ClinicalTrials.gg
Not yet recruitingNCT07356258IRONFITUpdated Jan 27, 2026

Oral Iron in Pregnant Women: How Often to Take It and Its Side Effects and Tolerability

An observational study in Iron Adverse Reaction and Anemia Complicating Pregnancy, sponsored by Bnai Zion Medical Center. Not yet recruiting at 1 site in Israel. Open to female participants aged 18 Years to 50 Years. Per ClinicalTrials.gov, last updated 2026-01-27.

Sponsored by Bnai Zion Medical Center · Observational

From the registry’s dates

  • Primary completion was expected by May 2026, 6 months ago, but the record still lists the study as not yet recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
50
Ages
18 Years to 50 Years
Sex
Female
01

Study summary

The goal of this prospective observational study is to examine the frequency of gastrointestinal side effects associated with oral iron supplementation during pregnancy. The main question it aims to answer is:

Does intermittent oral iron supplementation result in fewer gastrointestinal side effects compared with daily supplementation in pregnant women? Pregnant women who are prescribed oral iron as part of their routine medical care will take ferrous sulfate on an alternate-day schedule for one week. If no significant gastrointestinal side effects are reported, they will then take ferrous sulfate daily for an additional week and will be followed for one month. Participants will be contacted by the study investigator to report gastrointestinal side effects, and routine blood tests will be used to assess changes in hemoglobin and iron stores.

Read the detailed description

This prospective observational study will be conducted in pregnant women who are prescribed oral iron supplementation as part of their routine prenatal care. The study is designed to reflect standard clinical practice and does not introduce any investigational treatment or deviation from accepted management.

Following enrollment, participants will receive oral ferrous sulfate in accordance with common clinical recommendations. The study includes two sequential exposure periods: an initial alternate-day dosing phase followed by a daily dosing phase, provided that no significant gastrointestinal intolerance is reported during the first phase.

At baseline, relevant demographic and pregnancy-related information will be recorded, including maternal age and gestational age at initiation of iron therapy. Baseline laboratory values related to iron status (including hemoglobin and iron stores) will be documented if obtained as part of routine care.

Participants will be instructed to take oral iron according to the prescribed schedule and to continue their usual diet and prenatal care. No dietary restrictions will be imposed as part of the study. Information regarding timing of iron intake, concomitant food consumption (including dairy products), and adherence will be collected through participant self-report.

Participants will be contacted by the study investigator at predefined time points during the supplementation period. Structured interviews will be used to assess gastrointestinal side effects, including constipation, abdominal pain, nausea, vomiting, diarrhea, bloating, and heartburn. Participants will be asked whether symptoms are new, worsened, or unchanged compared with baseline.

At one month after initiation of iron supplementation, participants will undergo follow-up blood tests as part of routine clinical monitoring to assess hemoglobin concentration and iron stores.

02

Conditions studied

  • Iron Adverse Reaction
  • Anemia Complicating Pregnancy

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Keywords

  • pregnancy
  • iron tolerability
  • oral iron supplementation
  • ron deficiency anemia
  • ferrous sulfate
  • alternate-day dosing
  • daily dosing
03

In context

Anemia

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

This study's planned enrollment of 50 is below the median of 270 across 368 observational studies indexed under Anemia.

Browse Anemia studies →

Lead sponsor

Bnai Zion Medical Center is the lead sponsor of 104 studies on the registry; 13 are open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 50 Years
Sexes eligible
Female
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Pregnant women attending our high-risk pregnancy clinics (in Bnai Zion medical center)

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

  • Pregnant women aged 18-50
  • Indication for oral iron treatment as determined by the treating physician, in accordance with standard clinical practice
  • Baseline iron store levels measured prior to initiation of oral iron therapy

Exclusion criteria

Exclusion Criteria:

  • Women taking ferrous sulfate 80 mg Tardiferon
  • Gastrointestinal diseases such as colitis
  • Women who received intravenous iron during pregnancy
  • Women who received blood transfusions during pregnancy
  • Women with anemia due to causes other than iron deficiency
  • History of bariatric surgery
  • Allergy to ferrous sulfate
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
50 participants (estimated)
Patient registry
No

Interventions

  • OtherNo intervention. It's an observational study

    No intervention. It's an observational study

06

What researchers measure

Primary outcomes

  1. Incidence of gastrointestinal side effects in response to iron intake

    Time frame: Over the first 2 weeks of supplementation, with structured follow-up at week 1 and week 2

07

Study locations

1 site
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Feb 2026; primary completion for May 2026, 3 months later.

Of 124 non-industry observational studies under Anemia, half reached primary completion within 30 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 84. This study's planned 3 months is below that.

Counting every sponsor, half of 145 studies reached it within 30 months; a quarter within 12 and three quarters within 76.

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

Registered
Jan 11, 2026
First posted
Jan 21, 2026
StartEst.
Feb 1, 2026
Primary completionEst.
May 2026
CompletionEst.
Jun 2026
Last update
Jan 27, 2026
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 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07356258
Responsible party
Sponsor
First posted
Jan 21, 2026
Start date
Feb 1, 2026 (estimated)
Primary completion
May 2026 (estimated)
Completion
Jun 2026 (estimated)
Last update
Jan 27, 2026

Study contacts

Diana Shair Nakhleh, MD
Contact
shairdiana@gmail.com
+972549718833

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 not yet recruiting, as verified in Dec 2025. You cannot join it, but the record below documents what was studied.

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