ClinicalTrials.gg
CompletedNCT02346188Updated Jan 26, 2015

Effects of Iron and/or Zinc Supplementation in Mexican School Children Exposed to Lead

An interventional study of Ferrous fumarate and Zinc oxide in Lead Poisoning, sponsored by Johns Hopkins Bloomberg School of Public Health. Completed at 1 site in United States. Open to participants aged 6 Years to 8 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-01-26.

Sponsored by Johns Hopkins Bloomberg School of Public Health · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
602
Allocation
Randomized
Ages
6 Years to 8 Years
Sex
All
01

Study summary

Lead is negatively linked to nutritional status, behavior and cognition in children. Despite extensive knowledge of its toxicity and efforts to reduce exposure, lead continues to be a problem in developed and developing countries. When lead exposure is unavoidable due to its pervasive nature, effective means of protecting or disrupting that exposure need to be developed. Nutritional interventions are one such option. We conducted a 2x2 factorial, placebo-controlled trial of 6-month iron and zinc supplementation among lead-exposed children in Torreón, Mexico (altitude 1060 m). Nine schools were selected based on proximity to a lead smelter and first-graders were individually randomized to daily treatment with 30 mg iron, 30 mg zinc, both, or placebo. In addition to biochemical indicators, cognitive functions and behavior were evaluated at baseline, after the 6-month supplementation period, and again after another 6 months (without supplementation).

At baseline, 602 children ages 6.2-8.5 years were enrolled.

Read the detailed description

We conducted a 2x2 factorial, placebo-controlled trial of 6-month iron and zinc supplementation among lead-exposed children in Torreón, Mexico (altitude 1060 m) to test the hypothesis that supplementation with iron, zinc or both will reduce blood lead concentrations of the children and improve their cognition and behavior. Nine schools were selected based on proximity to a lead smelter and first-graders were individually randomized to daily treatment with 30 mg iron, 30 mg zinc, both, or placebo. In addition to biochemical indicators (blood lead, serum ferritin, CRP, serum zinc, urinary arsenic concentrations), cognitive functions and behavior were measured. Assessments were conducted at three time points: at baseline, after the 6 month treatment, and again after another 6 months without treatment. At baseline, 602 children ages 6.2-8.5 years were enrolled.

02

Conditions studied

  • Lead Poisoning

Keywords

  • blood lead, iron, zinc, child, cognition, behavior, Mexico
03

In context

Lead Poisoning

27 studies on the registry are indexed under Lead Poisoning; 2 are open to participants now.

This study's enrollment of 602 is above the median of 175 across 11 interventional studies indexed under Lead Poisoning.

Browse Lead Poisoning 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
6 Years to 8 Years
Sexes eligible
All
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

  • 1st grade child

Exclusion criteria

Exclusion Criteria:

  • Blood lead concentration =>45 ug/dL
  • concentration \< 9 g/dL
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
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Factorial assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
602 participants (actual)

Study arms

  • Experimental
    Ferrous fumarate

    Tablet formulated as ferrous fumarate, 30 mg. Given once daily for 6 months.

    Dietary Supplement: Ferrous fumarate

  • Experimental
    Zinc oxide

    Tablet formulated as zinc oxide, 30 mg. Given once daily by mouth for 6 months.

    Dietary Supplement: Zinc oxide

  • Experimental
    Ferrous fumarate and zinc oxide

    Tablet, formulated as ferrous fumarate 30 mg plus zinc oxide 30 mg. Given once daily by mouth for 6 months.

    Dietary Supplement: Ferrous fumarate · Dietary Supplement: Zinc oxide

  • Placebo comparator
    Placebo

    Sugar tablet formulated to look like the experimental arms of the study. Given daily by mouth for 6 months.

    Dietary Supplement: Placebo

Interventions

  • Dietary supplementFerrous fumarate

    Tablet formulated from 30 mg ferrous fumarate.

  • Dietary supplementZinc oxide

    Tablet formulated from 30 mg zinc oxide

  • Dietary supplementPlacebo
06

What researchers measure

Primary outcomes

  1. Blood lead concentration

    Time frame: 6-12 months

Secondary outcomes

  1. Anthropometric composite

    Height, weight

    Time frame: 6-12 months

  2. Serum ferritin concentration

    Time frame: 6-12 months

  3. Serum zinc concentration

    Time frame: 6-12 months

  4. Hemoglobin concentration

    Time frame: 6-12 months

  5. Conners Behavior Rating Scales for parents and teachers

    Time frame: 6-12 months

  6. Peabody Picture Vocabulary Test, Math achievement test, tests of attention and memory

    Time frame: 6-12 months

Other outcomes

  1. Arsenic exposure

    total urinary arsenic, inorganic arsenic, monomethylarsonic acid, dimethylarsinic acid

    Time frame: 6-12 months

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Study locations

1 site
  • Johns Hopkins Bloomberg School of Public Health
    Baltimore, Maryland 21205, United States
08

References and documents

Publications

  • Kordas K, Lopez P, Rosado JL, Garcia Vargas G, Alatorre Rico J, Ronquillo D, Cebrian ME, Stoltzfus RJ. Blood lead, anemia, and short stature are independently associated with cognitive performance in Mexican school children. J Nutr. 2004 Feb;134(2):363-71. doi: 10.1093/jn/134.2.363. PubMed 14747673 ↗
  • Kordas K, Canfield RL, Lopez P, Rosado JL, Vargas GG, Cebrian ME, Rico JA, Ronquillo D, Stoltzfus RJ. Deficits in cognitive function and achievement in Mexican first-graders with low blood lead concentrations. Environ Res. 2006 Mar;100(3):371-86. doi: 10.1016/j.envres.2005.07.007. Epub 2005 Sep 19. PubMed 16169549 ↗
  • Kordas K, Stoltzfus RJ, Lopez P, Rico JA, Rosado JL. Iron and zinc supplementation does not improve parent or teacher ratings of behavior in first grade Mexican children exposed to lead. J Pediatr. 2005 Nov;147(5):632-9. doi: 10.1016/j.jpeds.2005.06.037. PubMed 16291354 ↗
  • Rico JA, Kordas K, Lopez P, Rosado JL, Vargas GG, Ronquillo D, Stoltzfus RJ. Efficacy of iron and/or zinc supplementation on cognitive performance of lead-exposed Mexican schoolchildren: a randomized, placebo-controlled trial. Pediatrics. 2006 Mar;117(3):e518-27. doi: 10.1542/peds.2005-1172. PubMed 16510631 ↗
  • Rosado JL, Lopez P, Kordas K, Garcia-Vargas G, Ronquillo D, Alatorre J, Stoltzfus RJ. Iron and/or zinc supplementation did not reduce blood lead concentrations in children in a randomized, placebo-controlled trial. J Nutr. 2006 Sep;136(9):2378-83. doi: 10.1093/jn/136.9.2378. PubMed 16920858 ↗
  • Rosado JL, Ronquillo D, Kordas K, Rojas O, Alatorre J, Lopez P, Garcia-Vargas G, Del Carmen Caamano M, Cebrian ME, Stoltzfus RJ. Arsenic exposure and cognitive performance in Mexican schoolchildren. Environ Health Perspect. 2007 Sep;115(9):1371-5. doi: 10.1289/ehp.9961. PubMed 17805430 ↗
  • Kordas K, Casavantes KM, Mendoza C, Lopez P, Ronquillo D, Rosado JL, Vargas GG, Stoltzfus RJ. The association between lead and micronutrient status, and children's sleep, classroom behavior, and activity. Arch Environ Occup Health. 2007 Summer;62(2):105-12. doi: 10.3200/AEOH.62.2.105-112. PubMed 18316268 ↗
  • Roy A, Kordas K, Lopez P, Rosado JL, Cebrian ME, Vargas GG, Ronquillo D, Stoltzfus RJ. Association between arsenic exposure and behavior among first-graders from Torreon, Mexico. Environ Res. 2011 Jul;111(5):670-6. doi: 10.1016/j.envres.2011.03.003. Epub 2011 Mar 25. PubMed 21439564 ↗
  • Moodie S, Ialongo N, Lopez P, Rosado J, Garcia-Vargas G, Ronquillo D, Kordas K. The conjoint influence of home enriched environment and lead exposure on children's cognition and behaviour in a Mexican lead smelter community. Neurotoxicology. 2013 Jan;34:33-41. doi: 10.1016/j.neuro.2012.10.004. Epub 2012 Oct 27. PubMed 23110976 ↗
  • Kordas K, Roy A, Lopez P, Garcia-Vargas G, Cebrian ME, Vera-Aguilar E, Rosado JL. Iron and Zinc Supplementation Does Not Impact Urinary Arsenic Excretion in Mexican School Children. J Pediatr. 2017 Jun;185:205-210.e1. doi: 10.1016/j.jpeds.2017.02.040. Epub 2017 Mar 23. PubMed 28343659 ↗
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Timeline

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

The record gives a start of Jan 2000, a primary completion of Dec 2001 and a completion of Dec 2001. 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
Jan 20, 2015
First posted
Jan 26, 2015
Start
Jan 2000
Primary completionActual
Dec 2001
CompletionActual
Dec 2001
Last update
Jan 26, 2015
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 Jan 26, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02346188
Collaborators
National Institute of Medical Sciences and Nutrition, Salvador Zubiran, National Polytechnic Institute, Mexico
Responsible party
Sponsor
First posted
Jan 26, 2015
Start date
Jan 2000
Primary completion
Dec 2001
Completion
Dec 2001
Last update
Jan 26, 2015

Study contacts

Rebecca J Stoltzfus, PhD
principal investigator · Johns Hopkins Bloomberg School of Public Health

Oversight

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

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Studies of the drugs tested here: Ferrous fumarate · Zinc Oxide

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