Safety of Various Mode of Delivery of Iron Supplement on Iron Toxicity Markers in Preschool Children

NCT ID: NCT00980421

Last Updated: 2009-09-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

240 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-10-31

Study Completion Date

2010-08-31

Brief Summary

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The purpose of study is to evaluate and compare the effect of iron supplementation when given as iron tablet or fortified biscuit or combined with zinc in the form of tablet on morbidity and iron toxicity markers among children aged 24-36 months.

Detailed Description

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The study will be carried out in two phases in Sangam Vihar, Delhi. The survey will be conducted to identify children in the age group of 24-36 months. After obtaining consent, an enrollment form with detailed socio-demographic information about the child will be filled. Blood and urine samples will be collected for estimation of iron status, oxidative stress, immune and interleukin markers. Based on iron status, two randomization lists will be generated i.e. one for iron sufficient and other for iron deficient children. Children will be randomly allocated to receive one of the four interventions (60 in each group) for 180 days. The intervention will be either Iron Tablets (IT) or Iron and Zinc tablets (IZ) or Biscuits fortified with Iron (IB), or Placebo tablets (CO). Children in the iron groups (IT and IB) will receive 12.5 mg/day of iron. Children allocated to receive Iron and Zinc (IZ group) will receive 10 mg/day of Zinc in addition to 12.5 mg/day of Iron. The fortified biscuits (IB) will be formulated by CFTRI, Mysore, India and will have iron in the form of iron sulphate. The iron (IT group) or iron and zinc (IZ group) fortified dispersible tablets will be procured from WHO manufactured by Nutriset (Maluanlay, France). Tablets will have iron salt in the form of ferrous sulphate and zinc in the form of zinc sulphate. The interventions at the baseline on Day 3, on Day 30 (on completion of Phase -I) and on Day 180 (on completion of Phase-II) will be given at the clinic prior to the post 3 hour blood collection. Regular supplementation will be given at home. Children will be followed up on a biweekly basis by the field worker for delivery of the intervention, collection of morbidity and compliance information from the mother/caretaker of the child. During follow-up, blood sample for interleukin levels will be taken in the event of an illness such as diarrhea, pneumonia, fever and severe illness/hospitalization. At the completion of Phase-I (on day 30) and Phase - II (on day 180), the blood and urine samples will be collected again for estimation of iron status, oxidative stress, immune and interleukin markers.

Conditions

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Iron Overload Oxidative Stress

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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IT

Iron Tablet group (12.5 mg/d) + Placebo Biscuit

Group Type EXPERIMENTAL

Iron Supplementation

Intervention Type DIETARY_SUPPLEMENT

Iron tablet group (12.5 mg/d)+ Placebo Biscuit;Iron(12.5 mg/d)+ Zinc (10 mg/d) tablet group+ Placebo Biscuit; Iron Fortified Biscuit Group (12.5 mg/d)+ Placebo Tablet; Placebo tablet +Placebo Biscuit

IZ

Iron (12.5mg/d)+Zinc (10 mg/d) Tablet Group + Placebo Biscuit

Group Type EXPERIMENTAL

Iron Supplementation

Intervention Type DIETARY_SUPPLEMENT

Iron tablet group (12.5 mg/d)+ Placebo Biscuit;Iron(12.5 mg/d)+ Zinc (10 mg/d) tablet group+ Placebo Biscuit; Iron Fortified Biscuit Group (12.5 mg/d)+ Placebo Tablet; Placebo tablet +Placebo Biscuit

IB

Iron Fortified Biscuit Group(12.5 mg/d)+ Placebo Tablet

Group Type EXPERIMENTAL

Iron Supplementation

Intervention Type DIETARY_SUPPLEMENT

Iron tablet group (12.5 mg/d)+ Placebo Biscuit;Iron(12.5 mg/d)+ Zinc (10 mg/d) tablet group+ Placebo Biscuit; Iron Fortified Biscuit Group (12.5 mg/d)+ Placebo Tablet; Placebo tablet +Placebo Biscuit

CO

Placebo Tablet + Placebo Biscuit

Group Type PLACEBO_COMPARATOR

Iron Supplementation

Intervention Type DIETARY_SUPPLEMENT

Iron tablet group (12.5 mg/d)+ Placebo Biscuit;Iron(12.5 mg/d)+ Zinc (10 mg/d) tablet group+ Placebo Biscuit; Iron Fortified Biscuit Group (12.5 mg/d)+ Placebo Tablet; Placebo tablet +Placebo Biscuit

Interventions

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Iron Supplementation

Iron tablet group (12.5 mg/d)+ Placebo Biscuit;Iron(12.5 mg/d)+ Zinc (10 mg/d) tablet group+ Placebo Biscuit; Iron Fortified Biscuit Group (12.5 mg/d)+ Placebo Tablet; Placebo tablet +Placebo Biscuit

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Ferrous sulphate

Eligibility Criteria

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Inclusion Criteria

* between 24-36 months of age
* not severely malnourished or ill requiring hospitalization
* willing to stay in the study area for 6 months
* consent to participate

Exclusion Criteria

* not consented
* severely malnourished or ill requiring hospitalization
Minimum Eligible Age

24 Months

Maximum Eligible Age

36 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Annamalai University

OTHER

Sponsor Role lead

Responsible Party

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Department of Biochemistry and Biotechnology

Principal Investigators

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Venugopal P Menon, PhD

Role: PRINCIPAL_INVESTIGATOR

Annamalai University

Locations

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Center for Micronutrient Research

Delhi, National Capital Territory of Delhi, India

Site Status

Countries

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India

Central Contacts

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Venugopal P Menon, PhD

Role: CONTACT

91-4144-238343

Jitender Kumar, PhD

Role: CONTACT

91-41724901

Facility Contacts

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Venugopal P Menon, PhD

Role: primary

91-4144-238343

Jitendra Kumar, PhD

Role: backup

91-41724901

References

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Hoppe M, Hulthen L, Hallberg L. The relative bioavailability in humans of elemental iron powders for use in food fortification. Eur J Nutr. 2006 Feb;45(1):37-44. doi: 10.1007/s00394-005-0560-0. Epub 2005 Apr 25.

Reference Type BACKGROUND
PMID: 15864409 (View on PubMed)

Olynyk JK, Clarke SL. Iron overload impairs pro-inflammatory cytokine responses by Kupffer cells. J Gastroenterol Hepatol. 2001 Apr;16(4):438-44. doi: 10.1046/j.1440-1746.2001.02456.x.

Reference Type BACKGROUND
PMID: 11354283 (View on PubMed)

Other Identifiers

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RHN/NTF/82008-09

Identifier Type: -

Identifier Source: org_study_id

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