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Iron AbsorptionSAMINCT07315295

Maximizing the Benefits of Iron in Ready-to-Use Therapeutic Foods for Malnourished Children in Kenya

A study testing Iron absorption from RUTF on Day 0, Treatment with RUTF for 80 days and Iron absorption from RUTF on Day 20 in people with Iron Absorption and Iron Deficiencies, run by ETH Zurich at 2 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record

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Trial summary

Reports from the Kenya Red Cross Society (KRCS) in Kwale County, southern Kenya, indicate a limited impact of Ready-to-Use Therapeutic Foods (RUTFs) on malnutrition or anemia. The current RUTF formulation may have an excessively high iron content. Read more about this study

Who is it for?
Ages 12 to 54 monthsHealthy volunteers can take part
What is being tested?
Iron absorption from RUTF on Day 0, Treatment with RUTF for 80 days and Iron absorption from RUTF on Day 20
Could I receive a placebo?
No, everyone receives an active treatment
How many people
68 participants
Where
2 sitesin 2 countries
Study dates
23 Dec 2025to 30 Jun 2026
Phase
Interventional

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 12 to 54 months
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • malnourished children:
  • severe acute malnutrition (SAM): WHZ < -3.0
  • moderate acute malnutrition (MAM): WHZ < -2.0 a
  • treated as outpatients (no acute medical conditions and a positive appetite test)
  • healthy children:
  • healthy: HAZ, WAZ and WHZ = 0

Who cannot join

  • Hemoglobin ≤7 g/dL
  • Presence of acute medical conditions requiring inpatient management

Trial locations and contacts

2 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

Suzane Nyilima, MSc contact

+254702836210

suzane.nyilima@gmail.com

2 sites in 2 countries

Kenya1 site, 1 recruiting
  • ETH/Oxford/JKUAT research facility

    Msambweni, Kwale County

    Suzane Nyilima, +254702836210, suzane.nyilima@gmail.com

    Recruiting

Other trials in Kenya

Switzerland1 site, 1 recruiting
  • ETH Zurich, Laboratory of Clinical Biopharmacy, Zurich, 8092

    Zurich, 8006

    Prof. Dr. Stoffel, +41 44 632 83 93, nicole.stoffel@pharma.ethz.ch

    Not yet recruiting

Other trials in Switzerland

About this study

Official title: Maximizing the Benefits of Iron in Ready-to-use Therapeutic Foods for Malnourished Children in Kenya

Reports from the Kenya Red Cross Society (KRCS) in Kwale County, southern Kenya, indicate a limited impact of Ready-to-Use Therapeutic Foods (RUTFs) on malnutrition or anemia. The current RUTF formulation may have an excessively high iron content. In severely acutely malnourished (SAM) children, iron cannot be properly absorbed, leading to life-threatening diarrhea. The overall aim of this project is to develop an improved RUTF treatment that addresses acute malnutrition and anemia in children, ensuring both safety and efficacy. Specifically, to assess the impact of malnutrition on fractional iron absorption (FIA) from RUTFs in children, by comparing healthy children to those with acute malnutrition and by tracking changes in FIA in malnourished children over the course of treatment.

Being tested
Iron absorption from RUTF on Day 0, Treatment with RUTF for 80 days, Iron absorption from RUTF on Day 20, Iron absorption from RUTF on Day 40, Iron absorption from RUTF on Day 60
Keywords
Ready to use therapeutic foods (RUFTs), Severe acute malnutrition (SAM), Stable isotopes, Iron bioavailability
Medical subject headings
Iron Deficiencies, Child Nutrition Disorders, Anemia, Severe Acute Malnutrition

What participants receive

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

  • Iron absorption from RUTF on Day 0Other

    RUFT with 57Fe

  • Treatment with RUTF for 80 daysDietary supplement

    Daily RUTF intake

  • Iron absorption from RUTF on Day 20Other

    RUFT with 57Fe

  • Iron absorption from RUTF on Day 40Other

    RUFT with 57Fe

  • Iron absorption from RUTF on Day 60Other

    RUFT with 57Fe

Study groups in NCT07315295
Study groupRoleWhat they receive
Healthy childrenActive comparatorHealthy children
Receives: Other: Iron absorption from RUTF on Day 0
Children with MAM/SAMExperimentalchildren with moderate or severe acute malnutrition
Receives: Other: Iron absorption from RUTF on Day 0; Dietary Supplement: Treatment with RUTF for 80 days; Other: Iron absorption from RUTF on Day 20; Other: Iron absorption from RUTF on Day 40; Other: Iron absorption from RUTF on Day 60

What is being measured

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

  1. Fractional Iron Absorption

    Measured: Day 0

  2. Fractional Iron Absorption

    Measured: Day 20

  3. Fractional Iron Absorption

    Measured: Day 40

  4. Fractional Iron Absorption

    Measured: Day 60

Secondary outcomes (29)
  1. Hemoglobin

    Iron status parameter

    Measured: Day 0

  2. Hemoglobin

    Iron status parameter

    Measured: Day 20

  3. Hemoglobin

    Iron status parameter

    Measured: Day 40

  4. Hemoglobin

    Iron status parameter

    Measured: Day 60

  5. Hemoglobin

    Iron status parameter

    Measured: Day 80

  6. Serum ferritin

    Iron status parameter

    Measured: Day 0

  7. Serum Ferritin

    Iron status parameter

    Measured: Day 20

  8. Serum Ferritin

    Iron status parameter

    Measured: Day 40

  9. Serum Ferritin

    Iron status parameter

    Measured: Day 60

  10. soluble transferrin receptor

    Iron status parameter

    Measured: Day 0

  11. soluble transferrin receptor

    Iron status parameter

    Measured: Day 20

  12. soluble transferrin receptor

    Iron status parameter

    Measured: Day 40

  13. soluble transferrin receptor

    Iron status parameter

    Measured: Day 60

  14. C-reactive protein

    inflammation status parameter

    Measured: Day 0

  15. C-reactive protein

    inflammation status parameter

    Measured: Day 20

  16. C-reactive protein

    inflammation status parameter

    Measured: Day 40

  17. C-reactive protein

    inflammation status parameter

    Measured: Day 60

  18. α₁-acid glycoprotein

    inflammation status parameter

    Measured: Day 0

  19. α₁-acid glycoprotein

    inflammation status parameter

    Measured: Day 20

  20. α₁-acid glycoprotein

    inflammation status parameter

    Measured: Day 40

  21. α₁-acid glycoprotein

    inflammation status parameter

    Measured: Day 60

  22. body weight

    Measured: Day 0

  23. body weight

    Measured: Day 20

  24. body weight

    Measured: Day 40

  25. body weight

    Measured: Day 60

  26. body height

    Measured: Day 0

  27. body height

    Measured: Day 20

  28. body height

    Measured: Day 40

  29. body height

    Measured: Day 60

Timeline

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

  1. First posted2 Jan 2026
  2. Study start23 Dec 2025 (estimated)
  3. Primary completion30 Jun 2026 (estimated)
  4. Study completion30 Jun 2026 (estimated)

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
Parallel groups
Masking
None (open label)
Enrolment
68 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07315295
Sponsor's protocol ID
SAMI
Acronym
SAMI
Status last verified
Dec 2025
First submitted
18 Dec 2025
Last updated
2 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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