Could heart failure drugs boost oral Iron's power against anemia?
NCT ID NCT07708025
First seen Jul 16, 2026 · Last updated Jul 17, 2026 · Updated 1 time
Summary
This study looks at whether heart failure patients with iron deficiency anemia respond better to oral iron supplements when they are also taking a type of heart medication called SGLT2 inhibitors. Participants take oral iron for three to four months, then pause treatment while doctors monitor their blood. The goal is to see if the heart drug helps the body use iron more effectively to raise hemoglobin levels.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oral iron supplementation (hydroxide polymaltose or ferrous sulfate)
- What this could lead to
- If successful, it could show that SGLT2i drugs improve how well oral iron works for heart failure patients with anemia, potentially simplifying treatment.
- What could go wrong
- This is a small, early-phase study with only 55 participants, and results may not apply to all heart failure patients. Oral iron absorption may still be limited.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
-
55 people
The number who actually took part.
- Started
-
Sep 2025
- Finished
-
Mar 2026
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 years and older
- Sex
-
Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\) Previous diagnosis of heart failure, irrespective of ejection fraction; * 2\) Iron deficiency anemia defined as hemoglobin \<13 g/dL in men or \<12 g/dL in women, with transferrin saturation (TSAT) \<20%; * 3\) Ongoing treatment with an SGLT2 inhibitor (SGLT2i) for more than 3 months at the time of enrollment. Exclusion Criteria: * 1\) Concomitant use of intravenous iron, erythropoiesis-stimulating agents (ESAs), red blood cell transfusions, or other blood products within 3 months before enrollment; * 2\) Severe anemia, defined as hemoglobin \<7 g/dL or clinical indication for transfusion; * 3\) Relevant intercurrent illnesses associated with inflammatory response (e.g., infection, acute kidney injury, or acute decompensated heart failure) within 3 months before enrollment; * 4\) Confirmed or suspected active bleeding; * 5\) End-stage renal disease or receiving renal replacement therapy; * 6\) History of any type of active cancer; * 7\) History of solid or non-solid organ transplantation.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Unidade Local de Saúde São João
Porto, 4200-319, Portugal
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