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CompletedNCT06318858Updated Jun 1, 2026

Daily and Weekly Iron Supplementation in Infants

An interventional study of Iron supplement in Anemia, Iron Status and Infants, sponsored by Mahidol University. Completed at 1 site in Thailand. Open to participants aged 6 Months to 12 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-06-01.

Sponsored by Mahidol University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Mar 2023, registered Mar 2024).
Phase
Not applicable
Study type
Interventional
Enrollment
287
Allocation
Randomized
Ages
6 Months to 12 Months
Sex
All
01

Study summary

This study aims to compare the efficacy of daily iron supplementation and weekly iron supplementation in infants aged 6-12 months on the prevalence of anemia, hemoglobin level, and serum ferritin levels. Infants will be enrolled at 6 months and will be randomly assigned to receive either daily or weekly iron supplementation for the first 3 months and will be followed by weekly iron supplementation for another 3 months.

Read the detailed description

This study aims to compare the efficacy of daily iron supplementation and weekly iron supplementation in infants aged 6-12 months on the prevalence of anemia, hemoglobin level, and serum ferritin levels. Normal birth weight and term infants will be enrolled at 6 months based on the inclusion criteria. Eligible participants will be assessed at baseline, including anthropometry, dietary intake, and biochemistry (hemoglobin, iron status, vitamin A status, and inflammation). Participants will then be randomly assigned to receive either daily or weekly iron supplementation for the first 3 months. Participants will be followed up at 9 months for the same assessments and will receive weekly iron supplementation for another 3 months. Participants will be followed up at 12 months and the same assessments will be performed. After that, participants will go back to the routine health care service, weekly iron supplementation.

02

Conditions studied

  • Anemia
  • Iron Status
  • Infants
  • Iron

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Keywords

  • Anemia
  • Iron status
  • Infants
  • Iron supplementation
03

In context

Anemia

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

This study's enrollment of 287 is above the median of 94 across 1,291 interventional studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Mahidol University is the lead sponsor of 730 studies on the registry; 118 are open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 12 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Apparently healthy infant, aged 6 months ± 2 weeks
  • Having a birth weight between 2,500 and 4,000 grams
  • Being born full term (37 to 41 weeks of age + 6 days)
  • Having hemoglobin ≥ 10.5 g/dL
  • Being planned to breastfeed with complementary food and/or complementary foods with formula milk

Exclusion criteria

Exclusion Criteria:

  • Infants with chronic illnesses or thalassemia clinical signs such as anemia, enlarged liver, or spleen (if parental history suggests the child is at risk of developing a thalassemia disease that may not show clinical symptoms)
  • Previously or currently taking an iron supplement
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
287 participants (actual)

Study arms

  • Experimental
    Group 1 daily iron supplementation

    12.5 mg daily iron syrup supplementation from 6-9 months old, followed by 12.5 mg weekly iron syrup supplementation from 9-12 months old. Infants aged 6-9 months will receive two iron syrup bottles. One bottle aims for ingestion every Monday of the week, and one bottle aims for ingestion on other days of the week. At ages 9-12 months, infants will receive an iron syrup bottle that aims for ingestion every Monday of the week.

    Dietary Supplement: Iron supplement

  • Other
    Group 2 weekly iron supplementation

    12.5 mg weekly iron syrup supplementation from 6-12 months old. Infants aged 6-9 months will receive an iron syrup bottle that aims for ingestion every Monday of the week and a placebo bottle that aims for ingestion on other days of the week. At ages 9-12 months, infants will receive an iron syrup bottle that aims for ingestion every Monday of the week.

    Dietary Supplement: Iron supplement

Interventions

  • Dietary supplementIron supplement

    Group 1: 12.5 mg daily iron syrup supplementation from 6-9 months old

06

What researchers measure

Primary outcomes

  1. Anemia status

    Hemoglobin concentration will be assessed and classified as anemia or non-anemia.

    Time frame: at aged 6, 9, and 12 months

  2. Iron status

    Serum ferritin will be assessed to reflect iron status

    Time frame: at aged 6, 9, and 12 months

Secondary outcomes

  1. Weight

    Body weight will be assessed, and weight-for-age and weight-for-length Z scores will be generated

    Time frame: at aged 6, 9, and 12 months

  2. Length

    Length will be assessed, and length-for-age Z scores and weight-for-length will be generated

    Time frame: at aged 6, 9, and 12 months

  3. Dietary intake

    Dietary intake will be assessed using the 24-hr dietary recall for 3 days

    Time frame: at aged 6, 9, and 12 months

  4. Head circumference (HC)

    HC will be assessed, and head circumference-for-age Z scores will be generated

    Time frame: at aged 6, 9, and 12 months

Other outcomes

  1. Hemoglobin typing

    Hemoglobin typing will be assessed

    Time frame: at aged 12 months

  2. C-reactive protein (CRP)

    High sensitivity CRP will be analyzed and will be used for the adjustment of serum ferritin

    Time frame: at aged 6, 9, and 12 months

  3. Alpha-1 acid glycoprotein (AGP)

    AGP will be analyzed and will be used for the adjustment of serum ferritin

    Time frame: at aged 6, 9, and 12 months

  4. Serum transferrin receptor

    Serum transferrin receptor will be assessed to reflect iron status

    Time frame: at aged 6, 9, and 12 months

  5. Serum Retinol Binding Protein (RBP)

    RBP will be assessed to reflect vitamin A status

    Time frame: at aged 6, 9, and 12 months

07

Study locations

1 site
  • Samphran District Hospital
    Sam Phran, Changwat Nakhon Pathom 73110, Thailand
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 1, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06318858
Lead sponsor
Mahidol University
Collaborators
Suranaree University of Technology
Responsible party
Sponsor
First posted
Mar 19, 2024
Start date
Mar 15, 2023
Primary completion
Oct 25, 2024
Completion
May 14, 2025
Last update
Jun 1, 2026

Study contacts

Tippawan Pongcharoen, PhD
principal investigator · Mahidol University

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 completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

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