ClinicalTrials.gg
RecruitingNCT06929806ICONIC-HFUpdated Oct 5, 2026

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

A Phase 3 interventional study of Ferric Derisomaltose in Chronic Heart Failure and Iron Deficiencies, sponsored by Pharmacosmos A/S. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-05.

Sponsored by Pharmacosmos A/S · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started May 2025; still recruiting 1 year 6 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
1,900
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 21 studies testing iron isomaltoside 1000 in Iron Deficiencies — 9 open to participants now, 9 under way, 2 of them phase 3. iron isomaltoside 1000 · Iron Deficiencies.

Planned enrollment
Largest of 21
1,900 · median 170
Started
2025
with 3 others
Phase 3
8 of 21
2 open now
Registered
18th of 21
by date
Lead sponsor
8 of 21
Pharmacosmos A/S

Among the 21 studies testing iron isomaltoside 1000 in Iron Deficiencies, this one has the largest planned enrollment, is one of 4 that started in 2025, is one of 8 in phase 3, and was the 18th registered.

Iron Deficiencies

386 studies on the registry are indexed under Iron Deficiencies; 80 are open to participants now.

This study's planned enrollment of 1,900 is above the median of 99 across 301 interventional studies indexed under Iron Deficiencies.

Browse Iron Deficiencies studies →

Open to participants now

9 of the 21 studies testing iron isomaltoside 1000 in Iron Deficiencies are open now, in 4 countries. Each count lists the studies.

All 9 open studies →

About iron isomaltoside 1000

No approval found in the FDA or EMA files read. How studies give it is on its page →

Who these studies take

Of the 55 Iron Deficiencies studies recruiting now, 23 (42%) set no upper age limit and 28 (51%) stop at 75 or younger; 15 take children under 18; 16 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

The full table on the hub →
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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 21 studies testing iron isomaltoside 1000 in Iron Deficiencies, or all of them as a file.
02

Study 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
03

Conditions studied

  • Chronic Heart Failure
  • Iron Deficiencies

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

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) (pumping ability) that is 45% or less
  • Have low iron levels in the blood
  • (NYHA) Heart Failure Classification II, III or IV

Exclusion criteria

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
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
1,900 participants (estimated)

Study arms

  • Experimental
    Ferric Derisomaltose

    50 % of the subjects will be treated with Ferric Derisomaltose 100 mg/mL The ferric derisomaltose dose administered is dependent on the subject's weight and hemoglobin (Hb) level. Subjects treated with ferric derisomaltose will be eligible for re-dosing if transferrin saturation (TSAT) remains below \<25 %

    Drug: Ferric Derisomaltose

  • No intervention
    Control

    50 % of the subjects will receive no IV iron

Interventions

06

What researchers measure

Primary outcomes

  1. Number of cardiovascular deaths and hospitalizations for worsening heart failure

    Time frame: From enrollment to the end of follow-up at 52 weeks

Secondary outcomes

  1. Number of hospitalizations for worsening heart failure

    Time frame: From enrollment and no longer than end of follow-up at 52 weeks

  2. Time to cardiovascular death

    Time frame: From enrollment to the end of follow-up at 52 weeks

  3. Number of all-cause hospitalizations

    Time frame: From enrollment to the end of follow-up at 52 weeks

  4. Time to all-cause death

    Time frame: From enrollment to the end of follow-up at 52 weeks

  5. Time to first hospitalization for worsening heart failure or cardiovascular death

    Time frame: From enrollment to the end of follow-up at 52 weeks

  6. Number of hospitalizations for cardiovascular, respiratory, or renal disease

    Time frame: From enrollment to the end of follow-up at 52 weeks

  7. Time to cardiovascular, respiratory, or renal death

    Time frame: From enrollment to the end of follow-up at 52 weeks

  8. Number of hospitalizations for cardiovascular events: stroke, AMI and heart failure

    Time frame: 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

    Time frame: From enrollment to the end of follow-up at 52 weeks

  10. Time to all-cause death or first hospitalization

    Time frame: From enrollment to the end of follow-up at 52 weeks

  11. Days hospitalized or dead for cardiovascular reasons at week 52

    Time frame: From enrollment to the end of follow-up at 52 weeks

  12. Days hospitalized or dead for any reason at week 52

    Time frame: From enrollment to the end of follow-up at 52 weeks

  13. Change in NYHA from baseline to weeks 12, 26 and 52

    Time frame: From enrollment to weeks 12, 26 and 52

  14. All-cause rehospitalizations at 30 and 60 days

    Time frame: From enrollment to 30 and 60 days

  15. Rehospitalizations for worsening heart failure at 30 and 60 days

    Time frame: 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

    Time frame: From enrollment to the end of follow-up at 52 weeks

  17. Number of urgent and unscheduled outpatient IV diuretic treatment

    Time frame: From enrollment to the end of follow-up at 52 weeks

Other outcomes

  1. Change in hb, s-ferritin, TSAT, s-iron and TIBC from baseline to weeks 26 and 52

    Time frame: From enrollment to weeks 26 and 52

  2. Type and incidence of SAEs

    Time frame: From enrollment to the end of follow-up at 52 weeks

07

Study locations

1 of 1 sites recruiting
  • Private clinic
    Pasadena, California 91105, United States
    Recruiting
    • MD · Contact
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started May 2025 (actual). Primary completion is estimated for Dec 2027, 31 months after the start.

Of 16 phase 3 interventional studies under Iron Deficiencies, half reached primary completion within 33 months of starting (the median), counting those still running; a quarter within 19 and three quarters within 60. This study's planned 31 months is close to that.

How these figures are worked out, and which studies are left out of them.

Registered
Apr 8, 2025
First posted
Apr 16, 2025
StartActual
May 1, 2025
Primary completionEst.
Dec 1, 2027
CompletionEst.
Dec 1, 2027
Last update
Oct 5, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Minor edits
Nothing that changes what the study is or who can join. Edited: verification date
1 update, last Oct 5, 2026
Show all 1 update
  1. Oct 5, 2026
    Minor edits only
    + 1 other change: verification date

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06929806
Lead sponsor
Pharmacosmos A/S
Responsible party
Sponsor
First posted
Apr 16, 2025
Start date
May 1, 2025
Primary completion
Dec 1, 2027 (estimated)
Completion
Dec 1, 2027 (estimated)
Last update
Oct 5, 2026

Study contacts

Pharmacosmos Clinical and non-clinical Department
Contact
info@pharmacosmos.com
+45 5948 5959
Pharmacosmos Clinical and non-clinical department
study director · Pharmacosmos A/S

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Iron isomaltoside 1000

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