Intravenous Iron in HFpEF: What the FAIR-HFpEF Trial Could—and Could Not—Show

ABSTRACT:

Study at a glance

  • Publication type: Multicentre, randomized, double-blind trial
  • What it examined: FAIR-HFpEF compared intravenous ferric carboxymaltose with placebo in people with symptomatic HFpEF and iron deficiency.
  • Key point: The trial stopped early because recruitment was slow, after 39 participants. At 24 weeks, the reported between-group difference in six-minute walking distance was 49 m (95% CI 5-93; P=.029).

Why it matters

Early stopping and the small sample substantially limit certainty. The result is a signal for further research, not a stand-alone treatment recommendation.

Source

Ferric carboxymaltose and exercise capacity in heart failure with preserved ejection fraction and iron deficiency: the FAIR-HFpEF trial. Eur Heart J. 2024. PMID: 39185895. View the PubMed record.

This educational summary is based on the cited publication and is not medical advice. Clinical decisions should be made with an appropriately qualified healthcare professional.