Iron Isotope Study of an Iron Fatty Acid Complex

NCT ID: NCT03895424

Last Updated: 2019-08-28

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

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-07

Study Completion Date

2019-06-20

Brief Summary

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The study aims at assessing the iron (Fe) bioavailability from a newly developed iron compound - an iron fatty acid complex. The iron from the compound is hypothesized to have a higher absorption rate than commonly available supplements in the market. The study is a cross over, human iron isotope study with three arms where participants consume the experimental dietary products in a randomized fashion. The study duration is of 45 days - from the day of the capsule administration till the last blood sampling point

Detailed Description

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Iron deficiency remains a major public health concern in both industrialized and non-industrialized (developing) countries. Most supplements in the present day, to address the problem of iron deficiency, are in the form of ferrous salts, especially ferrous sulfate. Ferrous salts are absorbed by the non-heme iron pathway involving the Divalent Metal Transporter 1 (DMT-1) receptor, where the absorption rate is 20% of the total iron content. The common strategy of the food supplement industries is to increase the iron load in the supplements to provide the necessary amount of iron, compensating for the low absorption rate. However, these have side effects associated with the high dosage. Instead of a high dosage, a more effective strategy would be to incorporate the iron in a way that the absorption rate is maximized. The intervention product, an iron fatty acid complex (IFAC), containing 12 mg of iron, is expected to be absorbed as effective as any ferrous sulfate supplement in the market due to the alternative metabolic route that is hypothesized to be taken by the complex.

The first week of the study comprises of the administration of the capsules containing the complexes to the participants on day 1 , day 3 and day 5 of the study respectively. Blood samples are collected on day 10,20, 30 and 40 and 160 days after the last day of the capsule administration..

The primary objectives of this trial are:

To assess the iron bioavailability from the developed iron salt fatty acid complexes (IFAC) and micro-emulsified iron fatty acid complex (MIFAC) and compare it with the bioavailability of the reference ferrous sulfate (FeSO4) To investigate whether the MIFAC promotes absorption compared to IFAC and the reference.

Fractional iron absorption from the three intervention products will be calculated based on the shift of the stable iron isotope ratios in collected blood samples at 10, 20, 30, 40 and 160 days after administration of the stable isotopically labelled capsules. Stable iron isotope ratios will be determined by mass spectrometry.

Conditions

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Iron-deficiency

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Iron Fatty Acid Complex (IFAC)

The iron fatty acid complex encapsulated and administered to the participants

Group Type EXPERIMENTAL

IFAC

Intervention Type DIETARY_SUPPLEMENT

This intervention will contain the iron fatty acid complex in a capsule. The complex will be labelled with the iron isotope 58Fe

Micellarized iron fatty acid complex (MIFAC)

Micellarized form of the iron fatty acid complex which is enscapsulated and administered to the participants

Group Type EXPERIMENTAL

MIFAC

Intervention Type DIETARY_SUPPLEMENT

This intervention will contain the micellarized form of the iron fatty acid complex in a capsule. The complex will be labelled with the iron isotope with 57Fe

Control Ferrous Sulfate

Ferrous sulfate that is provided in the form of a solution along with a capsule that contains the same amount of fat that is present in the other two arms.

Group Type ACTIVE_COMPARATOR

Control Ferrous Sulfate

Intervention Type DIETARY_SUPPLEMENT

This intervention will contain ferrous sulfate in the form of a solution labelled with the iron isotope 54Fe. A capsule with the same amount of fat as in the other arms will be administered to the participants

Interventions

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IFAC

This intervention will contain the iron fatty acid complex in a capsule. The complex will be labelled with the iron isotope 58Fe

Intervention Type DIETARY_SUPPLEMENT

MIFAC

This intervention will contain the micellarized form of the iron fatty acid complex in a capsule. The complex will be labelled with the iron isotope with 57Fe

Intervention Type DIETARY_SUPPLEMENT

Control Ferrous Sulfate

This intervention will contain ferrous sulfate in the form of a solution labelled with the iron isotope 54Fe. A capsule with the same amount of fat as in the other arms will be administered to the participants

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* age of 18 - 40 years old
* marginal iron status (ferritin \<25 ng/ml; measured by study coordinator)
* body weight up to 65 kg
* normal body mass index (bodyweight \[kg\] / (height \[m\])2 = 18.5 - 25)
* do not take any vitamin or mineral supplements two weeks before and during the study.
* do not have a metabolic, gastrointestinal or chronic diseases
* able to communicate in and comprehend English language

Exclusion Criteria

* pregnant or breast-feeding
* on long-term medication (except oral contraceptive)
* elevated C-reactive Protein (\>5mg/L; will be measured by study coordinator)
* medium or strong anemic (hemoglobin \<9.0 g/dL; will be measured by study coordinator)
* donated blood within the last 4 months before the study start date
* taking part in another clinical study at the same time or had within the last 30 days before the study date
* participated in an earlier study using iron stable isotopes.
* eating disorder or a strong allergy.
* cannot be expected to comply with study protocol (e.g. not available on certain study appointments or difficulties with blood sampling)
* unable to understand the information sheet and the informed consent form due to cognitive or language reasons
Minimum Eligible Age

18 Years

Maximum Eligible Age

40 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Mibelle AG

INDUSTRY

Sponsor Role collaborator

Swiss Federal Institute of Technology

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Michael Zimmermann, PhD

Role: PRINCIPAL_INVESTIGATOR

Swiss Federal Institute of Technology

Locations

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Lab of Human Nutrition, ETH Zurich

Zurich, Canton of Zurich, Switzerland

Site Status

Countries

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Switzerland

Other Identifiers

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IFAC

Identifier Type: -

Identifier Source: org_study_id

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