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CompletedNCT00128557Updated Oct 3, 2022

Community Trial of Newborn Vitamin A Supplementation to Reduce Infant Mortality in Rural Bangladesh

A Phase 3 interventional study of vitamin A supplementation (15,000 ug retinol equivalents or 50,000 IU) in Mortality Through Six Months of Age and Vitamin A Deficiency, sponsored by Johns Hopkins Bloomberg School of Public Health. Completed at 1 site in Bangladesh. Open to participants aged 1 Minute to 30 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2022-10-03.

Sponsored by Johns Hopkins Bloomberg School of Public Health · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
15,937
Allocation
Randomized
Ages
1 Minute to 30 Days
Sex
All
01

Study summary

The purpose of this trial is determine whether a 50,000 IU oral dose of vitamin A delivered to newborn infants within the first days of life, reduces six-month infant mortality by at least 15%. The trial will also evaluate whether the survival impact of newborn vitamin A dosing is modified by concurrent weekly, routine maternal vitamin A or beta-carotene supplementation during pregnancy through three months postpartum, gestational age and birth size.

Read the detailed description

This is a randomized, double-masked, placebo-controlled, community trial of newborn vitamin A supplementation on mortality in the first six months of life. The trial is being implemented in 596 sectors (i.e. villages and/or smaller groupings), in two thanas comprising a population of \~580,000 in rural northern Bangladesh (Gaibandha/Rangpur area) and is nested within the JiVitA-1 maternal supplementation study. Women residing in the study area are already under 5-weekly pregnancy surveillance conducted by village-based field staff as part of the maternal supplementation trial. During their third trimester of pregnancy, women are visited by a study supervisor who explains the purpose and procedures of the study. After obtaining informed consent, women are interviewed for possible risk factors in the third trimester of pregnancy, including a 30-day history of morbidity, a 7-day dietary and alcohol intake and tobacco use questionnaire, a 7-day household chores questionnaire, and maternal anthropometry (mid upper arm circumference measurement). Upon birth, household members contact the village-based field staff who immediately administers the vitamin A or placebo to the infant, according to sector assignment. After supplementation, newborns are measured for weight, length and mid-upper arm, head and chest circumference, and then followed weekly for vital status for three months, and again at six months of age. A child death initiates the process of death verification and cause of death determination.

02

Conditions studied

  • Mortality Through Six Months of Age
  • Vitamin A Deficiency

Keywords

  • Vitamin A
  • Newborn health
  • Infant Mortality
  • Supplementation
  • Micronutrients
  • Bangladesh
03

In context

Vitamin A Deficiency

67 studies on the registry are indexed under Vitamin A Deficiency; 7 are open to participants now.

This study's enrollment of 15,937 is above the median of 200 across 49 interventional studies indexed under Vitamin A Deficiency.

Browse Vitamin A Deficiency studies →

Lead sponsor

Johns Hopkins Bloomberg School of Public Health is the lead sponsor of 371 studies on the registry; 42 are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 3 (60%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Minute to 30 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

Eligibility criteria

Inclusion Criteria: Infants born to women enrolled in a maternal supplementation trial, alive and less than 30 days of age during a newborn dosing visit Exclusion Criteria: Infants who died before the dose could be administered or infants older than 30 days at the time of dosing

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Single group
Masking
Double
Enrollment
15,937 participants (actual)

Study arms

  • Placebo comparator
    Placebo

    Supplement containing soybean oil with a small amount of vitamin E as an antioxidant

    Dietary Supplement: vitamin A supplementation (15,000 ug retinol equivalents or 50,000 IU)

  • Active comparator
    Vitamin A

    15,000 ug retinol equivalents (50,000 International Units)

    Dietary Supplement: vitamin A supplementation (15,000 ug retinol equivalents or 50,000 IU)

Interventions

  • Dietary supplementvitamin A supplementation (15,000 ug retinol equivalents or 50,000 IU)

    Single dose of 15,000 ug retinol equivalents at or near birth vs a placebo

06

What researchers measure

Primary outcomes

  1. 24-week infant mortality rate

07

Study locations

1 site
  • JiVitA Bangladesh Project
    Rangpur, Rajshahi Division, Bangladesh
08

References and documents

Publications

  • Ali H, Hamadani J, Mehra S, Tofail F, Hasan MI, Shaikh S, Shamim AA, Wu LS, West KP Jr, Christian P. Effect of maternal antenatal and newborn supplementation with vitamin A on cognitive development of school-aged children in rural Bangladesh: a follow-up of a placebo-controlled, randomized trial. Am J Clin Nutr. 2017 Jul;106(1):77-87. doi: 10.3945/ajcn.116.134478. Epub 2017 May 10. PubMed 28490513 ↗
  • Coles CL, Labrique A, Saha SK, Ali H, Al-Emran H, Rashid M, Christian P, West KP Jr, Klemm R. Newborn vitamin A supplementation does not affect nasopharyngeal carriage of Streptococcus pneumoniae in Bangladeshi infants at age 3 months. J Nutr. 2011 Oct;141(10):1907-11. doi: 10.3945/jn.111.141622. Epub 2011 Aug 10. PubMed 21832026 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Jan 2004, a primary completion of Dec 2006 and a completion of Dec 2006. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 9, 2005
First posted
Aug 10, 2005
Start
Jan 2004
Primary completionActual
Dec 2006
CompletionActual
Dec 2006
Last update
Oct 3, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 3, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00128557
Collaborators
United States Agency for International Development (USAID), Johns Hopkins University, Bill and Melinda Gates Foundation, Canadian International Development Agency, Access Business Group
Responsible party
Sponsor
First posted
Aug 10, 2005
Start date
Jan 2004
Primary completion
Dec 2006
Completion
Dec 2006
Last update
Oct 3, 2022

Study contacts

Rolf DW Klemm, Dr PH
principal investigator · Johns Hopkins University
Keith P West, Jr., Dr. P.H.
study director · Johns Hopkins Bloomberg School of Public Health
Parul Christian, Dr. P.H.
study director · Johns Hopkins Bloomberg School of Public Health
Mahbubar Rashid, MBBS, MSc, MBA
study director · JiVitA Bangladesh Project
Alain B. Labrique, MSc
study director · Johns Hopkins Bloomberg School of Public Health
Alfred Sommer, M.D.
study director · Johns Hopkins Bloomberg School of Public Health

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Apr 2007. You cannot join it, but the record below documents what was studied.

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