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Iron Deficiency Anemia of PregnancyNCT04074707

Defining a Dosing Regimen With Maximal Absorption for Oral Iron Supplementation During Pregnancy

A study testing Labeled iron solution (60mg and 120mg Ferrous Fumarate) in people with Iron Deficiency Anemia of Pregnancy, run by Swiss Federal Institute of Technology at 1 site in Thailand.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

Iron deficiency anemia (IDA) is common during pregnancy and has adverse effects on the mother, fetus and newborn. Oral iron supplements are usually recommended to prevent ID/IDA during pregnancy. Read more about this study

Who is it for?
Ages 18 to 45 years, women only
Conditions the study is for
Iron Deficiency Anemia of Pregnancy
What is being tested?
Labeled iron solution (60mg and 120mg Ferrous Fumarate)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
30 participants
Where
1 siteThailand
Study dates
24 Oct 2019to 30 Jun 2022
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 45 years
  • Women only
  • No healthy volunteers
  • Adult

Who may be able to join

  • gestational week 14-16 at study start
  • singleton pregnancy
  • Serum ferritin SF <60 µg/L
  • non-anemic or mildly anemic, defined as hemoglobin (Hb) >10 g/dL
  • female aged 18-45 years
  • healthy Thai woman

Who cannot join

  • acute or chronic disease
  • taking medications that could influence iron absorption
  • smoking

Trial locations and contacts

1 site in 1 country.

Thailand1 site
  • Mahidol University

    Salaya, Changwat Nakhon Pathom, 73170

Other trials in Thailand

About this study

Official title: Optimizing Oral Iron Supplementation Regimens During Pregnancy Using Serum Hepcidin Profiles and Iron Stable Isotopes: Defining a Dosing Regimen With Maximal Absorption and Minimal Gastrointestinal Side Effects

Iron deficiency anemia (IDA) is common during pregnancy and has adverse effects on the mother, fetus and newborn. Oral iron supplements are usually recommended to prevent ID/IDA during pregnancy.

The aim of this study is to define an iron supplementation schedule with maximal absorption using serum hepcidin profiles and stable iron isotopes in pregnant women. In this randomized, open-label trial, fractional and total iron absorption will be compared from daily dosing with 60 mg iron versus alternate day and every third day dosing with 120 mg iron in pregnant Thai women with low iron stores (n=28) during their second trimester of pregnancy.

This study could have wide impact, providing the evidence base for revised, improved recommendations for iron supplementation during pregnancy.

Being tested
Labeled iron solution (60mg and 120mg Ferrous Fumarate)

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Labeled iron solution (60mg and 120mg Ferrous Fumarate)Dietary supplement

    3 doses of 60mg iron as ferrous fumarate are given on one consecutive day and one alternate day (e.g., days 1, 2, 4); 3 doses of 120mg iron as ferrous fumarate are given on one consecutive and one alternate day (e.g., days 20, 21, 23); 3 doses of 120mg iron as ferrous fumarate are given on one consecutive and one 3rd day (e.g., days 37, 38, 41). Iron doses are labeled with 4mg of a stable isotope in 200ml deionized water (57Fe, 58Fe or 54Fe). Participants will be randomly assigned to start with 60mg iron daily vs alternate day dosing, 120mg daily vs alternate day dosing or 120mg daily vs every-third day dosing.

Study groups in NCT04074707
Study groupRoleWhat they receive
oral iron supplementationExperimentalParticipants go through 3 cycles of oral iron Supplementation (60mg daily vs alternate day dosing, 120mg daily vs alternate day dosing, 120mg daily vs every third-day dosing)
Receives: Dietary Supplement: Labeled iron solution (60mg and 120mg Ferrous Fumarate)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Fractional iron absorption in %

    Erythrocyte incorporation of stable iron isotopes 14 days after the last supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 18

  2. Fractional iron absorption in %

    Erythrocyte incorporation of stable iron isotopes 14 days after the last supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 35

  3. Fractional iron absorption in %

    Erythrocyte incorporation of stable iron isotopes 14 days after the last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  4. Total iron absorption in %

    Fractional iron absorption measured from the 60mg daily vs alternate day cycle multiplied by the dose

    Measured: Day 18

  5. Total iron absorption in %

    Fractional iron absorption measured from the 120mg daily vs alternate day cycle multiplied by the dose

    Measured: Day 35

  6. Total iron absorption in %

    Fractional iron absorption measured from the 120mg daily vs every third day cycle multiplied by the dose

    Measured: Day 53

  7. Serum Hepcidin

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  8. Serum Hepcidin

    in the morning before second supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 2

  9. Serum Hepcidin

    in the morning before third supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 4

  10. Serum Hepcidin

    in the morning before first supplement intake of 120mg daily vs alternate day cycle

    Measured: Day 18

  11. Serum Hepcidin

    in the morning before second supplement intake of 120mg daily vs alternate day cycle

    Measured: Day 19

  12. Serum Hepcidin

    in the morning before third supplement intake of 120mg daily vs alternate day cycle

    Measured: Day 21

  13. Serum Hepcidin

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  14. Serum Hepcidin

    in the morning before second supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 36

  15. Serum Hepcidin

    in the morning before third supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 39

  16. Serum Hepcidin

    in the morning 14 days after last supplement intake the 120mg daily vs every third day cycle

    Measured: Day 53

Secondary outcomes (51)
  1. Serum Ferritin (SF)

    in the morning before first supplement intake

    Measured: Screening

  2. Serum Ferritin (SF)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  3. Serum Ferritin (SF)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  4. Serum Ferritin (SF)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  5. Serum Ferritin (SF)

    in the morning 14 days after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  6. Hemoglobin (Hb)

    in the morning before first supplement intake

    Measured: Screening

  7. Hemoglobin (Hb)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  8. Hemoglobin (Hb)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  9. Hemoglobin (Hb)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  10. Hemoglobin (Hb)

    in the morning 14 days after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  11. Soluble transferrin receptor (sTfR)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  12. Soluble transferrin receptor (sTfR)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  13. Soluble transferrin receptor (sTfR)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  14. Soluble transferrin receptor (sTfR)

    in the morning 14 days after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  15. C-reactive protein (CRP)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  16. C-reactive protein (CRP)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  17. C-reactive protein (CRP)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  18. C-reactive protein (CRP)

    in the morning 14 days after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  19. Alpha-1-acid glycoprotein (AGP)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  20. Alpha-1-acid glycoprotein (AGP)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  21. Alpha-1-acid glycoprotein (AGP)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  22. Alpha-1-acid glycoprotein (AGP)

    in the morning 14 days after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  23. Serum Hepcidin

    in the afternoon after first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  24. Serum Hepcidin

    in the afternoon after first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  25. Serum Hepcidin

    in the afternoon 14 days after third supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  26. Serum Iron (SFe)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  27. Serum Iron (SFe)

    in the morning before second supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 2

  28. Serum Iron (SFe)

    in the morning before third supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 4

  29. Serum Iron (SFe)

    in the afternoon after first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  30. Serum Iron (SFe)

    in the morning before the first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  31. Serum Iron (SFe)

    in the morning before the second supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 19

  32. Serum Iron (SFe)

    in the morning before the third supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 21

  33. Serum Iron (SFe)

    in the afternoon after the first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  34. Serum Iron (SFe)

    in the morning before the first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  35. Serum Iron (SFe)

    in the morning before the second supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 36

  36. Serum Iron (SFe)

    in the morning before the third supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 39

  37. Serum Iron (SFe)

    in the morning 14 days after the last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  38. Serum Iron (SFe)

    in the afternoon 14 days after the last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  39. Total Iron Binding Capacity (TIBC)

    in the morning before first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  40. Total Iron Binding Capacity (TIBC)

    in the morning before second supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 2

  41. Total Iron Binding Capacity (TIBC)

    in the morning before third supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 4

  42. Total Iron Binding Capacity (TIBC)

    in the afternoon after first supplement intake of the 60mg daily vs alternate day cycle

    Measured: Day 1

  43. Total Iron Binding Capacity (TIBC)

    in the morning before first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  44. Total Iron Binding Capacity (TIBC)

    in the morning before second supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 19

  45. Total Iron Binding Capacity (TIBC)

    in the morning before third supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 21

  46. Total Iron Binding Capacity (TIBC)

    in the afternoon after first supplement intake of the 120mg daily vs alternate day cycle

    Measured: Day 18

  47. Total Iron Binding Capacity (TIBC)

    in the morning before first supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 35

  48. Total Iron Binding Capacity (TIBC)

    in the morning before second supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 36

  49. Total Iron Binding Capacity (TIBC)

    in the morning before third supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 39

  50. Total Iron Binding Capacity (TIBC)

    in the morning 14 after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

  51. Total Iron Binding Capacity (TIBC)

    in the afternoon 14 after last supplement intake of the 120mg daily vs every third day cycle

    Measured: Day 53

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted30 Aug 2019
  2. Study start24 Oct 2019
  3. Primary completion30 Jun 2022
  4. Study completion30 Jun 2022

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Model description
each subject acts as her own control by going through all the three supplementation cycles. Women will be randomly assigned to start with the 60mg daily vs alternate day, 120mg daily vs alternate day or 120mg daily vs every third day supplementation cycle.
Masking
None (open label)
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04074707
Sponsor's protocol ID
TIPS
Status last verified
Jul 2024
First submitted
27 Aug 2019
Last updated
24 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • von Siebenthal HK, Moretti D, Zimmermann MB, Stoffel NU. Effect of dietary factors and time of day on iron absorption from oral iron supplements in iron deficient women. Am J Hematol. 2023 Sep;98(9):1356-1363. doi: 10.1002/ajh.26987. Epub 2023 Jun 26.

    PubMed 37357807

Questions about this trial

What is this clinical trial studying?

A study testing Labeled iron solution (60mg and 120mg Ferrous Fumarate) in people with Iron Deficiency Anemia of Pregnancy, run by Swiss Federal Institute of Technology at 1 site in Thailand.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 3 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Fractional iron absorption in % (time frame: Day 18). The study lists 16 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04074707, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Jul 2024; AzTrials last refreshed its copy on 1 Nov 2026.

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