Table 2.

Severe adverse events reported with IV iron relative to any comparator (placebo, no iron, oral iron, intramuscular iron)

Severe adverse eventsRR (95%)
All iron studies 1.04 (0.93-1.17) 
SAE by compound  
 Ferric carboxymaltose 0.82 (0.64-1.06) 
 Ferric gluconate 1.12 (0.96-1.30) 
 Ferumoxytol 1.04 (0.71-1.53) 
 Iron dextran 1.05 (0.77-1.45) 
 Iron isomaltose/polymaltose 1.09 (0.43-2.80) 
 Iron sucrose 1.33 (0.96-1.83) 
Infusion reactions 2.47 (1.43-4.28)* 
Mortality 1.06 (0.81-1.39) 
Infections 1.17 (0.83-1.65) 
Gastrointestinal 0.55 (0.51-0.61)* 
Severe adverse eventsRR (95%)
All iron studies 1.04 (0.93-1.17) 
SAE by compound  
 Ferric carboxymaltose 0.82 (0.64-1.06) 
 Ferric gluconate 1.12 (0.96-1.30) 
 Ferumoxytol 1.04 (0.71-1.53) 
 Iron dextran 1.05 (0.77-1.45) 
 Iron isomaltose/polymaltose 1.09 (0.43-2.80) 
 Iron sucrose 1.33 (0.96-1.83) 
Infusion reactions 2.47 (1.43-4.28)* 
Mortality 1.06 (0.81-1.39) 
Infections 1.17 (0.83-1.65) 
Gastrointestinal 0.55 (0.51-0.61)* 

No fatal reactions or anaphylaxis reported in 103 trials composing 10 390 treated with IV iron. Adapted from Avni et al26  with permission.

*

Significant.

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