Iron Deficiency (Without Anemia)LOBSTERNCT07394972
Absorption of Iron From Stabilized Lactoferrin: A Study in Women With Iron Deficiency
A study testing FeSO4 + meal-matrix, FeSO4 + native LF + meal-matrix and FeSO4 + NaCas-LF + meal-matrix in people with Iron Deficiency (Without Anemia), run by Nicole Stoffel at 1 site in Switzerland.
Trial summary
Lactoferrin (LF) is a natural iron-binding protein found in milk. It exists either in an iron-free state (apo-LF) or bound to iron (holo-LF). Whether LF binds iron to facilitate its absorption and/or to sequester iron from potential enteropathogens remains uncertain. Read more about this study
- Who is it for?
- Ages 18 to 45 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Iron Deficiency (Without Anemia)
- What is being tested?
- FeSO4 + meal-matrix, FeSO4 + native LF + meal-matrix and FeSO4 + NaCas-LF + meal-matrix
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- 1 siteSwitzerland
- Study dates
- 2 Mar 2026to Feb 2027
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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
- Healthy volunteers accepted
- Adult
Who may be able to join
- Serum ferritin < 45 µg/L (iron depleted)
- Body weight < 70 kg
- Body mass index 18,5 - 24,9 kg/m2 (normal weight)
- Hemoglobin (Hb) > 120 g/L (nonanemic)
- C-reactive protein (CRP) < 5 mg/L (no inflammation)
Who cannot join
- Pregnant or lactating
- Strictly vegan
- Cigarette smoking (> 1 cigarette / week)
- Gastrointestinal or metabolic disorders affecting iron absorption or metabolism
- Use of medication known to affect iron metabolism (oral contraceptives are allowed)
- Intake of vitamin and mineral supplements in the 2 weeks before study start and during the study
Show all 9Show fewer
- Blood transfusion, blood donation, or significant blood loss during the previous 4 months
- once enrolled, inability to follow study procedures or major illness
- Participation in another study with investigational drug within the 30 days preceding and during the present study
Trial locations and contacts
1 site in 1 country.
Switzerland1 site
ETH Zurich, Laboratory of Clinical Biopharmacy
Zurich, 8092
About this study
Official title: Iron Absorption From Stabilized Lactoferrin: An Experimental Study in Iron Deficient Women (LOBSTER)
Lactoferrin (LF) is a natural iron-binding protein found in milk. It exists either in an iron-free state (apo-LF) or bound to iron (holo-LF). Whether LF binds iron to facilitate its absorption and/or to sequester iron from potential enteropathogens remains uncertain. However, while LF is a promising tool for treating iron deficiency, it is sensitive to heat during food processing and to the acidic environment of the human stomach. This degradation often causes LF to lose its functional properties before it can promote iron absorption effectively.
This study aims to evaluate whether encapsulating apo-LF (either alone or in combination with iron) can protect LF from digestion and enhance iron absorption. Using a randomized, crossover design, different encapsulation methods will be compared to determine which results in the highest iron absorption in women with iron deficiency.
All test compounds will be labeled with stable iron isotopes. Participants will consume the labeled compounds with a test meal or water in a randomized order, allowing for within subject comparisons. Fractional iron absorption will be measured 17 days after administration via the incorporation of labeled iron into red blood cells.
- Conditions
- Iron Deficiency (Without Anemia)
- Being tested
- FeSO4 + meal-matrix, FeSO4 + native LF + meal-matrix, FeSO4 + NaCas-LF + meal-matrix, NaCas-LF-Fe + meal-matrix, FeSO4 + LMP-LF + meal-matrix
- Keywords
- Lactoferrin, Iron Deficiency, Iron Absorption, Iron Fortification, Stable Iron Isotopes, Dietary Supplements, Iron Bioavailability
- Medical subject headings
- Iron Deficiencies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
FeSO4 + meal-matrixOther
Maize porridge with labelled ferrous sulfate (58Fe)
FeSO4 + native LF + meal-matrixOther
Maize porridge with labelled ferrous sulfate (58Fe) and lactoferrin
FeSO4 + NaCas-LF + meal-matrixOther
Maize porridge with labelled ferrous sulfate (57Fe) and in sodium caseinate encapsulated lactoferrin
NaCas-LF-Fe + meal-matrixOther
Maize porridge with sodium caseinate-lactoferrin-Fe (intrinsically labeled with iron isotope 54)
FeSO4 + LMP-LF + meal-matrixOther
Maize porridge with labelled ferrous sulfate (54Fe) and low methoxy pectin lactoferrin
LMP-LF-Fe + meal-matrixOther
Maize porridge with low methoxy pectin-lactoferrin-Fe (intrinsically labelled with iron isotope 57)
NaCas-LF-Fe + waterOther
Water with sodium caseinate-lactoferrin-Fe (intrinsically labelled with iron isotope 54Fe)
LMP-LF-Fe + waterOther
Water with low methoxy pectin-lactoferrin-Fe (intrinsically labelled with iron isotope 57Fe)
FeSO4 + waterOther
Water with ferrous sulfate (labelled with iron isotope 58Fe)
| Study group | Role | What they receive |
|---|---|---|
| Ferrous sulfate + inhibitory meal | Active comparator | 4 mg of iron (58Fe) as ferrous sulfate + inhibitory meal Receives: Other: FeSO4 + meal-matrix |
| Ferrous sulfate + native LF + inhibitory meal | Active comparator | 4 mg iron (58Fe) as ferrous sulfate + native LF + inhibitory meal Receives: Other: FeSO4 + native LF + meal-matrix |
| Ferrous sulfate + encapsulated LF (sodium caseinate) + inhibitory meal | Experimental | 4 mg iron (57Fe) as ferrous sulfate + sodium caseinate-LF + inhibitory meal Receives: Other: FeSO4 + NaCas-LF + meal-matrix |
| Encapsulated LF-Fe (Sodium caseinate) + inhibitory meal | Experimental | 4 mg of iron (54Fe) encapsulated with LF in sodium caseinate + inhibitory meal Receives: Other: NaCas-LF-Fe + meal-matrix |
| Ferrous sulfate + encapsulated LF (low methoxy pectin) + inhibitory meal | Experimental | 4 mg of iron (54Fe) as ferrous sulfate + low methoxy pectin-LF + inhibitory meal Receives: Other: FeSO4 + LMP-LF + meal-matrix |
| Encapsulated LF-Fe (low methoxy pectin) + inhibitory meal | Experimental | 4 mg of iron (57Fe) encapsulated with LF in low methoxy pectin + inhibitory meal Receives: Other: LMP-LF-Fe + meal-matrix |
| Encapsulated LF-Fe (sodium caseinate) + water | Experimental | 100 mg of iron encapsulated with LF in sodium caseinate + water Receives: Other: NaCas-LF-Fe + water |
| Encapsulated LF-Fe (low methoxy pectin) + water | Experimental | 100 mg of iron encapsulated with LF in low methoxy pectin + water Receives: Other: LMP-LF-Fe + water |
| Ferrous sulfate + water | Active comparator | 100 mg of iron as ferrous sulfate + water Receives: Other: FeSO4 + water |
What is being measured
The primary outcome is the main question the study is designed to answer.
Fractional iron absorption (%)
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to baseline.
Measured: Day 22
Fractional iron absorption (%)
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to day 22.
Measured: Day 43
Fractional iron absorption (%)
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to day 43.
Measured: Day 64
Secondary outcomes (16)
Hemoglobin (g/dL)
Iron status marker
Measured: Day 1
Hemoglobin (g/dL)
Iron status marker
Measured: Day 22
Hemoglobin (g/dL)
Iron status marker
Measured: Day 43
Hemoglobin (g/dL)
Iron status marker
Measured: Day 64
Serum Ferritin (µg/L)
Iron status marker
Measured: Day 1
Serum Ferritin (µg/L)
Iron status marker
Measured: Day 22
Serum Ferritin (µg/L)
Iron status marker
Measured: Day 43
soluble Transferrin Receptor (mg/L)
Iron status marker
Measured: Day 1
soluble Transferrin Receptor (mg/L)
Iron status marker
Measured: Day 22
soluble Transferrin Receptor (mg/L)
Iron status marker
Measured: Day 43
C-reactive protein (mg/L)
Chronic inflammation marker
Measured: Day 1
C-reactive protein (mg/L)
Chronic inflammation marker
Measured: Day 22
C-reactive protein (mg/L)
Chronic inflammation marker
Measured: Day 43
Alpha-1-acid Glycoprotein (g/L)
Acute inflammation marker
Measured: Day 1
Alpha-1-acid Glycoprotein (g/L)
Acute inflammation marker
Measured: Day 22
Alpha-1-acid Glycoprotein (g/L)
Acute inflammation marker
Measured: Day 43
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Feb 2026
- Study start2 Mar 2026
- Primary completionDec 2026 (estimated)
- Study completionFeb 2027 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Iron Deficiency (Without Anemia)Studies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Nicole Stoffel
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Nicole Stoffel, ETH Zurich
- Investigators
- Nicole Ursula Stoffel, Prof., Principal investigator, ETH Zurich
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07394972
- Sponsor's protocol ID
- LOBSTER
- Acronym
- LOBSTER
- Status last verified
- Feb 2026
- First submitted
- 31 Jan 2026
- Last updated
- 3 Nov 2026
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 3 Nov 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Iron Absorption From Stabilized Lactoferrin: An Experimental Study in Iron Deficient Women (LOBSTER)
- ClinicalTrials.gov ID
- NCT07394972
- Acronym / sponsor ID
- LOBSTER / LOBSTER
- Conditions
- Iron Deficiency (Without Anemia)
- Keywords
- Lactoferrin, Iron Deficiency, Iron Absorption, Iron Fortification, Stable Iron Isotopes, Dietary Supplements, Iron Bioavailability
- Study type
- Interventional
- Recruitment status
- Active, not recruiting
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- Nicole StoffelUniversity, hospital or other
- Study start
- 2 Mar 2026 (actual)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Feb 2027 (estimated)
- First posted
- 6 Feb 2026 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Lactoferrin (LF) is a natural iron-binding protein found in milk. It exists either in an iron-free state (apo-LF) or bound to iron (holo-LF). Whether LF binds iron to facilitate its absorption and/or to sequester iron from potential enteropathogens remains uncertain. However, while LF is a promising tool for treating iron deficiency, it is sensitive to heat during food processing and to the acidic environment of the human stomach. This degradation often causes LF to lose its functional properties before it can promote iron absorption effectively.
This study aims to evaluate whether encapsulating apo-LF (either alone or in combination with iron) can protect LF from digestion and enhance iron absorption. Using a randomized, crossover design, different encapsulation methods will be compared to determine which results in the highest iron absorption in women with iron deficiency.
All test compounds will be labeled with stable iron isotopes. Participants will consume the labeled compounds with a test meal or water in a randomized order, allowing for within subject comparisons. Fractional iron absorption will be measured 17 days after administration via the incorporation of labeled iron into red blood cells.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Crossover
- Masking
- Single blind (participant)
- Number of arms
- 9
| Arm | Type | Receives |
|---|---|---|
| Ferrous sulfate + inhibitory meal | Active comparator | Other: FeSO4 + meal-matrix4 mg of iron (58Fe) as ferrous sulfate + inhibitory meal |
| Ferrous sulfate + native LF + inhibitory meal | Active comparator | Other: FeSO4 + native LF + meal-matrix4 mg iron (58Fe) as ferrous sulfate + native LF + inhibitory meal |
| Ferrous sulfate + encapsulated LF (sodium caseinate) + inhibitory meal | Experimental | Other: FeSO4 + NaCas-LF + meal-matrix4 mg iron (57Fe) as ferrous sulfate + sodium caseinate-LF + inhibitory meal |
| Encapsulated LF-Fe (Sodium caseinate) + inhibitory meal | Experimental | Other: NaCas-LF-Fe + meal-matrix4 mg of iron (54Fe) encapsulated with LF in sodium caseinate + inhibitory meal |
| Ferrous sulfate + encapsulated LF (low methoxy pectin) + inhibitory meal | Experimental | Other: FeSO4 + LMP-LF + meal-matrix4 mg of iron (54Fe) as ferrous sulfate + low methoxy pectin-LF + inhibitory meal |
| Encapsulated LF-Fe (low methoxy pectin) + inhibitory meal | Experimental | Other: LMP-LF-Fe + meal-matrix4 mg of iron (57Fe) encapsulated with LF in low methoxy pectin + inhibitory meal |
| Encapsulated LF-Fe (sodium caseinate) + water | Experimental | Other: NaCas-LF-Fe + water100 mg of iron encapsulated with LF in sodium caseinate + water |
| Encapsulated LF-Fe (low methoxy pectin) + water | Experimental | Other: LMP-LF-Fe + water100 mg of iron encapsulated with LF in low methoxy pectin + water |
| Ferrous sulfate + water | Active comparator | Other: FeSO4 + water100 mg of iron as ferrous sulfate + water |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Serum ferritin < 45 µg/L (iron depleted)
- Body weight < 70 kg
- Body mass index 18,5 - 24,9 kg/m2 (normal weight)
- Hemoglobin (Hb) > 120 g/L (nonanemic)
- C-reactive protein (CRP) < 5 mg/L (no inflammation)
Key exclusion criteria (9 listed)
- Pregnant or lactating
- Strictly vegan
- Cigarette smoking (> 1 cigarette / week)
- Gastrointestinal or metabolic disorders affecting iron absorption or metabolism
- Use of medication known to affect iron metabolism (oral contraceptives are allowed)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| FeSO4 + meal-matrixMaize porridge with labelled ferrous sulfate (58Fe) | Other | Ferrous sulfate + inhibitory meal |
| FeSO4 + native LF + meal-matrixMaize porridge with labelled ferrous sulfate (58Fe) and lactoferrin | Other | Ferrous sulfate + native LF + inhibitory meal |
| FeSO4 + NaCas-LF + meal-matrixMaize porridge with labelled ferrous sulfate (57Fe) and in sodium caseinate encapsulated lactoferrin | Other | Ferrous sulfate + encapsulated LF (sodium caseinate) + inhibitory meal |
| NaCas-LF-Fe + meal-matrixMaize porridge with sodium caseinate-lactoferrin-Fe (intrinsically labeled with iron isotope 54) | Other | Encapsulated LF-Fe (Sodium caseinate) + inhibitory meal |
| FeSO4 + LMP-LF + meal-matrixMaize porridge with labelled ferrous sulfate (54Fe) and low methoxy pectin lactoferrin | Other | Ferrous sulfate + encapsulated LF (low methoxy pectin) + inhibitory meal |
| LMP-LF-Fe + meal-matrixMaize porridge with low methoxy pectin-lactoferrin-Fe (intrinsically labelled with iron isotope 57) | Other | Encapsulated LF-Fe (low methoxy pectin) + inhibitory meal |
| NaCas-LF-Fe + waterWater with sodium caseinate-lactoferrin-Fe (intrinsically labelled with iron isotope 54Fe) | Other | Encapsulated LF-Fe (sodium caseinate) + water |
| LMP-LF-Fe + waterWater with low methoxy pectin-lactoferrin-Fe (intrinsically labelled with iron isotope 57Fe) | Other | Encapsulated LF-Fe (low methoxy pectin) + water |
| FeSO4 + waterWater with ferrous sulfate (labelled with iron isotope 58Fe) | Other | Ferrous sulfate + water |
Primary outcome
Fractional iron absorption (%)
Time frame: Day 22
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to baseline.
Fractional iron absorption (%)
Time frame: Day 43
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to day 22.
Fractional iron absorption (%)
Time frame: Day 64
Fractional iron absorption calculated as the percentage of the administered labelled iron dose incorporated into red blood cells. The calculation is based on the measured shift in iron isotope ratios in blood samples collected 17 days after intake compared to day 43.
16 secondary outcomes
Hemoglobin (g/dL)
Time frame: Day 1
Hemoglobin (g/dL)
Time frame: Day 22
Hemoglobin (g/dL)
Time frame: Day 43
Hemoglobin (g/dL)
Time frame: Day 64
Serum Ferritin (µg/L)
Time frame: Day 1
Serum Ferritin (µg/L)
Time frame: Day 22
Serum Ferritin (µg/L)
Time frame: Day 43
soluble Transferrin Receptor (mg/L)
Time frame: Day 1
soluble Transferrin Receptor (mg/L)
Time frame: Day 22
soluble Transferrin Receptor (mg/L)
Time frame: Day 43
C-reactive protein (mg/L)
Time frame: Day 1
C-reactive protein (mg/L)
Time frame: Day 22
C-reactive protein (mg/L)
Time frame: Day 43
Alpha-1-acid Glycoprotein (g/L)
Time frame: Day 1
Alpha-1-acid Glycoprotein (g/L)
Time frame: Day 22
Alpha-1-acid Glycoprotein (g/L)
Time frame: Day 43
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 3 Nov 2026.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Nicole Ursula Stoffel, Prof. principal investigator
ETH Zurich
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing FeSO4 + meal-matrix, FeSO4 + native LF + meal-matrix and FeSO4 + NaCas-LF + meal-matrix in people with Iron Deficiency (Without Anemia), run by Nicole Stoffel at 1 site in Switzerland.
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 5 inclusion and 9 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: under way, not looking for participants, as of the sponsor's last update on 3 Nov 2026. 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 Switzerland. 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?
This study is still under way. Results are not available in the source record yet.
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 (%) (time frame: Day 22). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 3 Nov 2026.