Iron Fish for Dominican Republic (DR) Infants
Cooking With Iron Ingots: Assessing Feasibility and Natural History Among Infants in Resource-limited Settings
1 other identifier
interventional
300
1 country
1
Brief Summary
This study evaluates the feasibility of cooking with an iron ingot, Lucky Iron Fish™ (LIF), and evaluate the natural history of hemoglobins and iron status among infants of families using this iron ingot in a population with a high prevalence of iron-deficiency anemia. Participants are mother-infant dyads, and are randomized to one of two arms: Lucky Iron Fish™or enhanced standard of care.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Aug 2018
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
July 10, 2018
CompletedFirst Posted
Study publicly available on registry
July 31, 2018
CompletedStudy Start
First participant enrolled
August 13, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 17, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
January 17, 2020
CompletedJanuary 31, 2020
January 1, 2020
1.4 years
July 10, 2018
January 30, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change in hemoglobin over time
Investigators will assess changes in hemoglobin within each study arm and compare hemolgobin levels between study arms (intervention vs. standard of care). Hemoglobin will be measured in grams per deciliter (g/dL) and measured at 6-months, and 12-months. If data is normally distributed, a paired/dependent t-test will be used, if non-normal, a non-parametric test like Wilcoxon's Matched pairs test will be used.
6-months and 12-months
Secondary Outcomes (5)
Rates of refusal
12-months
Retention
12-months
Adherence to iron ingot use
12-months
Difference in microbiomes and microbiota
12-months
Difference in microbiomes and microbiota
12-months
Study Arms (2)
Lucky Iron Fish™ (LIF)
EXPERIMENTALFor Mother-infant dyads enrolled into the LIF arm, mother receives a cooking supplement: one \~ 200g iron ingot.
Enhanced standard of care (eSOC)
NO INTERVENTIONFor mother-infant dyads in the eSOC arm, families are not provided iron supplementation (consistent with standard of care) but have additional visits and laboratory monitoring beyond well-child care (enhanced).
Interventions
For Mother-infant dyads enrolled into the LIF arm, mother receives one \~ 200g iron ingot, instructions on use: add 2-3 drops of lemon juice to one-liter of water, place iron ingot in water, bring to boil for 10 minutes, remove iron fish from water and then use that water for cooking or drinking.
Eligibility Criteria
You may qualify if:
- Mother ≥ 18 years of age
- A newborn delivered at ≥ 35 weeks
- Infant Child followed by (or will be followed by) affiliated clinic (Niños Primeros en Salud \[NPS\]) OR Infant delivered at Angel Ponce, the local maternity hospital of Consuelo, Dominican Republic.
- Mother is Spanish speaking
- Mother permission is provided (informed consent)
You may not qualify if:
- Maternal history of Sickle Cell Disease (homozygous)
- Concurrent enrollment in related study of LIF on anemia of young children (CHOP study #16-012631).
- Inability to understand and speak Spanish
- Severe cognitive impairment or severe psychiatric disease which would prohibit the answering of study questions
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Children's Hospital of Philadelphialead
- Lucky Iron Fishcollaborator
Study Sites (1)
Ninos Primeros en Salud
Consuelo, San Pedro de Macorís, Dominican Republic
Related Publications (1)
McKee SG, Close R, Lowenthal E. Evaluation of Iron Deficiency Anemia in a Pediatric Clinic in the Dominican Republic. Ann Glob Health. 2017 May-Aug;83(3-4):550-556. doi: 10.1016/j.aogh.2017.07.004.
PMID: 29221528BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Elizabeth Lowenthal, MD, MSCE
Children's Hospital of Philadelphia
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, INVESTIGATOR
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 10, 2018
First Posted
July 31, 2018
Study Start
August 13, 2018
Primary Completion
January 17, 2020
Study Completion
January 17, 2020
Last Updated
January 31, 2020
Record last verified: 2020-01
Data Sharing
- IPD Sharing
- Will not share