Impact of Sprinkles on Infectious Morbidity When Moderate to Severe Pediatric Malnutrition Is Highly Prevalent
Impact of Oral Iron Supplementation With Sprinkles on Infectious Morbidity When Moderate to Severe Pediatric Malnutrition Is Highly Prevalent - A Non-Inferiority Safety Trial
1 other identifier
interventional
268
1 country
1
Brief Summary
The purpose of this study is to determine the safety profile of oral iron supplementation (OIS) with Sprinkles in a pediatric population with high prevalence of Iron deficiency (ID) and moderate or severe malnutrition (MSM); the efficacy profile will also be investigated.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for phase_3
Started Nov 2007
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
September 13, 2007
CompletedFirst Posted
Study publicly available on registry
September 17, 2007
CompletedStudy Start
First participant enrolled
November 1, 2007
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2009
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2009
CompletedApril 19, 2021
April 1, 2021
1.2 years
September 13, 2007
April 14, 2021
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
A composite score based on the sum of all distinct episodes of diarrhea, dysentery and lower respiratory tract infections
2 distinct and consecutive phases of 6 months each
Secondary Outcomes (2)
Incidence of death and fever without a source [Safety]
2 distinct and consecutive phases of 6 months each
Change in haemoglobin concentration after Sprinkles supplementation [Efficacy]
2 distinct and consecutive phases of 6 months each
Study Arms (2)
1
ACTIVE COMPARATOREach child in this group will receive daily supplementation of Iron Sprinkles with a single sachet for 60 days
2
PLACEBO COMPARATOREach child in this group will receive daily supplementation of placebo Sprinkles with a single sachet for 60 days
Interventions
Iron Sprinkles are provided as a powder in a single-dose sachet to be taken once daily for 60 days
Placebo Sprinkles are provided as a powder in a single-dose sachet to be taken once daily for 60 days
Eligibility Criteria
You may qualify if:
- children aged 12 - 24 months
- moderate to severe malnutrition (MSM), defined as weight-for-age Z-score ≤ -2 based on the National Center for Health Statistics (NCHS) standards
You may not qualify if:
- severe anemia (hemoglobin ≤70g/L)
- near normal hemoglobin concentration (\>100g/L)
- weight-for-height \<-3 z-score (severe wasting)
- kwashiorkor (defined as evidence of edema)
- congenital abnormality or disease
- treatment with iron supplements in the past 3 months
- chronic illness other than malnutrition.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Village of Shombhuganj
Shombhuganj, Mymensingh District, Bangladesh
Related Publications (1)
Lemaire M, Islam QS, Shen H, Khan MA, Parveen M, Abedin F, Haseen F, Hyder Z, Cook RJ, Zlotkin SH. Iron-containing micronutrient powder provided to children with moderate-to-severe malnutrition increases hemoglobin concentrations but not the risk of infectious morbidity: a randomized, double-blind, placebo-controlled, noninferiority safety trial. Am J Clin Nutr. 2011 Aug;94(2):585-93. doi: 10.3945/ajcn.110.009316. Epub 2011 Jun 29.
PMID: 21715512DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Stanley Zlotkin, MD
The Hospital for Sick Children, Toronto Canada
Study Design
- Study Type
- interventional
- Phase
- phase 3
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Chief, Global Child Health
Study Record Dates
First Submitted
September 13, 2007
First Posted
September 17, 2007
Study Start
November 1, 2007
Primary Completion
January 1, 2009
Study Completion
April 1, 2009
Last Updated
April 19, 2021
Record last verified: 2021-04