Heart failure & cardiomyopathies

Cost-effectiveness of intravenous ferric derisomaltose for patients with heart failure and iron deficiency in the UK based on the IRONMAN trial results

ESC Heart FailPublished cost-utility model

Main finding · Quality-adjusted life years (QALYs)Result — go to the resultDifference 0.016 QALYs 95% CrI 0.002–0.032

Authors' conclusion

Over a one-year time horizon, a within-trial analysis showed that administering FDI to patients with heart failure and iron deficiency was cost saving compared to usual care, driven primarily by reduced rates of hospitalisation.

Study context

Population
Patients with new or established heart failure, iron deficiency, and a left ventricular ejection fraction ≤45%
Comparison
Ferric derisomaltose (FDI) compared to usual care
Outcome
Quality-adjusted life years (QALYs)
Follow-up
One year
Methodological detailsbased on individual patient-level data from the IRONMAN trial, one-year time horizon, perspective of NHS England, within-trial analysis
  • Based on individual patient-level data from the IRONMAN trial
  • One-year time horizon
  • Perspective of NHS England
  • Within-trial analysis

Main finding

As reported in the abstract

Difference

0.016 QALYs

95% CrI 0.002–0.032

By group

FDIvs usual care
difference 0.016 QALYs (95% CrI 0.002–0.032)

Further findings

OutcomeSavings (per patient) (95% CrI)
Costs per patient · over one yearSavings with FDI; 15% less than the cost of usual care£580 (£493-£678)
Costs per patient — Incremental costs of acquiring and administering FDI
£357
Costs per patient — Savings due to avoided hospitalisations and end-of-life care
£936

Original publication

Cost-effectiveness of intravenous ferric derisomaltose for patients with heart failure and iron deficiency in the UK based on the IRONMAN trial results. ESC Heart Fail. Published 14 October 2026. doi:10.1093/eschf/xvag261

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.