Inhibitory Effect of a Polyphenol Supplement on Dietary Iron Absorption in Adults with Thalassemia
NCT ID: NCT05326503
Last Updated: 2025-03-05
Study Results
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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COMPLETED
NA
20 participants
INTERVENTIONAL
2022-06-01
2023-09-11
Brief Summary
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Polyphenolic compounds are very strong inhibitors of non-heme iron absorption, as they form insoluble complexes with ferrous iron in the gastrointestinal tract that cannot be absorbed.
The investigators have recently shown in European subjects with hereditary hemochromatosis (another iron-loading disorder) that our newly-developed natural polyphenol supplement (PPS) that is rich in polyphenols, when taken with iron-rich meals or with an iron-fortified drink, reduces iron absorption by \~40%. Decreasing non-heme iron absorption in adults with iron-loading thalassemia could potentially lead to an extension of the time period between phlebotomies or chelation therapies, and therefore an improved quality of life.
Therefore, in this stable iron isotope study, the investigators will study the effect the natural PPS on oral iron absorption from an iron-rich test meal or iron-fortified drink in Thai adults with iron-loading thalassemia.
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Detailed Description
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Conditions
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Study Design
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NA
CROSSOVER
SUPPORTIVE_CARE
SINGLE
Study Groups
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Meal with polyphenol supplement (PPS)
Iron-rich test meal labelled with stable iron isotope as ferrous sulfate, consumed with the polyphenol supplement.
Meal matrix with polyphenol supplement (PPS)
Test meal with polyphenol supplement
Meal with placebo
Iron-rich test meal labelled with stable iron isotope as ferrous sulfate, consumed with placebo supplement (maltodextrin).
Meal matrix with placebo
Test meal with placebo (maltodextrin) supplement
Drink with PPS
Iron-fortified drink labelled with stable iron isotope as ferrous sulfate, consumed with the polyphenol supplement.
No meal matrix with PPS
Test drink with polyphenol supplement
Drink with placebo
Iron-fortified drink labelled with stable iron isotope as ferrous sulfate, consumed with placebo supplement (maltodextrin).
No meal matrix with placebo
Test drink with placebo (maltodextrin) supplement
Interventions
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Meal matrix with polyphenol supplement (PPS)
Test meal with polyphenol supplement
Meal matrix with placebo
Test meal with placebo (maltodextrin) supplement
No meal matrix with PPS
Test drink with polyphenol supplement
No meal matrix with placebo
Test drink with placebo (maltodextrin) supplement
Eligibility Criteria
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Inclusion Criteria
* Hemoglobin (Hb): 7.0-13.5 g/dL for males; 7.0-12.0 for females
* Serum ferritin (SF): 300-800 ug/L for males; 200-800 ug/L for females
* Not having had a blood transfusion within 6 months prior to the study start
* Age 18-49 y, not pregnant or lactating
* Body weight \<75 kg and body mass index (BMI) between 17 and 25 kg/m2
* No acute illness/infection (self-reported)
* No metabolic or gastrointestinal disorders, eating disorders or food allergy to the ingredients of the test meal (self-reported)
* No scheduled phlebotomy or blood transfusion during the study period
* The last phlebotomy will be at least 4 weeks prior to first study visit
* No intake of iron chelators 4 weeks prior to first study visit and throughout the study period
* No use of medications affecting iron absorption or metabolism during the study
* No intake of mineral/vitamin supplements 2 weeks prior to the first study visit and during the study
* No participation in any other clinical study within the last 30 days and during the study
* Expected to comply with study protocol
18 Years
49 Years
ALL
Yes
Sponsors
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Mahidol University
OTHER
Swiss Federal Institute of Technology
OTHER
Responsible Party
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Principal Investigators
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Michael B Zimmermann, MD, PhD
Role: STUDY_DIRECTOR
ETH Zurich
Locations
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Mahidol University
Salaya, , Thailand
Countries
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Other Identifiers
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Fe-PP-Thal
Identifier Type: -
Identifier Source: org_study_id
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