- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02280330
Iodine Status of Preschoolers Given Micronutrient Powder for 6 Months (MNP-CAR)
Iodine Intake & Status of Preschoolers Given Micronutrient Powder for 6 Months
Study Overview
Status
Intervention / Treatment
Detailed Description
Iodine is an essential trace element for normal growth and development in animals and man (Hetzel, 1989). When iodine requirements are not met, thyroid hormone synthesis is impaired resulting in hypothyroidism and a series of functional and development abnormalities called iodine deficiency disorders or IDD develop (WHO, 2007).
WHO estimated that two billion people worldwide, including 1/3 of school-age children (de Benoist et al. cited by Zimmerman, 2011) suffer from iodine deficiency. Evidence is lacking as to whether schoolchildren are good proxy for other groups such as young children (Sullivam, 2010). In the Philippines, no data exists on the iodine status of preschool children.
One recent approach for improving the vitamin and mineral status of the population is the use of micronutrient powder which contains 15 vitamins and minerals including iodine (HF-TAG 2011). While the MNP has been found effective to improve iron status, its effectiveness in improving iodine status has yet to be studied. Further, the provision of iodine through MNPs as well as the combined impact of salt iodization and use of MNPs, warrant investigation. It would also be of interest to generate data on the knowledge, attitude and practices of their parents or other caregiver who primarily take care of planning and provision of food for the family on iodine, iodized salt and MNP.
Day care centers (DCC) are chosen as the site of the study considering their conduct of 120-days supplementary feeding yearly and the organized structure presents a better compliance and easier monitoring of use. Further, the day care pupils, more or less, represent the preschoolers in the barangay and there may be commonality (homogeneity) of the children in age and other characteristics.
In the absence of guidelines for MNP use among children 24 months or older, the existing guidelines such as 60 sachets in 6 months as stipulated in DOH AO 2011-0303 will be followed.
Study Type
Enrollment (Actual)
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
Benguet
-
La Trinidad, Benguet, Philippines, 2601
- La Trinidad Benguet Day Care Centers
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- apparently healthy
- permanent resident in the barangay or municipality
- 4-6 years old
- with informed written parental consent
- whose mothers are willing to devote time for the survey
Exclusion Criteria:
- severely underweight
- with obvious clinical problem like goiter, congenital heart disease
- with plans of transferring residence outside the municipality within the next 6 months
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Triple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: MNP group
The MNP group will receive 60 sachets of MNP in a period of 6 months or 10 sachets per month equivalent to 3-4 sachets in a week.
|
MNP contains 15 vitamins an minerals, including Vitamin ADEC, B1, B2, B6, B12, Niacin, Folic Acid, Iron, Zine, Copper, Selenium and Iodine.
There is 90 microgram of iodine per sachet of one gram of MNP.
Other Names:
|
Placebo Comparator: Placebo group
The placebo group will receive 60 sachets of placebo (with same characteristics) as the MNP or 10 sachets per month equivalent to 3-4 sachets in a week.
|
The placebo is maltodextrin which is prepared as a white powder with similar physical characteristics and taste as MNP.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Iodine status based on urinary iodine measures
Time Frame: 6 months
|
6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in growth as indicated by anthropometric parameters such as weight for age and height for age
Time Frame: 6 months
|
6 months
|
|
Levels of iodine intake
Time Frame: 6 months
|
6 months
|
|
Association of child characteristics with iodine intake
Time Frame: 6 months
|
Child characteristics include age, birth order, common illnesses
|
6 months
|
Association of mother/caregiver characteristics with iodine intake
Time Frame: 6 months
|
Mother / Caregiver information includes age, religion, ethnic tribe, educational attainment, occupation and economic role in the family
|
6 months
|
Association of household characteristics with iodine intake
Time Frame: 6 months
|
Household information includes status of residence, length of residence, type of residence, nature of living arrangement, source of drinking water, household number, main source of income and estimated family income
|
6 months
|
Association of environmental sanitation with iodine intake
Time Frame: 6 months
|
Environmental sanitation includes garbage disposal, drinking water, house premise, handwashing
|
6 months
|
Likability of a communication material on the knowledge of the mothers/caregivers regarding iodine, iodized salt and micronutrient powder
Time Frame: 6 months
|
Included here is a survey on preference of communication material, preferred size, color and topic for Iodine, Iodized salt and micronutrient powder
|
6 months
|
Collaborators and Investigators
Investigators
- Principal Investigator: Imelda O Degay, University of the Philippines Los Banos
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- NCP-RPU-2014-0001
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.
Clinical Trials on Hypothyroidism
-
Kerman University of Medical SciencesCompletedPrediction Hypothyroidism Patients Using Machine Learning Algorithms | Identification of Important Symptoms of HypothyroidismIran, Islamic Republic of
-
University Hospital DubravaRecruitingHypothyroidism PrimaryCroatia
-
VA Office of Research and DevelopmentCentral Arkansas Veterans Healthcare SystemCompletedSubclinical HypothyroidismUnited States
-
University of Colorado, DenverCharite University, Berlin, GermanyTerminatedHypothyroidism | Postsurgical HypothyroidismUnited States
-
AbbottDimension ResearchCompletedSubclinical HypothyroidismPakistan
-
Assaf-Harofeh Medical CenterCompleted
-
HaEmek Medical Center, IsraelUniversity of Zurich; University of PalermoTerminated
-
Fondazione IRCCS Istituto Nazionale dei Tumori,...RecruitingHypothyroidism; IrradiationItaly
-
Cooperativas Lacteas UnidasGalician South Health Research InstituteNot yet recruitingSubclinical HypothyroidismSpain
Clinical Trials on MNP group
-
Synchron Medical, Inc.Active, not recruitingParalysis | Amyotrophic Lateral Sclerosis | Muscular Dystrophies | Spinal Cord Injuries | Neurologic Disorder | Spinal Muscular Atrophy | Cervical Spinal Cord Injury | Stroke, Lacunar | Paralysis; Stroke | Stroke Brainstem | Tetraplegic; Paralysis | Quadriplegia/TetraplegiaUnited States
-
University of Colorado, DenverNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK); International... and other collaboratorsCompletedMicronutrient DeficienciesUnited States, Kenya
-
University of Colorado, DenverInternational Centre for Diarrhoeal Disease Research, BangladeshCompletedEnvironmental Enteric Dysfunction | Zinc DeficiencyUnited States, Bangladesh
-
Micron Biomedical, IncMedical Research Council; Centers for Disease Control and PreventionCompletedHealthy | Measles | Rubella | VaccinationGambia
-
International Food Policy Research InstituteUNICEF; Association Sahélienne de Recherches Appliquées pour le Développement... and other collaboratorsCompletedWasting | Acute Malnutrition in ChildhoodChad
-
Medecins Sans Frontieres, SpainCompletedChild Malnutrition | Infant MorbidityUganda
-
Medecins Sans Frontieres, NetherlandsCompletedMalnutrition | Malaria | Lower Respiratory Tract Infection | DiarrhoeaNigeria
-
Institut de Recherche en Sciences de la Sante,...Institute of Tropical Medicine, Belgium; Micronutrient Initiative; Terre des...CompletedGrowth Failure | Good Infant and Young Child Feeding PracticesBurkina Faso
-
Swiss Federal Institute of TechnologyGlobal Alliance for Improved Nutrition; UNICEFWithdrawnIodine Deficiency Disorders
-
Helen Keller InternationalUniversity of California, DavisCompleted