Lutein & Zeaxanthin in Pregnancy - Carotenoid Supplementation During Pregnancy: Ocular and Systemic Effects

NCT ID: NCT03750968

Last Updated: 2023-07-11

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

47 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-26

Study Completion Date

2022-01-31

Brief Summary

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This study is designed to test the hypotheses that (1) the third trimester of pregnancy is a period of maternal systemic and ocular carotenoid depletion; (2) prenatal supplementation with 10 milligrams of lutein and 2 milligrams of zeaxanthin will have significant effects on ocular and systemic biomarkers of maternal and infant carotenoid status relative to a matched, standard-of-care prenatal supplement without added lutein and zeaxanthin; and (3) newborn infants with the highest systemic and ocular carotenoid status will have more mature foveal structure.

Mothers will be enrolled in the study during their first trimester, and will take the study carotenoid or control supplements for 6 to 8 months. The final study outcome measurements of mothers and infants will be completed within two weeks of the baby's birth.

Detailed Description

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Conditions

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Nutrient Deficiency Pregnancy Related

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Carotenoid group

The Carotenoid group will receive a commercially available prenatal vitamin/mineral/Docosahexaenoic acid (DHA) softgel plus a softgel containing lutein/zeaxanthin in safflower oil.

Group Type EXPERIMENTAL

Carotenoid Group

Intervention Type DRUG

Softgel active ingredients: Lutein 10 mg and Zeaxanthin 2 mg in safflower oil

Control group

The Control group will receive the same prenatal vitamin/mineral/Docosahexaenoic acid (DHA) softgel plus a softgel containing only safflower oil.

Group Type ACTIVE_COMPARATOR

Control Group

Intervention Type DIETARY_SUPPLEMENT

Placebo ingredients: Safflower oil

Interventions

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Carotenoid Group

Softgel active ingredients: Lutein 10 mg and Zeaxanthin 2 mg in safflower oil

Intervention Type DRUG

Control Group

Placebo ingredients: Safflower oil

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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Softgel with lutein and zeaxanthin Softgel without lutein and zeaxanthin

Eligibility Criteria

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Inclusion Criteria

* Pregnant women, 18 or older of all races and ethnicities who have an uncomplicated obstetric history and plan to deliver either vaginally or by Caesarian section at the University of Utah for their current pregnancy.

Exclusion Criteria

* Women who have regularly taken carotenoid supplements containing more than 0.5 mg of lutein and/or zeaxanthin daily during the six months prior to screening
* Women who have significant eye disease associated with macular pigment abnormalities such as Stargardt disease, albinism, or macular telangiectasia type II (MacTel).
* Women with conditions associated with high-risk pregnancy such as adolescent pregnancy, multifetal pregnancy, current or past history of diabetes, pre-eclampsia, previous premature delivery, drug abuse or other significant medical illness
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Paul S. Bernstein

OTHER

Sponsor Role lead

Responsible Party

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Paul S. Bernstein

Professor, Ophthalmology/Visual Sciences

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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Paul S Bernstein, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University of Utah Moran Eye Center

Locations

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University of Utah John A. Moran Eye Center

Salt Lake City, Utah, United States

Site Status

Countries

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United States

References

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Addo EK, Allman SJ, Arunkumar R, Gorka JE, Harrison DY, Varner MW, Bernstein PS. Systemic Effects of Prenatal Carotenoid Supplementation in the Mother and her Child: The Lutein and Zeaxanthin in Pregnancy (L-ZIP) Randomized Trial -Report Number 1. J Nutr. 2023 Aug;153(8):2205-2215. doi: 10.1016/j.tjnut.2023.05.024. Epub 2023 May 27.

Reference Type DERIVED
PMID: 37247819 (View on PubMed)

Addo EK, Gorusupudi A, Allman S, Bernstein PS. The Lutein and Zeaxanthin in Pregnancy (L-ZIP) study-carotenoid supplementation during pregnancy: ocular and systemic effects-study protocol for a randomized controlled trial. Trials. 2021 Apr 22;22(1):300. doi: 10.1186/s13063-021-05244-2.

Reference Type DERIVED
PMID: 33888136 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

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IRB # 116610

Identifier Type: -

Identifier Source: org_study_id

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