15(12):e0243207. doi: 10.1371/journal.pone.0243207. eCollection 2020.

    PubMed 33264359

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Deferiprone Tablets in people with Acute Myocardial Infarction Type 1, run by Rohan Dharmakumar at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 14 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: looking for participants now, as of the sponsor's last update on 29 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Clinical Research Coordinator ((317) 274-0985, csaha@iu.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Treatment Efficacy (time frame: 6 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05604131, which also lists 13 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 29 Sep 2026.

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