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Lactoferrin Versus Ferrous Fumarate for Treatment of Mild to Moderate Iron Deficiency Anemia During Pregnancy

Primary Purpose

Iron Deficiency Anemia of Pregnancy

Status
Unknown status
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
Lactoferrin and ferrous fumarate
Sponsored by
Assiut University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Iron Deficiency Anemia of Pregnancy

Eligibility Criteria

16 Years - 45 Years (Child, Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • Pregnant women from 24-36 weeks of gestation.
  • Mild to moderate anemia.

Exclusion Criteria:

  • Women with a history of anemia due to any other causes other than IDA.
  • Severe anemia requiring blood transfusion.
  • History of peptic ulcer.
  • known hypersensitivity to iron preparations.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm 3

    Arm Type

    Active Comparator

    Active Comparator

    Active Comparator

    Arm Label

    Oral lactoferrin

    Oral ferrous fumarate

    Combined lactoferrin & ferrous fumarate

    Arm Description

    women who take oral lactoferrin sachets 100 mg twice daily for one month.

    women who take oral ferrous fumarate tablet 30 mg elemental iron twice daily for one month.

    women who take lactoferrin sachets 100 mg and ferrous fumarate tablet 30 mg elemental iron once daily for one month.

    Outcomes

    Primary Outcome Measures

    Increase in blood hemoglobin.
    mean difference in hemoglobin level between pre treatment and post treatment.

    Secondary Outcome Measures

    Full Information

    First Posted
    March 20, 2018
    Last Updated
    June 30, 2018
    Sponsor
    Assiut University
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    1. Study Identification

    Unique Protocol Identification Number
    NCT03484845
    Brief Title
    Lactoferrin Versus Ferrous Fumarate for Treatment of Mild to Moderate Iron Deficiency Anemia During Pregnancy
    Official Title
    Lactoferrin Versus Ferrous Fumarate for Treatment of Mild to Moderate Iron Deficiency Anemia During Pregnancy
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    June 2018
    Overall Recruitment Status
    Unknown status
    Study Start Date
    November 1, 2018 (Anticipated)
    Primary Completion Date
    December 1, 2019 (Anticipated)
    Study Completion Date
    December 1, 2019 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Assiut University

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No

    5. Study Description

    Brief Summary
    This study will conducted to evaluate and comparison between the effectiveness, safety and acceptability of lactoferrin alone, ferrous fumarate alone and combination of both for the treatment of mild to moderate IDA during pregnancy.
    Detailed Description
    Anemia in pregnancy is a major public health problem, where it has been estimated that 41.8% of pregnant women worldwide are anemic . Iron deficiency anemia (IDA) is the condition in which there is anemia due to a lack of iron. IDA develops when available iron is insufficient to support normal red cell production and is the most common type of anemia Anemia has a significant impact on the health of the fetus as well as that of the mother. It impairs the oxygen delivery through the placenta to the fetus and interferes with the normal intrauterine growth, leading to fetal loss and perinatal deaths. Anemia is associated with increased preterm labor (28.2%), preeclampsia (31.2%), and maternal sepsis. The daily requirement of iron is around 1.5 mg in nonpregnant women. This requirement increases dramatically during pregnancy to reach 6-7 mg/day (total 1000 mg) with advanced gestational age. Pregnancy causes a twofold to threefold increase in the requirement for iron and a 10- to 20-fold increase in folate requirement. The increase in demand for iron is mainly due to fetal requirement, placenta, blood volume, tissue accretion, and the intra-partum potential for blood loss

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Iron Deficiency Anemia of Pregnancy

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1, Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    150 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Oral lactoferrin
    Arm Type
    Active Comparator
    Arm Description
    women who take oral lactoferrin sachets 100 mg twice daily for one month.
    Arm Title
    Oral ferrous fumarate
    Arm Type
    Active Comparator
    Arm Description
    women who take oral ferrous fumarate tablet 30 mg elemental iron twice daily for one month.
    Arm Title
    Combined lactoferrin & ferrous fumarate
    Arm Type
    Active Comparator
    Arm Description
    women who take lactoferrin sachets 100 mg and ferrous fumarate tablet 30 mg elemental iron once daily for one month.
    Intervention Type
    Drug
    Intervention Name(s)
    Lactoferrin and ferrous fumarate
    Other Intervention Name(s)
    pravotin sachets and vitayami tablets
    Intervention Description
    Group 1:include 50 women will receive oral lactoferrin 100mg twice daily . Group 2: include 50 women will receive oral Ferrous fumarate 30mg elemental iron twice daily . Group 3: include 50 women will receive oral combined lactoferrin 200mg and ferrous fumarate 60mg elemental iron once daily .
    Primary Outcome Measure Information:
    Title
    Increase in blood hemoglobin.
    Description
    mean difference in hemoglobin level between pre treatment and post treatment.
    Time Frame
    one month

    10. Eligibility

    Sex
    Female
    Minimum Age & Unit of Time
    16 Years
    Maximum Age & Unit of Time
    45 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Pregnant women from 24-36 weeks of gestation. Mild to moderate anemia. Exclusion Criteria: Women with a history of anemia due to any other causes other than IDA. Severe anemia requiring blood transfusion. History of peptic ulcer. known hypersensitivity to iron preparations.
    Central Contact Person:
    First Name & Middle Initial & Last Name or Official Title & Degree
    amaal khalil, master
    Phone
    02201154883113
    Email
    amaal.moussa@gmail.com

    12. IPD Sharing Statement

    Learn more about this trial

    Lactoferrin Versus Ferrous Fumarate for Treatment of Mild to Moderate Iron Deficiency Anemia During Pregnancy

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