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CTRI Number  CTRI/2025/08/093719 [Registered on: 26/08/2025] Trial Registered Prospectively
Last Modified On: 17/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of iron therapy in patients with heart failure in mild to moderate anemia. 
Scientific Title of Study   efficacy of intravenous iron therapy vs oral iron therapy on haemoglobin, exercise tolerance, cardiovascular risk and quality of life in patients having heart failure in mild to moderate iron deficiency anaemia 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr.Shikha Mundra 
Designation  Junior resident 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Datta Meghe Institute of Higher Education and Research, Department of General Medicine, JNMC, Sawangi , Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9545698866  
Fax    
Email  shikhamundra18@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  DR SHILPA BAWANKULE 
Designation  Professor 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Datta Meghe Institute of Higher Education and Research, Department of General Medicine, JNMC, Sawangi , Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9673288822  
Fax    
Email  drshilpagaidhane@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr.Shikha Mundra 
Designation  Junior resident 
Affiliation  Datta Meghe Institute of Higher Education and Research 
Address  Datta Meghe Institute of Higher Education and Research, Department of General Medicine, JNMC, Sawangi , Wardha

Wardha
MAHARASHTRA
442107
India 
Phone  9545698866  
Fax    
Email  shikhamundra18@gmail.com  
 
Source of Monetary or Material Support  
Datta Meghe Institute of Higher Education and Research, Department of General Medicine ,JNMC, Sawangi , Wardha , Maharashtra, India - 442005 
 
Primary Sponsor  
Name  Datta Meghe Institute of Higher Education and Research 
Address  Datta Meghe Institute of Higher Education and Research, Department of General Medicine, JNMC, Sawangi , Wardha, Maharashtra, India - 442005 
Type of Sponsor  Other [Datta Meghe Institute of Higher Education and Research] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shikha Mundra  Datta Meghe Institute of Higher Education and Research  Department of General Medicine, Jawaharlal Nehru Medical College , Datta Meghe Institute of Higher Education and Research, Sawangi, Wardha
Wardha
MAHARASHTRA 
9545698866

shikhamundra18@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
DMIHER Institutional Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: I50||Heart failure, (2) ICD-10 Condition: E611||Iron deficiency,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Intravenous iron therapy (Inj. ferric carboxymaltose)  Drug to be administered intravenously, with the dosage calculated using Ganzonis Formula. The duration of administration will be determined based on the patients total iron deficit. 
Comparator Agent  Oral Iron therapy  Drug to be administered orally with with the dosage and duration determined according to the patients total iron deficit. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  90.00 Year(s)
Gender  Both 
Details  Patients with heart failure fulfilling the Framinghams criteria.
Patients with mild to moderate IDA i.e. Hb levels between 8-10 gm%.
 
 
ExclusionCriteria 
Details  Patients with acute or decompensated heart failure ,severe iron deficiency anemia , aplastic anemia, anemia of chronic disease , sideroblastic anemia.
Patients with creatinine more than 2 
 
Method of Generating Random Sequence   Stratified randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
To study efficacy of intravenous iron therapy vs oral iron therapy in patients having heart failure with mild to moderate iron   At baseline , 3 months and 9 months 
 
Secondary Outcome  
Outcome  TimePoints 
To study effect of intravenous iron vs oral iron on hemoglobin, exercise tolerance and quality of life in patients with heart failure with mild to moderate anemia.  At baseline , 3 months and 9 months 
 
Target Sample Size   Total Sample Size="100"
Sample Size from India="100" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   28/08/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This is an open-label randomized controlled trial that aims to evaluate the efficacy of intravenous (IV) iron therapy versus oral iron supplementation in heart failure (HF) patients with mild to moderate iron deficiency anemia.The study will be carried out patients who are admitted Medicine ward  of Acharya Vinoba Bhave Rural Hospital (AVBRH) of Jawaharlal Nehru Medical College, Sawangi, Wardha from 2023 to 2025.Heart failure (HF) is a prevalent condition, especially among adults over 65, leading to significant morbidity and mortality. A common comorbidity in these patients is iron deficiency anemia, with prevalence estimates ranging from 4% to 30%. This comorbidity exacerbates clinical outcomes, increasing hospitalizations, impairing exercise capacity, diminishing quality of life, and elevating mortality risk. Data will be collected through face-to-face interviews with heart failure patients experiencing iron deficiency anemia at AVBRH, following written consent. Two groups will be formed: one receiving intravenous iron therapy (Inj ferric carboxymaltose) and the other oral iron therapy.  Baseline assessment of Hemoglobin levels, serum ferritin, serum iron, New York Heart Association (NYHA) classification, Six-Minute Walk Test (6MWT), and quality of life evaluation using the WHOQOL-100 questionnaire and follow up will be done at 3 months and 9 months. Adverse effects will be monitored throughout the study. 
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