ClinicalTrials.gg
CompletedNCT03317873Updated Jun 12, 2019

The Effect of Genetic Variation in TMPRSS6 Gene (SNP rs855791) on Oral Iron Absorption: an Iron Stable Isotope Study

An interventional study of Testmeal A and Testmeal B in Iron Metabolism Disorders, sponsored by Swiss Federal Institute of Technology. Completed at 1 site in Taiwan. Open to female participants aged 20 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-06-12.

Sponsored by Swiss Federal Institute of Technology · Not applicable, Interventional, and Prevention

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Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Non-randomized
Ages
20 Years to 45 Years
Sex
Female
01

Study summary

Iron deficiency is considered the most common nutritional deficiency worldwide and affects children and women in both non-industrialized as well as industrialized countries. The main regulatory molecule of iron metabolism is hepcidin, a hormone produced in the liver that regulates intestinal iron absorption, placental transport, recycling of iron by macrophages and release from stores. The expression of hepcidin is regulated by many mediators, one of which is Matriptase-2 - a transmembrane protease. Complete loss of function leads to the rare disease iron-refractory iron deficiency anemia (IRIDA). Matriptase-2 is encoded by the gene TMPRSS6 and the single nucleotide polymorphism (SNP) rs855791 causes a non-synonymous substitution (V736A) that reduces the activity of the protease to inhibit hepcidin transcription. Genome wide association studies have identified the TMPRSS6 SNP rs855791 has a strong association with red blood cell and iron parameters in the general population.

The objectives of the study is to measure oral iron absorption and systemic iron utilization into red blood cells (RBC) using oral isotopic labels in subjects homozygotes for common variants of the TMPRSS6 gene with the SNP rs855791 (A736V); AA vs. VV subjects.

The aim is to conduct an iron absorption study in 80 Taiwanese women of reproductive age, non-pregnant, non-anemic, investigating the effect of the genetic variants of the SNP rs855791. The participants will be split in two groups of equal size; wild type AA vs. mutation VV. Iron absorption and systemic utilization will be assessed by two test meals containing stable isotopes of iron.The primary outcome of the trial is the oral iron absorption from a test meal as compared between the two genotypes AA vs. VV. Secondary outcomes are the comparison iron status markers between the two genotypes.

02

Conditions studied

  • Iron Metabolism Disorders
03

In context

Iron Metabolism Disorders

21 studies on the registry are indexed under Iron Metabolism Disorders; 7 are open to participants now.

This study's enrollment of 80 is above the median of 31 across 14 interventional studies indexed under Iron Metabolism Disorders.

Browse Iron Metabolism Disorders studies →

Lead sponsor

Swiss Federal Institute of Technology is the lead sponsor of 154 studies on the registry; 10 are open to participants now.

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

04

Who can participate

Ages eligible
20 Years to 45 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

  • Subjects homozygotous for the for AA (CC), or VV (TT) variant of the SNP rs855791 of the TMPRSS6 gene.
  • Females 20 - 45 years of age (premenopausal status)
  • obtained
  • regular menstrual cycle, ± 2 days

Exclusion criteria

Exclusion Criteria:

  • Pregnancy or lactating (assessed by pregnancy test and self-declaration, respectively)
  • Anemia defined as \< 120 g/L
  • Plasma ferritin \< 30 µg/l, or > 120 µg/l
  • C-reactive Protein > 5 mg/l
  • Body weight > 65 kg
  • (BMI) 18.5 - 25
  • Diagnosed metabolic or gastrointestinal disorders, eating disorders or food allergy to the ingredients of the test meal.
  • Blood transfusion, blood donation or significant blood loss (accident, surgery) over the past 6 months, prior the first study day.
  • Subjects who cannot be expected to comply with study protocol (e.g. non-residents).
  • Use of long-term medication during the study
  • Subjects that will take part of another clinical study at the same time or had within the last 30 days before the first study day
  • Intake of mineral/vitamin supplements 2 weeks before the first study day and during the study
Terms in these criteria, in plain language(3)

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.

Informed consent

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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).

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
Single (Participant)
Enrollment
80 participants (actual)

Study arms

  • Experimental
    wild type AA (CC)

    All participants with the wild type genotype AA (CC) will be allocated to this group

    Dietary Supplement: Testmeal A · Dietary Supplement: Testmeal B

  • Experimental
    mutation VV (TT)

    All participants with the mutation genotype VV (TT) will be allocated to this group

    Dietary Supplement: Testmeal A · Dietary Supplement: Testmeal B

Interventions

  • Dietary supplementTestmeal A

    The tesmeal A is is plain rice, with a seaweed sauce, fortified with labelled iron as stable iron isotope as ferrous sulfate

  • Dietary supplementTestmeal B

    The tesmeal B is plain rice, with a seaweed sauce, fortified with labelled iron as stable iron isotope as ferrous sulfate

06

What researchers measure

Primary outcomes

  1. Change from baseline in the isotopic ratio of iron in blood at week 2

    The change in the isotopic ratio of iron in blood will be measured after the administration of test meal including iron isotopes.

    Time frame: baseline, 2 weeks

Secondary outcomes

  1. hepcidin

    fasting concentrations of plasma hepcidin in AA and VV variants of SNP rs855791

    Time frame: baseline

  2. iron status

    The difference in fasting concentrations of serum iron, transferrin saturation, serum ferritin, hemoglobin, erythrocyte volume in AA and VV variants of SNP rs855791

    Time frame: baseline

07

Study locations

1 site
  • Kaohsiung-Chang Gun Memorial Hospital
    Kaohsiung City, Kaohsiung 83301, Taiwan
08

References and documents

Publications

  • Buerkli S, Pei SN, Hsiao SC, Lee CT, Zeder C, Zimmermann MB, Moretti D. The <em>TMPRSS6</em> variant (SNP rs855791) affects iron metabolism and oral iron absorption - a stable iron isotope study in Taiwanese women. Haematologica. 2021 Nov 1;106(11):2897-2905. doi: 10.3324/haematol.2020.264556. PubMed 33054130 ↗
09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Nov 2017 to primary completion in Feb 2019, 15 months.

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

Registered
Oct 18, 2017
First posted
Oct 23, 2017
StartActual
Nov 1, 2017
Primary completionActual
Feb 19, 2019
CompletionActual
Feb 19, 2019
Last update
Jun 12, 2019
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 Jun 12, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03317873
Responsible party
Sponsor
First posted
Oct 23, 2017
Start date
Nov 1, 2017
Primary completion
Feb 19, 2019
Completion
Feb 19, 2019
Last update
Jun 12, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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