Efficacy of β-carotene Biofortified Maize in Reducing Vitamin A Deficiency Among Children

NCT ID: NCT01695148

Last Updated: 2014-02-07

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

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

1228 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-08-31

Study Completion Date

2013-06-30

Brief Summary

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The purpose of this cluster-randomized trial is to examine whether daily consumption of β-carotene biofortified maize flour can reduce the prevalence of vitamin A deficiency and improve the vitamin A status and among 4-8 year old children in rural Zambia.

Detailed Description

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Vitamin A deficiency is a major public health problem in Zambia, affecting approximately 40% of young children. We aim to conduct a cluster-randomised controlled trial in the Mkushi region of rural Zambia to test whether feeding children two daily meals containing β-carotene biofortified maize flour compared to regular white maize flour-based meals for six months can reduce the prevalence of vitamin A deficiency and improve the vitamin A status among 4-8 year old children. Five hundred children in each arm will receive 2 meals a day, 6 days a week for 6 months, after which changes in serum retinol concentrations will be compared. An additional arm of 250 children, enrolled from randomly sampled clusters, will not receive the maize flour intervention but concurrently followed in order to evaluate overall effects of the maize flour feeding scheme on measures of household food security.

Conditions

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Vitamin A Deficiency Low Serum Retinol

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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White Maize Flour

Children will receive 2 meals a day (\~200 g of white maize flour), 6 days a week for 6 months.

Group Type ACTIVE_COMPARATOR

White Maize Flour

Intervention Type DIETARY_SUPPLEMENT

β-Carotene Biofortified Maize

Children will receive 2 meals a day (\~200 g of beta-carotene biofortified maize flour), 6 days a week for 6 months.

Group Type EXPERIMENTAL

β-Carotene Biofortified Maize Flour

Intervention Type DIETARY_SUPPLEMENT

Non-Intervened

Children will receive no food for the duration of the study, but families in this group will receive an equivalent ration of food items at the end of the trial.

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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β-Carotene Biofortified Maize Flour

Intervention Type DIETARY_SUPPLEMENT

White Maize Flour

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Children 4-8 years of age
Minimum Eligible Age

4 Years

Maximum Eligible Age

8 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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National Food and Nutrition Commission, Zambia

UNKNOWN

Sponsor Role collaborator

Tropical Diseases Research Centre, Zambia

OTHER_GOV

Sponsor Role collaborator

HarvestPlus

OTHER

Sponsor Role collaborator

Canadian International Development Agency

OTHER_GOV

Sponsor Role collaborator

Zambia Agriculture Research Institute

OTHER

Sponsor Role collaborator

Johns Hopkins Bloomberg School of Public Health

OTHER

Sponsor Role lead

Responsible Party

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Keith P. West

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Amanda C Palmer, PhD

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Rolf Klemm, DrPH

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Kerry J Schulze, PhD

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Alain Labrique, PhD

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Parul Christian, DrPH

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Sucheta Mehra, MS

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Lee Shu-Fune Wu, MS

Role: STUDY_DIRECTOR

Johns Hopkins Bloomberg School of Public Health

Locations

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JHU Office

Mkushi, , Zambia

Site Status

Countries

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Zambia

References

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Howe JA, Tanumihardjo SA. Carotenoid-biofortified maize maintains adequate vitamin a status in Mongolian gerbils. J Nutr. 2006 Oct;136(10):2562-7. doi: 10.1093/jn/136.10.2562.

Reference Type BACKGROUND
PMID: 16988127 (View on PubMed)

Howe JA, Tanumihardjo SA. Evaluation of analytical methods for carotenoid extraction from biofortified maize (Zea mays sp.). J Agric Food Chem. 2006 Oct 18;54(21):7992-7. doi: 10.1021/jf062256f.

Reference Type BACKGROUND
PMID: 17032000 (View on PubMed)

Davis C, Jing H, Howe JA, Rocheford T, Tanumihardjo SA. beta-Cryptoxanthin from supplements or carotenoid-enhanced maize maintains liver vitamin A in Mongolian gerbils ( Meriones unguiculatus) better than or equal to beta-carotene supplements. Br J Nutr. 2008 Oct;100(4):786-93. doi: 10.1017/S0007114508944123. Epub 2008 Mar 3.

Reference Type BACKGROUND
PMID: 18312712 (View on PubMed)

Davis CR, Howe JA, Rocheford TR, Tanumihardjo SA. The xanthophyll composition of biofortified maize (Zea mays Sp.) does not influence the bioefficacy of provitamin a carotenoids in Mongolian gerbils (Meriones unguiculatus). J Agric Food Chem. 2008 Aug 13;56(15):6745-50. doi: 10.1021/jf800816q. Epub 2008 Jul 11.

Reference Type BACKGROUND
PMID: 18616269 (View on PubMed)

Muzhingi T, Gadaga TH, Siwela AH, Grusak MA, Russell RM, Tang G. Yellow maize with high beta-carotene is an effective source of vitamin A in healthy Zimbabwean men. Am J Clin Nutr. 2011 Aug;94(2):510-9. doi: 10.3945/ajcn.110.006486. Epub 2011 Jun 29.

Reference Type BACKGROUND
PMID: 21715509 (View on PubMed)

Healy K, Palmer AC, Barffour MA, Schulze KJ, Siamusantu W, Chileshe J, West KP Jr, Labrique AB. Nutritional Status Measures Are Correlated with Pupillary Responsiveness in Zambian Children. J Nutr. 2018 Jul 1;148(7):1160-1166. doi: 10.1093/jn/nxy069.

Reference Type DERIVED
PMID: 29924320 (View on PubMed)

Palmer AC, Craft NE, Schulze KJ, Barffour M, Chileshe J, Siamusantu W, West KP Jr. Impact of biofortified maize consumption on serum carotenoid concentrations in Zambian children. Eur J Clin Nutr. 2018 Feb;72(2):301-303. doi: 10.1038/s41430-017-0054-1. Epub 2018 Jan 10.

Reference Type DERIVED
PMID: 29321687 (View on PubMed)

Barffour MA, Schulze KJ, Coles CL, Chileshe J, Kalungwana N, Arguello M, Siamusantu W, Moss WJ, West KP Jr, Palmer AC. High Iron Stores in the Low Malaria Season Increase Malaria Risk in the High Transmission Season in a Prospective Cohort of Rural Zambian Children. J Nutr. 2017 Aug;147(8):1531-1536. doi: 10.3945/jn.117.250381. Epub 2017 Jul 12.

Reference Type DERIVED
PMID: 28701387 (View on PubMed)

Palmer AC, Healy K, Barffour MA, Siamusantu W, Chileshe J, Schulze KJ, West KP Jr, Labrique AB. Provitamin A Carotenoid-Biofortified Maize Consumption Increases Pupillary Responsiveness among Zambian Children in a Randomized Controlled Trial. J Nutr. 2016 Dec;146(12):2551-2558. doi: 10.3945/jn.116.239202. Epub 2016 Oct 19.

Reference Type DERIVED
PMID: 27798345 (View on PubMed)

Palmer AC, Siamusantu W, Chileshe J, Schulze KJ, Barffour M, Craft NE, Molobeka N, Kalungwana N, Arguello MA, Mitra M, Caswell B, Klemm RD, West KP Jr. Provitamin A-biofortified maize increases serum beta-carotene, but not retinol, in marginally nourished children: a cluster-randomized trial in rural Zambia. Am J Clin Nutr. 2016 Jul;104(1):181-90. doi: 10.3945/ajcn.116.132571. Epub 2016 May 11.

Reference Type DERIVED
PMID: 27169838 (View on PubMed)

Other Identifiers

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JHU IRB 4150

Identifier Type: -

Identifier Source: org_study_id

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