학술논문

Hypophosphataemia risk associated with ferric carboxymaltose in heart failure: A pooled analysis of clinical trials
Document Type
article
Source
ESC Heart Failure. 10(2)
Subject
Biomedical and Clinical Sciences
Clinical Sciences
Clinical Trials and Supportive Activities
Clinical Research
Kidney Disease
Cardiovascular
Evaluation of treatments and therapeutic interventions
6.1 Pharmaceuticals
Renal and urogenital
Good Health and Well Being
Adult
Female
Humans
Heart Failure
Hypophosphatemia
Iron Deficiencies
Quality of Life
Renal Insufficiency
Chronic
Hypophosphataemia
Ferric carboxymaltose
Heart failure
Intravenous
Chronic kidney disease
Cardiorespiratory Medicine and Haematology
Cardiovascular medicine and haematology
Language
Abstract
AimsIron deficiency is a common finding among patients with heart failure (HF) and is associated with adverse outcomes, including decreased quality of life, increased risk of hospitalization, and decreased survival. Intravenous ferric carboxymaltose (FCM) has been shown to improve outcomes among patients with HF and concomitant iron deficiency, but FCM is associated with an increased risk of hypophosphataemia. We aimed to better characterize this risk among HF populations.Methods and resultsThis pooled analysis examined data from 41 studies of adults with iron deficiency across disease states and therapeutic areas. Among the 7931 patients treated with FCM available for analysis, 14% made up the HF subgroup. Additional subgroups included women's health (36%), non-dialysis-dependent chronic kidney disease (NDD-CKD; 27%), haemodialysis-dependent chronic kidney disease (HD-CKD; 1%), gastrointestinal (10%), neurology (3%), and other (10%). The incidence of post-baseline moderate or severe hypophosphataemia (i.e. serum phosphate [PO4 3- ] level 60 mL/min/1.73 m2 vs.