Strategies to Reduce Iron Deficiency

NCT ID: NCT02245321

Last Updated: 2023-12-06

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

NA

Total Enrollment

702 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-06-30

Study Completion Date

2014-06-30

Brief Summary

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The prevalence of iron deficiency in blood donors has been demonstrated to be a direct consequence of repeat blood donations. Given the adverse effects of iron deficiency, it is priority to implement programs to remediate iron deficiency issues associated with blood donations. To explore this issue, the study's aims to:

1. Determine whether regular blood donors provided with accurate information about their iron status and written recommended courses of action will take steps to prevent/mitigate iron deficiency on their own without being given iron supplements by the blood center; and
2. Determine if two different amounts of iron provided by the blood center will prevent/mitigate iron deficiency in regular blood donors.

To conduct this randomized, placebo controlled study, participant donors will be assigned to one of two arms and followed for a 24 month period. Each subject will provide additional blood samples of 7 ml and 4.5 ml at each study visit for the purpose of tracking hemoglobin (Hgb), ferritin, soluble transferrin receptor (sTfR), and hematology laboratory results.

Under the two study arms, subjects are to be randomized into one of the following five blinded categories:

* Receive a thank you letter after each blood donation.
* Receive a letter informing them of their ferritin result at each visit, along with recommendations for blood donation.
* Receive pills to take daily that contain no iron (a placebo or inert pill).
* Receive pills to take daily that contain 19 mg of iron (the typical amount in a multivitamin with iron).
* Receive pills to take daily that contain 38 mg iron (the typical amount in an over-the-counter iron supplement).

Detailed Description

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Inclusion Criteria

* Donors who have donated whole blood or double red cells ≥ 2 times in the last 12 months if female, or, ≥ 3 times in the last 12 months if male.
* Commitment to meet the donation frequency requirement for the study for two more years, give a blood sample at each visit, and complete baseline and follow-up surveys.

Exclusion Criteria

* Subjects \< 18 years of age.
* Subjects taking iron supplements (including multivitamins with iron) up to one month prior to enrollment.
* Females who are pregnant or plan to become pregnant in the following 2 years.
* Subjects unwilling to meet the requirements of the study.

Conditions

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Iron Deficiency

Keywords

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hemoglobin recovery iron recovery iron supplements

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Letter Group- No information

Receive a thank you letter after each blood donation.

Group Type PLACEBO_COMPARATOR

Letter - No Information Provided

Intervention Type OTHER

Receive a letter thanking the participant for their participation.

Letter Group- Information Provided

Receive a letter informing them of their ferritin result at each visit, along with recommendations for blood donation.

Group Type EXPERIMENTAL

Letter Group- Information Provided

Intervention Type OTHER

Receive a letter informing them of their ferritin result at each visit, along with recommendations for blood donation.

Ferrous gluconate- 0 mg

Receive pills to take daily that contain no iron (a placebo or inert pill).

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DIETARY_SUPPLEMENT

Receive pills to take daily that contain 0 mg iron.

Ferrous gluconate- 19 mg

Receive pills to take daily that contain 19 mg of iron (the typical amount in a multivitamin with iron).

Group Type EXPERIMENTAL

Ferrous gluconate- 19 mg

Intervention Type DIETARY_SUPPLEMENT

Receive pills to take daily that contain 19 mg of iron (the typical amount in a multivitamin with iron).

Ferrous gluconate- 38 mg

Receive pills to take daily that contain 38 mg iron (the typical amount in an over-the-counter iron supplement).

Group Type EXPERIMENTAL

Ferrous gluconate- 38 mg

Intervention Type DIETARY_SUPPLEMENT

Receive pills to take daily that contain 38 mg iron (the typical amount in an over-the-counter iron supplement).

Interventions

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Ferrous gluconate- 19 mg

Receive pills to take daily that contain 19 mg of iron (the typical amount in a multivitamin with iron).

Intervention Type DIETARY_SUPPLEMENT

Ferrous gluconate- 38 mg

Receive pills to take daily that contain 38 mg iron (the typical amount in an over-the-counter iron supplement).

Intervention Type DIETARY_SUPPLEMENT

Letter Group- Information Provided

Receive a letter informing them of their ferritin result at each visit, along with recommendations for blood donation.

Intervention Type OTHER

Letter - No Information Provided

Receive a letter thanking the participant for their participation.

Intervention Type OTHER

Placebo

Receive pills to take daily that contain 0 mg iron.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Repeat donors who have previously participated in RISE study and have continued to donate at a required frequency (donated whole blood or double red cells ≥ 2 times in the last 12 months if female, or, ≥ 3 times in the last 12 months if male)
* Non-RISE donors who have donated whole blood or double red cells ≥ 2 times in the last 12 months if female, or, ≥ 3 times in the last 12 months if male
* commitment to meet the donation frequency requirement for this study for two more years, give a blood sample at each visit, and complete baseline and follow-up surveys

Exclusion Criteria

* subjects \< 18 years of age
* subjects taking iron supplements (including multivitamins with iron) up to one month prior to enrollment
* females who are pregnant or plan to become pregnant in the following 2 years
* subjects unwilling to meet the requirements of the study
Minimum Eligible Age

18 Years

Maximum Eligible Age

100 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Versiti

OTHER

Sponsor Role collaborator

American National Red Cross

OTHER

Sponsor Role collaborator

The Institute for Transfusion Medicine

UNKNOWN

Sponsor Role collaborator

Westat

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Alan Mast, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

BloodCenters of Wisconsin

Locations

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American Red Cross, Connecticut Region

Farmington, Connecticut, United States

Site Status

Westat

Rockville, Maryland, United States

Site Status

The Institute for Transfusion Medicince

Pittsburgh, Pennsylvania, United States

Site Status

BloodCenter of Wisconsin

Milwaukee, Wisconsin, United States

Site Status

Countries

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United States

References

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Bialkowski W, Kiss JE, Wright DJ, Cable R, Birch R, D'Andrea P, Bryant BJ, Spencer BR, Mast AE. Estimates of total body iron indicate 19 mg and 38 mg oral iron are equivalent for the mitigation of iron deficiency in individuals experiencing repeated phlebotomy. Am J Hematol. 2017 Sep;92(9):851-857. doi: 10.1002/ajh.24784. Epub 2017 Jun 9.

Reference Type RESULT
PMID: 28494509 (View on PubMed)

Chansky MC, King MR, Bialkowski W, Bryant BJ, Kiss JE, D'Andrea P, Cable RG, Spencer BR, Mast AE. Qualitative assessment of pica experienced by frequent blood donors. Transfusion. 2017 Apr;57(4):946-951. doi: 10.1111/trf.13981. Epub 2017 Feb 5.

Reference Type RESULT
PMID: 28164344 (View on PubMed)

Mast AE, Bialkowski W, Bryant BJ, Wright DJ, Birch R, Kiss JE, D'Andrea P, Cable RG, Spencer BR. A randomized, blinded, placebo-controlled trial of education and iron supplementation for mitigation of iron deficiency in regular blood donors. Transfusion. 2016 Jun;56(6 Pt 2):1588-97. doi: 10.1111/trf.13469. Epub 2016 Jan 26.

Reference Type RESULT
PMID: 26813849 (View on PubMed)

Bialkowski W, Bryant BJ, Schlumpf KS, Wright DJ, Birch R, Kiss JE, D'Andrea P, Cable RG, Spencer BR, Vij V, Mast AE. The strategies to reduce iron deficiency in blood donors randomized trial: design, enrolment and early retention. Vox Sang. 2015 Feb;108(2):178-85. doi: 10.1111/vox.12210. Epub 2014 Dec 3.

Reference Type RESULT
PMID: 25469720 (View on PubMed)

Other Identifiers

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1R01HL10580901

Identifier Type: -

Identifier Source: org_study_id