Table 2

Some characteristics of the different intravenous iron formulations

Iron gluconateIron sucroseHigh molecular weight iron dextranLow molecular weight iron dextranFerric carboxymaltoseIron isomaltoside 1000Ferumoxytol
Brand nameFerrlecitVenoferDexferrum
  • Cosmofer; INFeD

  • Ferinject; Injectafer

MonoferFeraHeme
Carbohydrate shellGluconate (monosaccharide)Sucrose (disaccharide)Dextran (branched polysaccharide)Dextran (branched polysaccharide)Carboxymaltose (branched polysaccharide)Isomaltoside (linear oligosaccharide)Polyglucose sorbitol carboxymethylether
Complex type
  • Type III; labile and weak

  • Type II

  • Semi-robust and moderately strong

  • Type I; robust and strong

  • Type I; robust and strong

  • Type I; robust and strong

  • Type I; robust and strong

  • Type I; robust and strong

Molecular weight (kDa)289–44030–60265165150150750
Initial distribution volume (l)63.43.53.53.53.43.16
Plasma half-life (h)166020162015
Labile iron release+++±
Direct iron donation to transferrin (% injected dose)5–64–51–21–21–2<1<1
Test dose requiredNoYes/no* YesYesNoNoNo
Iron content (mg/ml)12.52050505010030
Maximal single dose (mg)12520020 mg/kg20 mg/kg15 mg/kg (max 1000 mg in one infusion)20 mg/kg510
Pre-medicationNoNoTDI onlyNoNoNoNo
Life-threatening ADE (×106 doses)0.90.611.33.3???
  • ADE, adverse drug event; TDI, total dose infusion.

  • * A test dose is only required in Europe.