The Oral Iron on the Prevention of Iron Deficiency Anemia in Obese Pregnant

NCT ID: NCT04101461

Last Updated: 2022-05-04

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

230 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-10-01

Study Completion Date

2022-04-01

Brief Summary

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Anemia is known as a condition in which the hemoglobin level is lower than normal. Anemia is one of the most common complications during pregnancy. Anemia in pregnancy is defined as a hemoglobin level \< 110 g/L . Anemia is an important risk factor in pregnancy which leads to both maternal and fetal morbidity and mortality.

The pregnant woman needs more iron during pregnancy, so iron deficiency anemia is very common during pregnancy. In Egypt; iron deficiency anemia affects about one in every two pregnant women, especially in rural areas. Pregnant women require about 27 mg/day elemental iron to cover their increased need. The pregnant women should start taking a daily supplement of 30mg of elemental iron as a preventive measure against iron deficiency anemia especially in poor countries.

Obesity is defined as having an excessive amount of body fat. The body mass index, a measurement based on height and weight, determines the obese if the figure more than 30 kg/m2. There is an increased rate of overweight and obesity among pregnant women. According to the World Health Organization, 46% of adult females in Egypt are obese.

Many researches in the literature revealed a strong relationship between high BMI in pregnancy and iron deficiency anemia. Hepcidin is an iron regulating hormone in the body. Increases in iron levels in the plasma stimulate the production of hepcidin, which blocks iron absorption from the diet, so; hepcidin production is suppressed in the case of iron deficiency.

Detailed Description

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Conditions

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Anemia of Pregnancy

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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Group I: 27 mg elemental iron

will receive PharaFerro27; Devart Lab Company, Egypt; once daily starting at 12 -14 weeks until 37-38 weeks

Group Type ACTIVE_COMPARATOR

Iron

Intervention Type DRUG

PharaFerro27; Devart Lab Company, Egypt

Complete blood count

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum ferritin

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum hepcidin

Intervention Type DIAGNOSTIC_TEST

to assess the iron abosrption

Serum Iron

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum total iron binding capacity

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Group II: 54 mg elemental iron

will receive two tablets of PharaFerro27; Devart Lab Company, Egypt; daily starting at 12 -14 weeks until 37-38 weeks

Group Type ACTIVE_COMPARATOR

Iron

Intervention Type DRUG

PharaFerro27; Devart Lab Company, Egypt

Complete blood count

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum ferritin

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum hepcidin

Intervention Type DIAGNOSTIC_TEST

to assess the iron abosrption

Serum Iron

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Serum total iron binding capacity

Intervention Type DIAGNOSTIC_TEST

to assess the anemia

Interventions

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Iron

PharaFerro27; Devart Lab Company, Egypt

Intervention Type DRUG

Complete blood count

to assess the anemia

Intervention Type DIAGNOSTIC_TEST

Serum ferritin

to assess the anemia

Intervention Type DIAGNOSTIC_TEST

Serum hepcidin

to assess the iron abosrption

Intervention Type DIAGNOSTIC_TEST

Serum Iron

to assess the anemia

Intervention Type DIAGNOSTIC_TEST

Serum total iron binding capacity

to assess the anemia

Intervention Type DIAGNOSTIC_TEST

Eligibility Criteria

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Inclusion Criteria

1. Pregnant woman in a singleton pregnancy (12-14 weeks).
2. BMI (30- 40 kg/m2).
3. Normal hemoglobin level (\>11 g/dL).
4. Normal hematocrit (Hct 31-41%).
5. Normal ferritin level (6-130 ng/mL).
6. Women willingness to participate in the study.
7. Women living in the nearby area to make follow-up visits possible.

Exclusion Criteria

1. Multiple gestations.
2. Women received a recent blood transfusion.
3. Women with threatened miscarriage.
4. Women are known to have pathological blood loss.
5. Intolerant to oral iron form.
6. History of the hematologic disorder.
7. Women used iron in the past 3 months.
8. Women with chronic diseases (hypertension, diabetes, renal diseases, thyroid disease……).
Minimum Eligible Age

20 Years

Maximum Eligible Age

35 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Mohammed Khairy Ali

Lecturer

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Woman's Health Hospital - Assiut university

Asyut, , Egypt

Site Status

Countries

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Egypt

Other Identifiers

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IDA-Obese

Identifier Type: -

Identifier Source: org_study_id

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