Inhibitory Effect of a Polyphenol Supplement on Dietary Iron Absorption in Adults with Thalassemia

NCT ID: NCT05326503

Last Updated: 2025-03-05

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

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-01

Study Completion Date

2023-09-11

Brief Summary

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Genetic disorders, such as thalassemia, can lead to iron overload and severe adverse health outcomes. In iron-loading thalassemia, iron overload is due to increased iron absorption. Iron accumulates in the body organs causing widespread damage. The standard treatment is iron chelation therapy and/or periodic phlebotomy to remove iron from the body; frequency of phlebotomy or chelation therapy is dependent on how quickly body iron stores accumulate.

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.

Detailed Description

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Conditions

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Thalassemia Iron Overload

Study Design

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Allocation Method

NA

Intervention Model

CROSSOVER

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

SINGLE

Participants

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.

Group Type EXPERIMENTAL

Meal matrix with polyphenol supplement (PPS)

Intervention Type DIETARY_SUPPLEMENT

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).

Group Type PLACEBO_COMPARATOR

Meal matrix with placebo

Intervention Type DIETARY_SUPPLEMENT

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.

Group Type EXPERIMENTAL

No meal matrix with PPS

Intervention Type DIETARY_SUPPLEMENT

Test drink with polyphenol supplement

Drink with placebo

Iron-fortified drink labelled with stable iron isotope as ferrous sulfate, consumed with placebo supplement (maltodextrin).

Group Type PLACEBO_COMPARATOR

No meal matrix with placebo

Intervention Type DIETARY_SUPPLEMENT

Test drink with placebo (maltodextrin) supplement

Interventions

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Meal matrix with polyphenol supplement (PPS)

Test meal with polyphenol supplement

Intervention Type DIETARY_SUPPLEMENT

Meal matrix with placebo

Test meal with placebo (maltodextrin) supplement

Intervention Type DIETARY_SUPPLEMENT

No meal matrix with PPS

Test drink with polyphenol supplement

Intervention Type DIETARY_SUPPLEMENT

No meal matrix with placebo

Test drink with placebo (maltodextrin) supplement

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Documented diagnosis of thalassemia minor or intermedia (β-thalassemia with or without α-globin gene mutations, Hb E/β-thalassemia with or without α-globin gene mutations, or α-thalassemia Hb H disease) based on Hb electrophoresis/HPLC and/or DNA analysis from the subject's medical record.
* 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
Minimum Eligible Age

18 Years

Maximum Eligible Age

49 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Mahidol University

OTHER

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 B Zimmermann, MD, PhD

Role: STUDY_DIRECTOR

ETH Zurich

Locations

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Mahidol University

Salaya, , Thailand

Site Status

Countries

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Thailand

Other Identifiers

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Fe-PP-Thal

Identifier Type: -

Identifier Source: org_study_id

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