ClinicalTrials.gg
CompletedNCT01198574SCI&AnaemiaUpdated May 22, 2012Results posted

Sub-clinical Inflammation and Iron Supplementation

A Phase 3 interventional study of Iron group and Vitamin A group in Anemia, sponsored by Indonesia University. Completed at 1 site in Myanmar. Open to female participants aged 12 Years to 19 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2012-05-22.

Sponsored by Indonesia University · Phase 3, Interventional, and Prevention

Phase
Phase 3
Study type
Interventional
Enrollment
402
Allocation
Randomized
Ages
12 Years to 19 Years
Sex
Female
01

Study summary

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.

02

Conditions studied

  • Anemia

Browse trials for

Keywords

  • anemia
  • iron supplementation
  • sub-clinical inflammation
  • adolescents
03

In context

Anemia

1,810 studies on the registry are indexed under Anemia; 215 are open to participants now.

This study's enrollment of 402 is above the median of 117 across 1,336 interventional studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Indonesia University is the lead sponsor of 446 studies on the registry; 56 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

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

04

Who can participate

Ages eligible
12 Years to 19 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • adolescent girls (age 12-19 years)
  • already experienced menarche
  • anemic girls (\<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

Exclusion Criteria:

  • subjects with chronic illness
  • subjects with severe anaemia
  • who do not give the consents
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

05

Study design

Phase
Phase 3
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
402 participants (actual)

Study arms

  • Experimental
    Iron group

    Dietary Supplement: Iron group

  • Experimental
    Vitamin A group

    Vitamin A group

    Dietary Supplement: Vitamin A group

  • Experimental
    Iron and Vitamin A group

    Iron and Vitamin A group

    Dietary Supplement: Iron and vitamin A group

  • Experimental
    Placebo group

    Placebo group with folic acid

    Dietary Supplement: Placebo group

Interventions

  • Dietary supplementIron group

    Ferrous fumarate, 60 mg, weekly dose

    Also known as: Iron supplement

  • Dietary supplementVitamin A group

    Retinol, weekly dose, 15,000 IU

    Also known as: Vitamin A supplement

  • Dietary supplementIron and vitamin A group

    Drug pages: Iron · Vitamin A

    Ferrous fumarate, Retinol combination group, weekly dose

    Also known as: Iron and Vitamin A supplement

  • Dietary supplementPlacebo group

    folic acid only as placebo group

    Also known as: Placebo group, folic acid only

06

What researchers measure

Primary outcomes

  1. Haemoglobin Level

    Haemoglobin level (g/L) measured by cyanmethaemoglobin method

    Time frame: at week 0, week 6 and week12

  2. Status of Tissue Iron Store

    Tissue iron store was measured by serum ferritin

    Time frame: at week 0, week 6 and week12

  3. Status of Cellular Iron Deficiency

    Cellular Iron deficiency status is also measured by serum transferrin receptor

    Time frame: at week 0, week 6 and week12

07

Results

Posted May 16, 2012

Participant flow

Screening for the study subjects was conducted in July, 2010 among the adolescent schoolgirls in Nyaung Done Township, Irrawaddy Division. It included assessment of Hb status using the Coulter Counter. Information on the general characteristics and menarche status of the girls are obtained.

Participant flow — Overall Study
MilestoneIron GroupVitamin A GroupIron and Vitamin A GroupPlacebo Group
Started98102100102
Completed941019998
Not completed4114
Withdrew: Resigned from schools4114

Outcome measures

PrimaryHaemoglobin Level

Haemoglobin level (g/L) measured by cyanmethaemoglobin method

Time frame:
at week 0, week 6 and week12
Reported as:
Mean · g/L
Haemoglobin Level
g/LIron GroupVitamin A GroupIron and Vitamin A GroupPlacebo Group
Hb week 0 (Baseline)88.3 ± 11.289.2 ± 11.588.4 ± 12.189.6 ± 12.7
Hb week 6 (Midline)98.1 ± 10.698.7 ± 9.699.2 ± 10.098.3 ± 10.7
Hb week 12 (Endline)110.8 ± 9.8109.0 ± 9.1111.4 ± 9.0109.7 ± 8.4
Statistical analysis
  • Iron Group vs Vitamin A Group vs Iron and Vitamin A Group vs Placebo Group · GLM for repeated measures · p = <0.05The Hb concentration at Week 0, Week 6 and Week 12 are analyzed using GLM repeated measures.
PrimaryStatus of Tissue Iron Store

Tissue iron store was measured by serum ferritin

Time frame:
at week 0, week 6 and week12
Reported as:
Geometric mean · µg/L
Status of Tissue Iron Store
µg/LIron GroupVitamin A GroupIron and Vitamin A GroupPlacebo Group
serum ferritin (Baseline)32.1 ± 2.534.4 ± 2.625.9 ± 3.131.1 ± 2.5
serum ferritin (Midline)34.5 ± 1.932.1 ± 2.332.3 ± 2.126.5 ± 2.3
serum ferritin (Endline)39.6 ± 2.135.0 ± 2.535.4 ± 2.428.2 ± 2.5
Statistical analysis
  • Iron Group vs Vitamin A Group vs Iron and Vitamin A Group vs Placebo Group · GLM for repeated measures ANOVA · p = <0.05
PrimaryStatus of Cellular Iron Deficiency

Cellular Iron deficiency status is also measured by serum transferrin receptor

Time frame:
at week 0, week 6 and week12
Reported as:
Geometric mean · mg/L
Status of Cellular Iron Deficiency
mg/LIron GroupVitamin A GroupIron and Vitamin A GroupPlacebo Group
serum transferrin receptor (Baseline)7.09 ± 1.526.56 ± 1.427.16 ± 1.596.74 ± 1.50
serum transferrin receptor (Midline)6.69 ± 1.516.39 ± 1.416.73 ± 1.536.59 ± 1.53
serum transferrin receptor (Endline)6.44 ± 1.556.27 ± 1.446.24 ± 1.436.61 ± 1.54
Statistical analysis
  • Iron Group vs Vitamin A Group vs Iron and Vitamin A Group vs Placebo Group · GLM for repeated measures ANOVA · p = <0.05

Adverse events

Collected over The adverse effect of supplementation were collected weekly throughout the 12 weeks of intervention.. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Iron Group—0/98 (0%)0/98 (0%)
Vitamin A Group—0/102 (0%)0/102 (0%)
Iron and Vitamin A Group—0/100 (0%)0/100 (0%)
Placebo Group—0/102 (0%)0/102 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Iron GroupVitamin A GroupIron and Vitamin A GroupPlacebo GroupTotal
<=18 years98102100102402
Between 18 and 65 years00000
>=65 years00000
Age Continuous
Age Continuous(years)Iron GroupVitamin A GroupIron and Vitamin A GroupPlacebo GroupTotal
Mean15.9 ± 1.216.1 ± 1.216.1 ± 1.215.8 ± 1.116.0 ± 1.2
Sex: Female, Male
Sex: Female, Male(Participants)Iron GroupVitamin A GroupIron and Vitamin A GroupPlacebo GroupTotal
Female98102100102402
Male00000
Region of Enrollment
Region of Enrollment(participants)Iron GroupVitamin A GroupIron and Vitamin A GroupPlacebo GroupTotal
Myanmar98102100102402
08

Study locations

1 site
  • Nyaung Done Township
    Pathein, Irrawaddy Division, Myanmar
09

References and documents

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. PubMed 20610634 ↗
  • 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. PubMed 18287375 ↗
  • 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. PubMed 18177514 ↗
  • 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. PubMed 16313694 ↗
  • 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. PubMed 7901629 ↗
  • 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. PubMed 9209187 ↗
  • 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. PubMed 10357747 ↗
  • 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. PubMed 24128336 ↗
  • 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. PubMed 22705432 ↗
10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 22, 2012, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT01198574
Collaborators
Department of Medical Research, Lower Myanmar
Responsible party
Min Kyaw Htet (Dr, Indonesia University) — Principal investigator
First posted
Sep 10, 2010
Start date
Jul 2010
Primary completion
Dec 2010
Completion
Dec 2010
Results posted
May 16, 2012
Last update
May 22, 2012

Study contacts

Min Kyaw Htet, PhD
principal investigator · (1) South East Asian Ministers of Education Organization, Regional Center for Food and Nutrition, University of Indonesia, (2) Ministry of Health, Myanmar

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in May 2012. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drugs tested here: Iron · Vitamin A

Start the discussion