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Myocardial Infarction, AcutePhase 4INFERRCTNCT05759078

Effect of INtravenous FERRic Carboxymaltose Onmortality and Cardiovascular Morbidity, and Quality of Life in Iron Deficient Patients With Recent Myocardial infarCTion

A Phase 4 study testing Ferinject and Sodium Chloride 0.9% Inj in people with Myocardial Infarction, Acute, run by Wroclaw Medical University at 43 sites in Poland.

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

Non-commercial, multicentre, randomised, double-blind, parallel group, placebo-controlled clinical trial. Eligible patients were randomly assigned (1:1) using a secure, central, interactive, web-based response system, to intervention FCM or placebo arm. Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Myocardial Infarction, Acute
What is being tested?
Ferinject and Sodium Chloride 0.9% Inj
Type of treatment
Injection or infusion
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
1,000 participants
Where
43 sitesPoland
Study dates
22 Sep 2022to 31 Dec 2026
Phase
Phase 4
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 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Age ≥18 years;
  • Diagnosis of AMI (STEMI or NSTEMI) up to 4 weeks (28 days) before randomisation
  • Presence of iron deficiency (ID) defined as transferrin saturation TSAT<20% assessed within up to 4 weeks (28 days) before randomisation;
  • Presence of ≥3 factors (confirmed within up to 4 weeks before randomisation) (note: at least one of a-c must be present):
  • LVEF ≤50%;
  • NT-proBNP ≥400 pg/mL for subjects in sinus rhythm and NT-proBNP ≥800 pg/mL for subjects with atrial fibrillation;
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  • Clinical features of congestion/volume overload (including Killip class II or more) requiring i.v. loop diuretic use;
  • Diagnosis of diabetes mellitus (also de novo diagnosis);
  • Diagnosis of atrial fibrillation (any time in the past or de-novo diagnosis);
  • Multivessel coronary disease (regardless of completeness of revascularisation during an index AMI);
  • Not complete revascularisation or/and no reperfusion (during an index AMI);
  • History of AMI (despite an index AMI);
  • eGFR <60 mL/min/1.73m2; 1. Age ≥70 years.
  • Written informed consent

Who cannot join

  • Subject temperature >38 ͦ C or any infection requiring antibiotic therapy within 48 hours prior to randomisation;
  • Severe, symptomatic valve disorder;
  • Urgent hospitalisation for whatever reasons (percutaneous/surgical procedure requiring hospitalisation within 4 weeks prior to randomisation).
  • Body weight <50 kg;
  • Haemoglobin <8 g/dL or >15,5 g/dL;
  • Serum ferritin >400 ng/mL;
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  • Active gastroenteral bleeding;
  • Known hypersensitivity to any of the administered preparations;
  • Treatment with erythropoiesis stimulating factors, i.v. iron therapy or blood transfusion within 6 months prior to randomisation;
  • Subject has known active malignancy of any organ system, i.e., clinical evidence of current malignancy or not in stable remission for at least 3 years since completion of last treatment with exception of non-invasive basal cell carcinoma, squamous cell carcinoma of the skin or cervical intra-epithelial neoplasia;
  • Documented liver diseases;
  • Participation in a device or drug trial within 3 months prior to randomisation or 5 half-lives, whichever period is longer, prior to the screening visit;
  • Pregnancy or lactation;
  • Any situation that may prevent the test from being performed in accordance with the protocol, or the consent of the investigator to be given in writing, including alcohol, drugs or any other substance overuse or addiction.

Trial locations and contacts

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

43 sites in 1 country

Poland43 sites, 31 recruiting
  • Polsko-Amerykańskie Kliniki Serca Centrum Kardiologii i Kardiochirurgii w Bielsku-Białej

    Bielsko-Biala, Silesian Voivodeship, 43-316

    33 828 93 70

    Recruiting
  • Vitamed Bydgoszcz

    Bydgoszcz, Kuyavian-Pomeranian Voivodeship, 85-079

    52 347 88 15

    Recruiting
  • Polsko-Amerykańskie Kliniki Serca Małopolskie Centrum Sercowo-Naczyniowe

    Chrzanów, Lesser Poland Voivodeship, 32-500

    32 758 69 00

    Recruiting
  • Uniwersyteckim Centrum Kliniczne w Gdańsku

    Gdansk, Pomeranian Voivodeship, 80-952

    58 349 20 00

    Recruiting
  • Szpital Specjalistyczny im. SS im. Henryka Klimontowicza w Gorlicach

    Gorlice, Lesser Poland Voivodeship, 38-300

    Terminated
  • Regionalny Szpital Specjalistyczny im. dr Wł. Biegańskiego w Grudziądzu

    Grudziądz, Kuyavian-Pomeranian Voivodeship, 86-300

    56 641 44 44

    Recruiting
  • Centrum Opieki Medycznej w Jarosławiu

    Jarosław, Podkarpackie Voivodeship, 37-500

    16 621 54 21

    Recruiting
  • Polsko-Amerykańskie Kliniki Serca Centrum Sercowo-Naczyniowe w Kędzierzynie Koźlu

    Kędzierzyn-Koźle, Opole Voivodeship, 47-200

    77 472 25 65

    Recruiting
  • Zespół Opieki Zdrowotnej w Kłodzku

    Kłodzko, Lower Silesian Voivodeship, 57-300

    74 865 12 00

    Recruiting
  • Centrum Kardiologii w Kluczborku Scanmed S.A.

    Kluczbork, Opole Voivodeship, 46-200

    77 410 82 18

    Recruiting
  • Szpital Specjalistyczny im. J. Dietla w Krakowie

    Krakow, Lesser Poland Voivodeship, 31-121

    12 68 76 200

    Recruiting
  • Samodzielny Publiczny Zakład Opieki Zdrowotnej Szpital Uniwersytecki w Krakowie

    Krakow

    Recruiting
  • 4Cardia Sp. z o.o.

    Kraśnik, Lublin Voivodeship, 23-204

    Terminated
  • Centrum Kardiologii Inwazyjnej Elektroterapii i Angiologii w Krośnie

    Krosno, Podkarpackie Voivodeship, 38-400

    Terminated
  • Wojewódzki Szpital Specjalistyczny w Legnicy

    Legnica

    Recruiting
  • Nzoz Salusmed

    Lodz, Łódź Voivodeship, 91-002

    42 671 34 34

    Recruiting
  • Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi

    Lodz, Łódź Voivodeship, 92-213

    42 201 42 40

    Recruiting
  • 1. Wojskowy Szpital Kliniczny z Polikliniką Samodzielny Publiczny Zakład Opieki Zdrowotnej w Lublinie

    Lublin, Lublin Voivodeship, 20-049

    Terminated
  • Ośrodek Kardiologii Inwazyjnej IKARDIA Sp. z o.o.

    Nałęczów, Lublin Voivodeship, 24-140

    Terminated
  • Podhalański Szpital Specjalistyczny im. Jana Pawła II w Nowym Targu

    Nowy Targ, Lesser Poland Voivodeship, 34-400

    Terminated
  • Uniwersytecki Szpital Kliniczny w Opolu

    Opole, Opole Voivodeship, 45-401

    77 452 07 45

    Recruiting
  • Medicome Sp. z o.o.

    Oświęcim, Lesser Poland Voivodeship, 32-600

    48 505 121 703

    Recruiting
  • Samodzielny Publiczny Zespół Zakładów Opieki Zdrowotnej im. dr Wojciecha Oczko w Przasnyszu

    Przasnysz

    Recruiting
  • Wojewódzki Szpital im. Św. Ojca Pio

    Przemyśl

    Recruiting
  • Szpital Specjalistyczny Ducha Świętego w Sandomierzu

    Sandomierz

    Terminated
  • Wojewódzki Szpital Specjalistyczny im. Janusza Korczaka w Słupsku Sp. z o.o.

    Słupsk, Pomeranian Voivodeship, 76-200

    Terminated
  • Samodzielny Publiczny Szpital Kliniczny nr 2 PUM w Szczecinie

    Szczecin, West Pomeranian Voivodeship, 70-111

    91 466 10 00

    Recruiting
  • Polsko-Amerykańskie Kliniki Serca Centrum Kardiologiczno-Angiologiczne w Sztumie

    Sztum, Pomeranian Voivodeship, 82-400

    55 625 92 20

    Recruiting
  • Szpital Wojewódzki im. św. Łukasza SP ZOZ w Tarnowie

    Tarnów, Lesser Poland Voivodeship, 33-100

    Terminated
  • Wojewódzki Szpital Zespolony im. L. Rydygiera w Toruniu

    Torun, Kuyavian-Pomeranian Voivodeship, 87-100

    56 679 31 00

    Recruiting
  • Polsko-Amerykańskie Kliniki Serca, X Oddział Kardiologii Inwazyjnej, Elektrofizjologii i Elektrostymulacji w Tychach

    Tychy, Silesian Voivodeship, 43-100

    32 758 67 00

    Recruiting
  • Centralny Szpital Kliniczny MSWiA w Warszawie

    Warsaw, Masovian Voivodeship, 02-507

    Terminated
  • Mazowiecki Szpital Bródnowski Sp. z o.o.

    Warsaw, Masovian Voivodeship, 03-242

    22 326 52 26

    Recruiting
  • Wojskowy Instytut Medyczny - Państwowy Instytut Badawczy

    Warsaw, Masovian Voivodeship, 04-349

    26 181 76 66

    Recruiting
  • Medicover Sp z o.o.

    Warsaw

    Recruiting
  • Uniwersytecki Szpital kliniczny im. Jana Mikulicza-Radeckiego we Wrocławiu

    Wroclaw, Lower Silesian Voivodeship, 50-556

    71 736 42 76

    Recruiting
  • 4. Wojskowy Szpital Kliniczny z Polikliniką SP ZOZ

    Wroclaw, Lower Silesian Voivodeship, 50-981

    Terminated
  • Dolnośląski Szpital Specjalistyczny im. T. Marciniaka - Centrum Medycyny Ratunkowej

    Wroclaw, Lower Silesian Voivodeship, 54-049

    71 306 44 19

    Recruiting
  • Szpital Specjalistyczny w Zabrzu Sp. z o.o.

    Zabrze

    Recruiting
  • Śląskie Centrum Chorób Serca w Zabrzu

    Zabrze

    Recruiting
  • Polsko-Amerykańskie Kliniki Serca Centrum Kardiologii Med-Pro

    Zgierz, Łódź Voivodeship, 95-100

    Terminated
  • Wielospecjalistyczny Szpital SP ZOZ w Zgorzelcu

    Zgorzelec, Lower Silesian Voivodeship, 59-900

    75 772 29 00

    Recruiting
  • Szpital Uniwersytecki imienia Karola Marcinkowskiego w Zielonej Górze Sp. z o. o.

    Zielona Góra, Lubusz Voivodeship, 65-046

    68 329 62 00

    Recruiting

Other trials in Poland

About this study

Official title: Effect of INtravenous FERRic Carboxymaltose Onmortality and Cardiovascular Morbidity, and Quality of Life in Iron Deficient Patients With Recent Myocardial infarCTion SUBTITLE Prevention of Cardiovascular Death, Heart Failure Events and Deterioration in Quality of Life With INtravenous FERRic Carboxymaltose in Iron Deficient Patients With Recent Myocardial Infarction

Non-commercial, multicentre, randomised, double-blind, parallel group, placebo-controlled clinical trial. Eligible patients were randomly assigned (1:1) using a secure, central, interactive, web-based response system, to intervention FCM or placebo arm. Time of observation: minimum of 8 months up to a maximum of 36 months.

Primary Study Objective: Primary:

Read more

Evaluation of the effect of i.v. FCM treatment compared with placebo on the risk of death, the risk of heart failure events (HFE*) (number of events and time to first event), NTproBNP concentration and the change in quality of life (QoL) assessed using EQ-5D during the follow-up up to 36-months in patients with recent AMI and ID (with an implementation of a win ratio approach in a hierarchical descending order).

*HFE: unplanned hospitalization for HF (including unplanned visit at emergency department due to HF), ambulatory significant intensification of diuretic therapy (either starting i.v. loop diuretic or more than doubling oral loop diuretic dose or de novo initiation of oral loop diuretic therapy due to HF signs/symptoms).

Being tested
Ferinject, Sodium Chloride 0.9% Inj
Keywords
Myocardial infarction, acute, iron deficiency, Infusion, ferric carboxymaltose
Medical subject headings
Myocardial Infarction, Iron Deficiencies

What participants receive

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

  • FerinjectDrug

    The first dose of either FCM will be administered during the first visit on the day of randomisation (V1). Then, the participants will be reassessed at 4, 8, 12, 18, 24 and 30 months (visits V2, V3, V4, V5, V6, V7). If safety criteria are not fulfilled, a patient in the active study arm will receive i.v. NaCl 0.9% during the particular visit.

  • Sodium Chloride 0.9% InjDrug

    The first dose of placebo will be administered during the first visit on the day of randomisation (V1). Then, the participants will be reassessed at 4, 8, 12, 18, 24 and 30 months (visits V2, V3, V4, V5, V6, V7).

Study groups in NCT05759078
Study groupRoleWhat they receive
ActiveExperimentalan i.v. 15-minute infusion of 20 mL Ferinject (containing 1000 mg of FCM) diluted in 50 mL of NaCl 0.9%
Receives: Drug: Ferinject
PlaceboPlacebo comparator70 mL of i.v. NaCl 0.9% infusion
Receives: Drug: Sodium Chloride 0.9% Inj

What is being measured

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

  1. Time to all-cause death assessed up to maximum 36-months follow-up;

    Defined as: (with an implementation of a win ratio approach in a hierarchical descending order):

    1. Time to all-cause death assessed up to maximum 36-months follow-up;
    2. Number of HFE assessed up to maximum 36-months follow-up;
    3. Time to first HFE assessed up to maximum 36-months follow-up;
    4. Changes in serum NT-proBNP concentration from the start of the follow-up to the end of participation in the study assessed as the area under the curve;
    5. Changes in quality of life (QoL) measured using the EQ-5D questionnaire from the start of the follow-up to the end of participation in the study assessed as the area under the curve.
    • HFE: unplanned hospitalization for HF (including unplanned visit at emergency department due to HF), ambulatory significant intensification of diuretic therapy (either starting i.v. loop diuretic or more than doubling oral loop diuretic dose or de novo initiation of oral loop diuretic therapy due to HF signs/symptoms).

    Measured: up to 36 months

  2. Number of HFE assessed up to maximum 36-months follow-up

    Number of HFE

    Measured: up to 36 months

  3. Time to first HFE assessed up to maximum 36-months follow-up

    Time to first HFE

    Measured: up to 36 months

  4. Changes in serum NT-proBNP concentration from the start of the follow-up to the end of participation in the study assessed as the area under the curve

    Changes in serum NT-proBNP

    Measured: up to 36 months

  5. Changes in quality of life (QoL) measured using the EQ-5D questionnaire from the start of the follow-up to the end of participation in the study assessed as the area under the curve

    Changes in quality of life

    Measured: up to 36 months

Secondary outcomes (5)
  1. First unplanned HF hospitalisation or unplanned visit at emergency department due to HF or CV death during the follow-up (time-to-event model)

    First unplanned HF hospitalisation or unplanned visit at emergency

    Measured: up to 36 months

  2. All unplanned HF hospitalisations and unplanned visit at emergency department due to HF and CV death during the follow-up (recurrent event model);

    All unplanned HF hospitalisations and unplanned visit at emergency

    Measured: up to 36 months

  3. All unplanned HF hospitalisations and unplanned visit at emergency department due to HF during the follow-up (recurrent event model)

    All unplanned HF hospitalisations and unplanned visit at emergency department

    Measured: up to 36 months

  4. All unplanned HF hospitalisations during the follow-up (recurrent event model);

    All unplanned HF hospitalisations

    Measured: up to 36 months

  5. CV death during the follow-up

    CV death

    Measured: up to 36 months

Timeline

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

  1. First posted8 Mar 2023
  2. Study start22 Sep 2022
  3. Primary completion31 Dec 2026 (estimated)
  4. Study completion31 Dec 2026 (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 4
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Model description
Non-commercial, multicentre, randomised, double-blind, parallel group, placebo-controlled clinical trial. Eligible patients were randomly assigned (1:1) using a secure, central, interactive, web-based response system, to intervention FCM or placebo arm. Time of observation: minimum of 8 months up to a maximum of 36 months.
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
1,000 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05759078
Sponsor's protocol ID
2019/ABM/01/00081
Acronym
INFERRCT
Status last verified
Jul 2025
First submitted
16 Jan 2023
Last updated
30 Jul 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 4 study testing Ferinject and Sodium Chloride 0.9% Inj in people with Myocardial Infarction, Acute, run by Wroclaw Medical University at 43 sites in Poland.

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 14 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 30 Jul 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 43 sites in Poland. 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 4 studies take place after a treatment is approved, to learn more about its long-term benefits and risks in everyday use.

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 Marta Duda-Sikuła (717840696 ext. 0048, marta.duda-sikula@umw.edu.pl), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Time to all-cause death assessed up to maximum 36-months follow-up; (time frame: up to 36 months). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 30 Jul 2025.

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