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Status unknownNCT05103709Updated Nov 2, 2021

Effect of Multiple Micronutrient Fortified Bread Consumption on Iron Deficiency Anemia in Women of Reproductive Age

An interventional study of MULTI-FORTIFIED and FORTIFIED in Iron Deficiency Anemia, sponsored by Universidad Peruana Cayetano Heredia. Status unknown at 1 site in Peru. Open to female participants aged 18 Years to 35 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-02.

Sponsored by Universidad Peruana Cayetano Heredia · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
351
Allocation
Randomized
Ages
18 Years to 35 Years
Sex
Female
01

Study summary

The project aims to assess if consuming two slices of multi-fortified bread daily for 120 days is effective in reducing iron deficiency anemia in women of reproductive age through a three-arm randomized trial.

Read the detailed description

Iron deficiency anemia (IDA) continues to be a public health priority in Peru and the world. The prevalence of the condition is high in women of reproductive age regardless of geographic area and socioeconomic status. Fortification of staple foods is recognized as a cost-effective strategy to reverse iron deficiency. In Peru, iron fortification of wheat flour and derived products is mandatory, but to date its effect on the IDA has not been evaluated. In recent years, evidence has been generated on the positive effect of zinc, vitamin A and vitamin B12 supplementation on hemoglobin (Hb) levels. This project is a three-arm randomized clinical trial that seeks to evaluate the effect of consuming two slices of bread fortified with a multivitamin premix (iron, folic acid, vitamin A, vitamin B12 and zinc) daily on iron deficiency anemia in non-pregnant women of reproductive age. As a control, one group will receive standard bread fortified according to Peruvian legislation and a third group will not receive treatment.

02

Conditions studied

  • Iron Deficiency Anemia

Keywords

  • iron deficiency anemia
  • hemoglobin
  • iron status
  • hematological parameters
03

In context

Anemia

1,733 studies on the registry are indexed under Anemia; 246 are open to participants now.

This study's planned enrollment of 351 is above the median of 94 across 1,291 interventional studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Universidad Peruana Cayetano Heredia is the lead sponsor of 49 studies on the registry; 5 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 35 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes

Inclusion criteria

  • Ferritin levels \< 13 ng/ml,
  • Hemoglobin levels between 8 g/dL and 11.9 g/dL,
  • No plans to move during the duration of the study,
  • Commitment not to become pregnant during the duration of the study,
  • Signed informed consent.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy,
  • Amenorrhea not related to pregnancy,
  • Breastfeeding,
  • Chronic diseases (active TB, HIV, cancer, asthma, liver disease, coronary heart disease, chronic renal disease),
  • Hemoglobin levels \< 8 g/dL,
  • Bleeding in the 3 months prior to recruitment,
  • Smoking,
  • Inability to sign informed consent,
  • Consumption of nutritional supplements.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
351 participants (estimated)

Study arms

  • Experimental
    MULTI-FORTIFIED

    The product to be evaluated is bread made from wheat flour fortified according to Peruvian national standards \[Riboflavin (0.18 mg), niacin (2.25 mg), thiamine (0.18 mg), folic acid (60ug), iron (4.2 mg)\] and a previtamin mix \[Vitamin A (240 ug), Vitamin b12 (0.72 ug), zinc (5.25 mg) per daily serving\]. Participants will receive 2 slices of bread a day for 120 days. It is supplied by Panificadora Bimbo del Peru S.A.

    Other: MULTI-FORTIFIED

  • Active comparator
    FORTIFIED

    The active comparator is bread fortified according to Peruvian national standards \[Riboflavin (0.18 mg), niacin (2.25 mg), thiamine (0.18 mg), folic acid (60ug), iron (4.2 mg)\]. Participants will receive 2 slices of bread a day for 120 days. It is supplied by Panificadora Bimbo del Peru S.A.

    Other: FORTIFIED

  • No intervention
    CONTROL

    The control group will be followed for 120 days. No product will be provided.

Interventions

  • OtherMULTI-FORTIFIED

    Treatment with multifortified bread for 120 days

  • OtherFORTIFIED

    Treatment with standard bread, fortified according to current Peruvian guidelines for 120 days

06

What researchers measure

Primary outcomes

  1. Anemia

    Percentage of volunteers reaching normal Hb levels during the study.

    Time frame: 120 days

  2. Hemoglobin levels

    Variation in hemoglobin levels (mg/dL)

    Time frame: 120 days

  3. Serum ferritin levels

    Variation in serum ferritin levels (ug/l)

    Time frame: 120 days

Secondary outcomes

  1. Hemoglobin levels

    Variation in hemoglobin levels (mg/dL)

    Time frame: 90 days

  2. Serum ferritin levels

    Variation in serum ferritin levels (ug/l)

    Time frame: 90 days

  3. Body iron content

    Variation in body iron content levels

    Time frame: 120 days

  4. Mean corpuscular volume

    Variation in mean corpuscular volume (fL)

    Time frame: 120 days

  5. Red Blood Cell Distribution Width

    Variation in Red Blood Cell Distribution Width (%)

    Time frame: 120 days

  6. Soluble transferrin receptor levels

    Variation in soluble transferrin receptor levels (nmol/L)

    Time frame: 120 days

07

Study locations

1 of 1 sites recruiting
  • Centro de Salud Global
    Tumbes, Peru
    Recruiting
08

References and documents

Publications

  • Suchdev PS, Jefferds MED, Ota E, da Silva Lopes K, De-Regil LM. Home fortification of foods with multiple micronutrient powders for health and nutrition in children under two years of age. Cochrane Database Syst Rev. 2020 Feb 28;2(2):CD008959. doi: 10.1002/14651858.CD008959.pub3. PubMed 32107773 ↗
  • Eichler K, Hess S, Twerenbold C, Sabatier M, Meier F, Wieser S. Health effects of micronutrient fortified dairy products and cereal food for children and adolescents: A systematic review. PLoS One. 2019 Jan 23;14(1):e0210899. doi: 10.1371/journal.pone.0210899. eCollection 2019. PubMed 30673769 ↗
  • Gera T, Sachdev HS, Boy E. Effect of iron-fortified foods on hematologic and biological outcomes: systematic review of randomized controlled trials. Am J Clin Nutr. 2012 Aug;96(2):309-24. doi: 10.3945/ajcn.111.031500. Epub 2012 Jul 3. PubMed 22760566 ↗
  • Finkelstein JL, Mehta S, Villalpando S, Mundo-Rosas V, Luna SV, Rahn M, Shamah-Levy T, Beebe SE, Haas JD. A Randomized Feeding Trial of Iron-Biofortified Beans on School Children in Mexico. Nutrients. 2019 Feb 12;11(2):381. doi: 10.3390/nu11020381. PubMed 30759887 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 2, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05103709
Lead sponsor
Universidad Peruana Cayetano Heredia
Responsible party
Sponsor
First posted
Nov 2, 2021
Start date
Aug 3, 2021
Primary completion
Jan 2022 (estimated)
Completion
Feb 2022 (estimated)
Last update
Nov 2, 2021

Study contacts

Dulce E Alarcon Yaquetto, MSc
Contact
dulce.alarcon@upch.pe
+51 935401217

Oversight

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

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This study is status unknown, as verified in Jul 2021. You cannot join it, but the record below documents what was studied.

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