- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01198574
Sub-clinical Inflammation and Iron Supplementation (SCI&Anaemia)
May 15, 2012 updated by: Min Kyaw Htet, Indonesia University
The Role of Sub-clinical Inflammation on the Iron Status of Myanmar Anaemic Adolescent Schoolgirls During Iron and Vitamin A Supplementation
Anemia and vitamin A deficiency (VAD) are major nutritional problems in the world and also in Myanmar.
Both nutrient deficiencies result from interaction of several causal factors, and a better understanding of the etiology to interpret the prevalence and to formulate appropriate measures to reduce these deficiencies is necessary.
There is a growing concern on the role of sub-clinical inflammation on the nutritional status indicators during the nutritional status assessment.
However, there is lack of information on the role of inflammation on the iron supplementation.
The adolescent period is a window of opportunity to improve the preconceptional iron status of the girls and recently gained much attention.
The purpose of the study is to understand the role of inflammation on iron and vitamin A status during iron and vitamin A supplementation.
The findings will show the extent to which iron supplementation has been hampered by inflammation and to formulate the necessary measures to overcome the interference.
Study Overview
Status
Completed
Conditions
Study Type
Interventional
Enrollment (Actual)
402
Phase
- Phase 3
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Irrawaddy Division
-
Pathein, Irrawaddy Division, Myanmar
- Nyaung Done Township
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
12 years to 19 years (Child, Adult)
Accepts Healthy Volunteers
Yes
Genders Eligible for Study
Female
Description
Inclusion Criteria:
- adolescent girls (age 12-19 years)
- already experienced menarche
- anemic girls (Hb<120 g/L)
- no known illness (apparently healthy)
- free from haemoglobinopathy
- No regular consumption of iron and vitamin A supplement during the last 3 months
Exclusion Criteria:
- subjects with chronic illness
- subjects with severe anaemia
- who do not give the consents
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Iron group
|
Ferrous fumarate, 60 mg, weekly dose
Other Names:
|
Experimental: Vitamin A group
|
Retinol, weekly dose, 15,000 IU
Other Names:
|
Experimental: Iron and Vitamin A group
|
Ferrous fumarate, Retinol combination group, weekly dose
Other Names:
|
Experimental: Placebo group
Placebo group with folic acid
|
folic acid only as placebo group
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Haemoglobin Level
Time Frame: at week 0, week 6 and week12
|
Haemoglobin level (g/L) measured by cyanmethaemoglobin method
|
at week 0, week 6 and week12
|
Status of Tissue Iron Store
Time Frame: at week 0, week 6 and week12
|
Tissue iron store was measured by serum ferritin
|
at week 0, week 6 and week12
|
Status of Cellular Iron Deficiency
Time Frame: at week 0, week 6 and week12
|
Cellular Iron deficiency status is also measured by serum transferrin receptor
|
at week 0, week 6 and week12
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Collaborators
Investigators
- Principal Investigator: Min Kyaw Htet, PhD, (1) South East Asian Ministers of Education Organization, Regional Center for Food and Nutrition, University of Indonesia, (2) Ministry of Health, Myanmar
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Thurnham DI, McCabe LD, Haldar S, Wieringa FT, Northrop-Clewes CA, McCabe GP. Adjusting plasma ferritin concentrations to remove the effects of subclinical inflammation in the assessment of iron deficiency: a meta-analysis. Am J Clin Nutr. 2010 Sep;92(3):546-55. doi: 10.3945/ajcn.2010.29284. Epub 2010 Jul 7.
- Mburu AS, Thurnham DI, Mwaniki DL, Muniu EM, Alumasa F, de Wagt A. The influence and benefits of controlling for inflammation on plasma ferritin and hemoglobin responses following a multi-micronutrient supplement in apparently healthy, HIV+ Kenyan adults. J Nutr. 2008 Mar;138(3):613-9. doi: 10.1093/jn/138.3.613.
- Thurnham DI, Mburu AS, Mwaniki DL, Muniu EM, Alumasa F, de Wagt A. Using plasma acute-phase protein concentrations to interpret nutritional biomarkers in apparently healthy HIV-1-seropositive Kenyan adults. Br J Nutr. 2008 Jul;100(1):174-82. doi: 10.1017/S0007114507883012. Epub 2008 Jan 4.
- Thurnham DI, Mburu AS, Mwaniki DL, De Wagt A. Micronutrients in childhood and the influence of subclinical inflammation. Proc Nutr Soc. 2005 Nov;64(4):502-9. doi: 10.1079/pns2005468.
- Thurnham DI. Vitamin A, iron, and haemopoiesis. Lancet. 1993 Nov 27;342(8883):1312-3. doi: 10.1016/0140-6736(93)92239-p. No abstract available.
- Angeles-Agdeppa I, Schultink W, Sastroamidjojo S, Gross R, Karyadi D. Weekly micronutrient supplementation to build iron stores in female Indonesian adolescents. Am J Clin Nutr. 1997 Jul;66(1):177-83. doi: 10.1093/ajcn/66.1.177.
- Tee ES, Kandiah M, Awin N, Chong SM, Satgunasingam N, Kamarudin L, Milani S, Dugdale AE, Viteri FE. School-administered weekly iron-folate supplements improve hemoglobin and ferritin concentrations in Malaysian adolescent girls. Am J Clin Nutr. 1999 Jun;69(6):1249-56. doi: 10.1093/ajcn/69.6.1249.
- Htet MK, Fahmida U, Dillon D, Akib A, Utomo B, Thurnham DI. The influence of vitamin A status on iron-deficiency anaemia in anaemic adolescent schoolgirls in Myanmar. Public Health Nutr. 2014 Oct;17(10):2325-32. doi: 10.1017/S1368980013002723. Epub 2013 Oct 16.
- Htet MK, Dillon D, Akib A, Utomo B, Fahmida U, Thurnham DI. Microcytic anaemia predominates in adolescent school girls in the delta region of Myanmar. Asia Pac J Clin Nutr. 2012;21(3):411-5.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
July 1, 2010
Primary Completion (Actual)
December 1, 2010
Study Completion (Actual)
December 1, 2010
Study Registration Dates
First Submitted
September 8, 2010
First Submitted That Met QC Criteria
September 9, 2010
First Posted (Estimate)
September 10, 2010
Study Record Updates
Last Update Posted (Estimate)
May 22, 2012
Last Update Submitted That Met QC Criteria
May 15, 2012
Last Verified
May 1, 2012
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Inflammation
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Antineoplastic Agents
- Protective Agents
- Trace Elements
- Micronutrients
- Antioxidants
- Vitamin B Complex
- Hematinics
- Anticarcinogenic Agents
- Vitamins
- Folic Acid
- Iron
- Vitamin A
- Retinol palmitate
Other Study ID Numbers
- SCIVA
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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