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Healthy Pregnant WomenNCT04438928

Clinical Study on the Effect of Elevit Pregnancy 2nd & 3rd Trimester (Multi-micronutrients & DHA Supplement) on the Nutritional Status of Pregnant Women During Second and Third Trimester

A study testing Elevit Pregnancy 2nd & 3rd Trimester and Non-Supplement in people with Healthy Pregnant Women, run by Bayer at 2 sites in Italy.

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

The aim of this study is to collect information how adding a soft gel preparation of micronutrients such as vitamins, dietary minerals plus omega-3 fatty acid (docosahexaenoic acid, DHA) to the diet of pregnant women during the 2nd and 3rd trimesters of pregnancy effects the nutritional state of the mother and infants… Read more about this study

Who is it for?
Ages 18 to 42 years, women onlyHealthy volunteers can take part
Conditions the study is for
Healthy Pregnant Women
What is being tested?
Elevit Pregnancy 2nd & 3rd Trimester and Non-Supplement
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
164 participants
Where
2 sitesItaly
Study dates
27 Sep 2016to 5 Dec 2019
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 42 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy pregnant Caucasian women aged 18 to 42 years (inclusive) in their 1st - 2nd trimester (gestational age (GA) week 11-14 at screening);
  • Hemoglobin (Hg) > 105g/L;
  • Inconspicuous fetal anomaly screening;
  • Normal ultrasound examination (Ultra Sonography (USG));
  • Singleton pregnancy;
  • Taking at least 400 mcg folate per day;
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  • Seronegative for Human Immunodeficiency Virus (HIV), Hepatitis B and Hepatitis C at screening;
  • Pregnant women who, in the opinion of the Investigator, are willing and able to participate in all scheduled visits, to adhere to the supplementation plan, to laboratory tests and to all other study related procedures according to the clinical protocol;
  • Pregnant women providing a personally signed and dated given informed consent to participate in the study and to adhere to all study procedures indicating that they have been informed of all pertinent aspects of the trial and that they understood and accepted these, prior to admission to the study.

Who cannot join

  • Physical (including vital signs e.g. blood pressure and pulse rate), hematological and clinical-chemical parameters deviating from normal and with clinical relevance;
  • Any infection (acute or chronic) at screening and baseline;
  • Any current metabolic diseases (e.g. diabetes, hypothyroidism);
  • Less than 12 months from previous delivery;
  • Any history or current diseases, which are associated with malabsorption, or other severe diseases of the gastrointestinal tract (e.g. chronic inflammatory bowel disease, iron accumulation, iron utilization disorders); Any history or current neurological, cardiac, endocrine or bleeding disorders;
  • Specific diets (e.g. vegan vegetarian, celiac, lactose free);
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  • Body mass index (BMI) < 18 or >30 kg/m2;
  • Pregnant women already taking DHA/multivitamin supplements (except folate or iron);
  • Diagnosed or suspected malignant or premalignant disease;
  • Current clinically significant depression;
  • Current intake of pharmaceuticals or dietary supplements which may interact with any of the ingredients of the trial treatment (i.e. fluoroquinolones, bisphosphonates, levodopa, levothyroxine, penicillamine, antibiotics containing tetracycline or trietine);
  • History of or current diseases where vitamin, mineral, trace element or DHA supplementation might be not recommended /contraindicated [such as sickle cell anemia, copper metabolism disorders (Wilson's disease), renal disease, nephrolithiasis, urolithiasis, hypercalcemia, hypercalciuria, hepatobiliary diseases, existing hypervitaminosis, iron metabolism disorders, hypermagnesemia];
  • Severe Hyperemesis gravidarum;
  • Previous adverse birth outcomes (e.g. small for gestational age, low birth weight, premature birth, stillbirth, more than two consecutive spontaneous abortions);
  • Previous adverse pregnancy outcomes (e.g. gestational diabetes);
  • Diagnosed congenital abnormalities in current or previous pregnancy;
  • Known carrier or affected with a genetic disease or condition (e.g. mutation carrier for autosomal recessive diseases);
  • History of or current abuse of drugs, alcohol or other substances;
  • Current smokers and women who smoked during current pregnancy;
  • Any history of hypersensitivity or known allergy to any of the ingredients of the study supplement.

Trial locations and contacts

2 sites in 1 country.

Italy2 sites
  • ASST Fatebenefratelli Sacco

    Milan, Lombardy, 20154

  • ASST Fatebenefratelli Sacco

    Milan, Lombardy, 20157

Other trials in Italy

About this study

Official title: Effects of Multiple Micronutrients and Docosahexaenoic Acid (DHA) Supplementation During Pregnancy on Maternal Biomarkers and Infant Anthropometric Outcomes

The aim of this study is to collect information how adding a soft gel preparation of micronutrients such as vitamins, dietary minerals plus omega-3 fatty acid (docosahexaenoic acid, DHA) to the diet of pregnant women during the 2nd and 3rd trimesters of pregnancy effects the nutritional state of the mother and infants at delivery.

Being tested
Elevit Pregnancy 2nd & 3rd Trimester, Non-Supplement

What participants receive

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

  • Elevit Pregnancy 2nd & 3rd TrimesterDietary supplement

    Also called BAY 987765 Multi-micronutrient & DHA

    Once daily micronutrient plus DHA supplementation (Multi-micronutrients and docosahexaenoic acid (MMS) soft gel capsules)

  • Non-SupplementOther

    Control study group of pregnant women non-supplemented with multi-micronutrients and docosahexaenoic acid (MMS) soft gel capsules

Study groups in NCT04438928
Study groupRoleWhat they receive
Healthy pregnant women - SupplementExperimentalSupplementation with micronutrients plus docosahexaenoic acid (DHA) preparation (Multimicronutrients and docosahexaenoic acid (MMS) soft gel capsules) during 2nd and 3rd trimesters of pregnancy. Subgroup: Healthy pregnant women with Caesarean section [A subset of subjects (approximately 10 subjects per study arm) undergoing elective Caesarean section (for reasons independent from the study)]
Receives: Dietary Supplement: Elevit Pregnancy 2nd & 3rd Trimester
Healthy pregnant women - Non-SupplementOtherControl study group Subgroup: Healthy pregnant women with Caesarean section [A subset of subjects (approximately 10 subjects per study arm) undergoing elective Caesarean section (for reasons independent from the study)]
Receives: Other: Non-Supplement

What is being measured

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

  1. Change from baseline: Blood RBC DHA/wt% TFA

    In order to assess the beneficial effects of supplementation with micronutrients and DHA (docosahexaenoic acid) during 2nd and 3rd trimesters of pregnancy, the red blood cell (RBC) DHA weight percent of total fatty acids (DHA wt% TFA) will be measured compared to baseline as primary maternal variable.

    Gestational age is a measure of the age of a pregnancy which is taken from the beginning of the woman's last menstrual period (LMP), or the corresponding age of the gestation as estimated by a more accurate method if available. Such methods include adding 14 days to a known duration since fertilization (as is possible in in vitro fertilization), or by obstetric ultrasonography. The popularity of using such a definition of gestational age is that menstrual periods are essentially always noticed, while there is usually a lack of a convenient way to discern when fertilization occurred.

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

Secondary outcomes (33)
  1. Change from baseline: Blood RBC EPA/wt% TFA

    Red blood cell (RBC) EPA (eicosapentaenoic acid) weight percent of total fatty acids (DHA wt% TFA).

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  2. Change from baseline: Blood RBC DHA/TFA ratio %

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  3. Change from baseline: Blood RBC Omega 3 index in RBC

    The "omega-3 index" reflects the content of EPA plus DHA in erythrocyte membranes expressed as a percentage of total erythrocyte fatty acids.

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  4. Change from baseline: Blood 25-hydroxyvitamin D concentration %

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  5. Change from baseline: Blood Glutathione (GSH)/oxidized Glutathione (GSSG) ratio %

    Glutathione exists in reduced (GSH) and oxidized (GSSG) states. Reduced glutathione is the most abundant antioxidant in aerobic cells and participates in the detoxification of lipid hydroperoxides and hydrogen peroxide exerted by glutathione peroxidases. When cells are exposes to increased oxidative stress levels, GSSG accumulates and the GSH/GSSG ratio decreases.

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  6. Change from baseline: Blood Reactive oxygen metabolites (ROMs) concentrations %

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  7. Change from baseline: Blood 8-Isoprostane concentration %

    Measured: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36

  8. Infant sex

    Measured: At delivery

  9. Infant gestational age

    Measured: At delivery

  10. Infant head circumference

    Measured: At delivery

  11. Infant weight measurements

    Measured: At delivery

  12. Infant length measurements

    Measured: At delivery

  13. Infant ponderal index

    Measured: At delivery

  14. Infant skinfold thickness

    Triplicate measurements: triceps, biceps, suprailiac, and subscapular on left side with standard skinfold caliper operated with constant pressure of 10 g/mm2)

    Measured: At delivery

  15. Infant Apgar score

    Measured: At delivery

  16. Infant bone density

    Measured: Up to 10 days after delivery

  17. Umbilical cord blood gas analysis

    Cord blood sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  18. Umbilical cord blood pH analysis

    Cord blood sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  19. Cord blood metabolomic analysis

    Cord blood sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  20. Placental weight

    Placenta tissue sample evaluation in a subset of women undergoing caesarean section.

    Placental efficiency will be estimated through the feto/placental weight (F/P) ratio, calculated as birth weight divided by the placental weight.

    Measured: At delivery

  21. Placental biometric parameters

    Placenta tissue sample evaluation in a subset of women undergoing caesarean section.

    i.e. larger (D) and smaller (d) diameters of the chorionic elliptical disc, feto/placental weight (F/P ratio)

    Measured: At delivery

  22. Blood, cord blood and placental RBC DHA/wt% TFA

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  23. Blood, cord blood and placental RBC EPA wt% TFA

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  24. Blood, cord blood and placental DHA/TFA ratio %

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  25. Blood, cord blood and placental RBC Omega 3 index

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  26. Mitochondrial DNA content evaluation in placental tissue and isolated trophoblast cells

    mtDNA is a well-accepted molecular marker to assess mitochondria content.

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  27. IL-6 (Interleukin 6), IL-10 (Interleukin 10) and TNF-α (Tumor Necrosis Factor Alpha) in placental tissue and isolated trophoblast cells

    These genes are constitutively expressed in human placenta and are a reliable marker of inflammation.

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  28. Placental tissue metabolomic analysis

    Sample evaluations in a subset of women undergoing Caesarean section.

    The rationale for conducting metabolomic analysis is to understand if multi-micronutrient supplement (MMS) supplementation during the second and third trimester of pregnancy influences maternal and infant gestational outcomes (e.g. oxidative stress, placental function).

    Measured: At delivery

  29. Blood, cord blood and placental 8-isoprostane

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  30. Blood, cord blood and placental reactive oxygen metabolites (ROMs) concentrations %

    Sample evaluations in a subset of women undergoing Caesarean section.

    Measured: At delivery

  31. Number of Adverse Events (AEs)

    Measured: Within 7 days after Delivery

  32. Severity of AEs

    Measured: Within 7 days after Delivery

  33. AE relationship to the investigational product

    Measured: Within 7 days after Delivery

Timeline

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

  1. First posted19 Jun 2020
  2. Study start27 Sep 2016
  3. Primary completion5 Dec 2019
  4. Study completion5 Dec 2019

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Investigator
Enrolment
164 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04438928
Sponsor's protocol ID
18366
Status last verified
Nov 2020
First submitted
29 May 2020
Last updated
16 Nov 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Parisi F, Mando C, Novielli C, Anelli GM, Cazzola R, Lisso F, Sarno L, Marelli E, Lubrano C, Maria Antonazzo PG, Cetin I. Maternal mid-pregnancy long-chain polyunsaturated fatty acid profile is associated with pregestational body mass index and neonatal anthropometric measures at birth among non-obese pregnancies: results from two Italian multicenter cohorts. Nutr Metab (Lond). 2025 Nov 12;22(1):137. doi: 10.1186/s12986-025-01034-8.

    PubMed 41225593

Questions about this trial

What is this clinical trial studying?

A study testing Elevit Pregnancy 2nd & 3rd Trimester and Non-Supplement in people with Healthy Pregnant Women, run by Bayer at 2 sites in Italy.

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 9 inclusion and 20 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 16 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Italy. 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?

Change from baseline: Blood RBC DHA/wt% TFA (time frame: Baseline: Screening at gestational age (GA) week 11 to 13 and at GA week 24 to 26 and week 34 to 36). 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 NCT04438928, 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 16 Nov 2020.

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