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intravenous iron carboxymaltose

University of Zurich · FDA-approved active Small molecule

Iron carboxymaltose is a ferric iron complex that delivers iron directly into the bloodstream to replenish depleted iron stores and restore hemoglobin production.

Iron carboxymaltose is a ferric iron complex that delivers iron directly into the bloodstream to replenish depleted iron stores and restore hemoglobin production. Used for Iron deficiency anemia in patients with chronic kidney disease, Iron deficiency anemia in patients with heart failure, Iron deficiency anemia in patients intolerant to or unresponsive to oral iron therapy.

At a glance

Generic nameintravenous iron carboxymaltose
SponsorUniversity of Zurich
Drug classIntravenous iron replacement agent
TargetIron (Fe³⁺) delivery system; transferrin receptor-mediated uptake
ModalitySmall molecule
Therapeutic areaHematology
PhaseFDA-approved

Mechanism of action

The drug consists of ferric iron bound to carboxymaltose, a carbohydrate polymer that protects the iron and facilitates its transport. Once administered intravenously, the iron is released and taken up by transferrin and ferritin, allowing rapid repletion of iron stores in patients with iron deficiency. This bypasses gastrointestinal absorption limitations and enables faster correction of iron deficiency anemia compared to oral iron supplementation.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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