Trial Outcomes & Findings for Nutritional Impact of Moringa Oleifera Leaf Supplementation in Mothers and Children (NCT NCT04587271)

NCT ID: NCT04587271

Last Updated: 2023-11-22

Results Overview

Body weight

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

100 participants

Primary outcome timeframe

at baseline and 3 months

Results posted on

2023-11-22

Participant Flow

After trial registration, the children's groups were removed so no children were enrolled in the study

Participant milestones

Participant milestones
Measure
Lactating Mothers (Moringa)
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Children (Moringa)
Children from 6-59 months of age. Moringa oleifera (low dose): Children will receive 5-10 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Children (Placebo)
Children from 6-59 months of age. Placebo: Mothers and children will receive porridge with placebo.
Overall Study
STARTED
25
25
0
25
25
0
Overall Study
COMPLETED
23
23
0
22
23
0
Overall Study
NOT COMPLETED
2
2
0
3
2
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Lactating Mothers (Moringa)
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Children (Moringa)
Children from 6-59 months of age. Moringa oleifera (low dose): Children will receive 5-10 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Children (Placebo)
Children from 6-59 months of age. Placebo: Mothers and children will receive porridge with placebo.
Overall Study
Lost to Follow-up
2
2
0
2
2
0
Overall Study
Caregiver brought child to visits
0
0
0
1
0
0

Baseline Characteristics

Nutritional Impact of Moringa Oleifera Leaf Supplementation in Mothers and Children

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Lactating Mothers (Moringa)
n=25 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=25 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=25 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=25 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Total
n=100 Participants
Total of all reporting groups
Age, Continuous
27.2 years
STANDARD_DEVIATION 6 • n=5 Participants
0.04 years
STANDARD_DEVIATION 0.02 • n=7 Participants
27.8 years
STANDARD_DEVIATION 6.2 • n=5 Participants
.05 years
STANDARD_DEVIATION .02 • n=4 Participants
13.8 years
STANDARD_DEVIATION 4.3 • n=21 Participants
Sex: Female, Male
Female
25 Participants
n=5 Participants
9 Participants
n=7 Participants
25 Participants
n=5 Participants
13 Participants
n=4 Participants
72 Participants
n=21 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
16 Participants
n=7 Participants
0 Participants
n=5 Participants
12 Participants
n=4 Participants
28 Participants
n=21 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Black or African American
25 Participants
n=5 Participants
25 Participants
n=7 Participants
25 Participants
n=5 Participants
25 Participants
n=4 Participants
100 Participants
n=21 Participants
Race (NIH/OMB)
White
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
Region of Enrollment
Kenya
25 participants
n=5 Participants
25 participants
n=7 Participants
25 participants
n=5 Participants
25 participants
n=4 Participants
100 participants
n=21 Participants

PRIMARY outcome

Timeframe: at baseline and 3 months

Body weight

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=23 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=23 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=22 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=23 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Body Weight
365 g
Standard Deviation 3102
2.5 g
Standard Deviation 0.9
-470 g
Standard Deviation 2988
2.5 g
Standard Deviation 0.8

SECONDARY outcome

Timeframe: at baseline and 3 months

Population: Height was not measured in the mothers

Height (body length)

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=23 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=23 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Infant Height
9.1 cm
Standard Deviation 2.1
9.3 cm
Standard Deviation 1.7

SECONDARY outcome

Timeframe: baseline and 3 months

Population: change in MUAC was not measured in the infants

Mid-upper arm circumference (MUAC) will be measured at baseline and monthly to 3 months. Change from baseline to 3 months reported

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=23 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=22 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Mid-Upper Arm Circumference
-1.7 cm
Standard Deviation 1.5
-1.6 cm
Standard Deviation 1.5

SECONDARY outcome

Timeframe: 3 months

Population: 1 additional participant in the placebo group of mothers provided blood work (23 total as opposed to 22 from the participant flow section); Unable to get blood samples from 1 pair in the Moringa group (22 total as opposed to 23 from the participant flow section)

Serum retinol binding protein will be used to survey vitamin A levels in infants at baseline and monthly to 3 months..

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=22 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=22 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=23 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=23 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Vitamin A
-0.29 mcmol/L
Standard Deviation 0.50
0.08 mcmol/L
Standard Deviation 0.48
-0.23 mcmol/L
Standard Deviation 0.69
0.09 mcmol/L
Standard Deviation 0.50

SECONDARY outcome

Timeframe: baseline and 3 months

Population: 1 additional participant in the placebo group of mothers provided blood work (23 total as opposed to 22 from the participant flow section); Unable to get blood samples from 1 pair in the Moringa group (22 total as opposed to 23 from the participant flow section)

C-reactive protein (CRP) will be used to measure inflammation at baseline and monthly to 3 months. Change from baseline to 3 months reported. Negative values are considered a better outcome.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=22 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=22 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=23 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=23 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in CRP Levels
-3.5 mg/L
Standard Deviation 11.6
2.3 mg/L
Standard Deviation 6.3
-5.3 mg/L
Standard Deviation 8.1
8.8 mg/L
Standard Deviation 18.7

SECONDARY outcome

Timeframe: baseline and 3 months

Population: 1 additional participant in the placebo group of mothers provided blood work (23 total as opposed to 22 from the participant flow section); Unable to get blood samples from 1 pair in the Moringa group (22 total as opposed to 23 from the participant flow section)

The soluble transferrin receptor (sTFR) will be used to evaluate anemia at baseline and monthly to 3 months. Change from baseline to 3 months reported.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=22 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=22 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=23 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=23 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in the Soluble Transferrin Receptor
-0.1 mg/L
Standard Deviation 2.8
2.5 mg/L
Standard Deviation 2.1
-1.3 mg/L
Standard Deviation 2.6
1.8 mg/L
Standard Deviation 2.7

SECONDARY outcome

Timeframe: baseline and 3 months

Population: 21 stool samples for the moringa group and 22 for the placebo group were successfully analyzed for mothers and infants.

Fecal neopterin will be measured at baseline and at 3 months.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=21 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=21 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=22 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=22 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Fecal Neopterin
21.56 nmol/L
Standard Deviation 39.05
1076.44 nmol/L
Standard Deviation 1387.85
26.09 nmol/L
Standard Deviation 49.42
791.08 nmol/L
Standard Deviation 868.18

SECONDARY outcome

Timeframe: baseline and 3 months

Population: 21 stool samples for the moringa group and 22 for the placebo group were successfully analyzed for mothers and infants.

Fecal myeloperoxidase will be measured at baseline and at 3 months.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=21 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=21 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=22 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=22 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Fecal Myeloperoxidase
35.93 ng/ML
Standard Deviation 682.23
1071.01 ng/ML
Standard Deviation 2687.39
105.02 ng/ML
Standard Deviation 348.27
1225.78 ng/ML
Standard Deviation 1276.9

SECONDARY outcome

Timeframe: baseline and 3 months

Population: 21 stool samples for the moringa group and 22 for the placebo group were successfully analyzed for mothers and infants.

Fecal alpha-1-antitrypsin will be measured at baseline and at 3 months.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=21 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=21 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=22 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=22 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Alpha-1-Antitrypsin
3.28 mcg/L
Standard Deviation 25.57
-29.12 mcg/L
Standard Deviation 195.56
0.61 mcg/L
Standard Deviation 6.49
66.04 mcg/L
Standard Deviation 125.94

SECONDARY outcome

Timeframe: 1 and 3 months

Proportion of participants experiencing diarrhea (\> 3 watery stools in 24 hours).

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=23 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=23 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
n=22 Participants
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
n=23 Participants
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in the Prevalence of Diarrhea
-2 participants
1 participants
-1 participants
3 participants

SECONDARY outcome

Timeframe: at enrollment and at 3 months

Population: unable to review 24-hour pumped information from 1 mother in the placebo group

Breastmilk volume will be assessed from 24 hour breast pumping or hand expression or weighing the infant before and after feeding for 24 hours.

Outcome measures

Outcome measures
Measure
Lactating Mothers (Moringa)
n=23 Participants
Lactating mothers. Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Breastfeeding Infants (Moringa)
n=21 Participants
Breastfeeding infants from lactating mothers Moringa oleifera (high dose): Mothers will receive 20 grams of moringa leaf powder in porridge consumed daily for three months.
Lactating Mothers (Placebo)
Lactating mothers. Placebo: Mothers and children will receive porridge with placebo.
Breastfeeding Infants (Placebo)
Breastfeeding infants from lactating mothers Placebo: Mothers and children will receive porridge with placebo.
Change in Breastmilk Volume
435.9 mL
Standard Deviation 381.5
12.4 mL
Standard Deviation 465.7

SECONDARY outcome

Timeframe: baseline and 3 months

Population: outcome measure data not reported because unable to perform vitamin A analysis due to funding limitations

Levels of vitamin A in breastmilk will be measured at the end of the study.

Outcome measures

Outcome data not reported

Adverse Events

Lactating Mothers (Moringa)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Breastfeeding Infants (Moringa)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Lactating Mothers (Placebo)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Breastfeeding Infants (Placebo)

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Suzanna Attia

University of Kentucky

Phone: 859-323-6211

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place