NCT06232642

Brief Summary

The goal of this work is to study the effects of twice daily ingestion of a whey protein, rice protein, or maltodextrin drink enriched with lactoferrin- (200 mg), iron (6 mg) and vitamin B12 (5.2 µg) for 16-weeks on iron metabolism and inflammatory markers in active young females. It is expected that the females consuming containing lactoferrin-, iron, and vitamin B12-enriched whey will 1) improve serum ferritin status; 2) reduce inflammation; 3) improve markers of iron metabolism, such as Hemoglobin (Hb), red blood cell count (RBC) and hematocrit (Hc) compared to women who consume the rice protein or maltodextrin control drink. Blood will be drawn before the beginning of the supplemental period (week 0) and end the end of the intervention phase (week 16).

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Trial has exceeded expected completion date
Enrollment
82

participants targeted

Target at P50-P75 for not_applicable

Timeline
Completed

Started Mar 2024

Geographic Reach
1 country

1 active site

Status
active not recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

January 4, 2024

Completed
27 days until next milestone

First Posted

Study publicly available on registry

January 31, 2024

Completed
1 month until next milestone

Study Start

First participant enrolled

March 1, 2024

Completed
1.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2025

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2025

Completed
Last Updated

January 28, 2025

Status Verified

April 1, 2024

Enrollment Period

1.2 years

First QC Date

January 4, 2024

Last Update Submit

January 24, 2025

Conditions

Keywords

LactoferrinIronSerum FerritinIron Status

Outcome Measures

Primary Outcomes (1)

  • Serum Ferritin

    Free Serum Ferritin measured via enzymatic detection at LabCorp Inc. as proxy of iron absorption.

    Tested at week 0 before supplementation begins, and week 16 after the final supplements have been taken.

Secondary Outcomes (6)

  • Inflammatory cytokine biomarker (IL-6) concentrations in plasma samples

    Tested at week 0 before supplementation begins, and week 16 after the final supplements have been taken.

  • Inflammatory cytokine biomarker (C-reactive protein) concentrations in plasma samples

    Tested at week 0 before supplementation begins, and week 16 after the final supplements have been taken.

  • Inflammatory cytokine biomarker (TNF-alpha) concentrations in plasma samples

    Tested at week 0 before supplementation begins, and week 16 after the final supplements have been taken.

  • Marker of Iron metabolism Red Blood Cell Count

    Tested at week 0 before supplementation begins, and on week 16 after the final supplements have been taken.

  • Marker of Iron metabolism Hematocrit

    Tested at week 0 before supplementation begins, and week 16 after the final supplements have been taken.

  • +1 more secondary outcomes

Study Arms (3)

Lactoferrin in Whey Protein

ACTIVE COMPARATOR

Lactoferrin (200 mg), iron (6 mg), and B12 (5.2 ug) in a whey protein isolate drink (20 grams of protein) to be taken 2 times daily; once before the morning meal and once before the evening meal.

Dietary Supplement: Lactoferrin, iron and B12 in Whey Protein

Lactoferrin in Rice Protein

ACTIVE COMPARATOR

Lactoferrin (200 mg), iron (6 mg), and B12 (5.2 ug) in a rice protein drink (20 grams of protein) to be taken 2 times daily; once before the morning meal and once before the evening meal.

Dietary Supplement: Lactoferrin, Iron and B12 in Rice Protein

Lactoferrin Control

ACTIVE COMPARATOR

Lactoferrin (200 mg), iron (6 mg), and B12 (5.2 ug) in a maltodextrin drink (0 grams of protein) to be taken 2 times daily; once before the morning meal and once before the evening meal.

Dietary Supplement: Lactoferrin, Iron and B12 in Maltrodextrin

Interventions

Chocolate Flavored Whey Protein Isolate Powder with (200mg Lactoferrin, 6 mg Iron, 5.2 ug B12)

Lactoferrin in Whey Protein

Chocolate Flavored Rice Protein Isolate with (200mg Lactoferrin, 6mg Iron, 5.2 ug B12)

Lactoferrin in Rice Protein

Chocolate Flavored (200mg Lactoferrin, 6 mg Iron, 5.2 ug B12)

Lactoferrin Control

Eligibility Criteria

Age18 Years - 30 Years
Sexfemale
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Biological sex: Female
  • Age ≥18 and ≤30 years;
  • BMI ≥18 and ≤30 kg/m2;
  • For the safety of the participant and proper consent of the procedures, subjects
  • must be able to speak and understand English to participate in this study,
  • which will be determined at the discretion of study staff;
  • Actively engaged in exercise/training ≥3 and ≤12 times per week with each session being from ≥30min to ≤3 hours in length of moderate to vigorous activity. activities that meet this criterion may include but are not limited to: hiking, weightlifting, volleyball, basketball, soccer, or others sport or activities' that involves strenuous physical activity

You may not qualify if:

  • Use of medications or supplements that are known to affect the study outcome measures (e.g., NSAIDs, corticosteroids, iron containing supplements) or increase the risk of study procedures (e.g., anticoagulants) that cannot be temporarily discontinued for this study.
  • Allergy to rice and/or whey protein.
  • Pregnant or lactating.
  • \>7 meals/week containing red meat and/or shellfish (iron-rich foods).
  • Hb1Ac \>6.4%
  • Consuming \>14 alcoholic drinks per week;
  • Use of cigarettes (or other tobacco products) in last 3 months;
  • Diagnoses of active malignancy, congestive heart failure, diabetes mellitus or chronic obstructive pulmonary disease;
  • Any inflammatory diseases (e.g., autoimmune diseases, coeliac disease, glomerulonephritis, hepatitis, inflammatory bowel disease, arthritis).
  • Persons who are unable or unwilling to follow the study protocol or who, for any reason, the research team considers not an appropriate candidate for this study, including non-compliance with screening appointments or study visits

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Center for Human Nutrition Studies

Logan, Utah, 84322, United States

Location

Related Publications (24)

  • Sun H, Weaver CM. Decreased Iron Intake Parallels Rising Iron Deficiency Anemia and Related Mortality Rates in the US Population. J Nutr. 2021 Jul 1;151(7):1947-1955. doi: 10.1093/jn/nxab064.

    PMID: 33834234BACKGROUND
  • Rosa L, Lepanto MS, Cutone A, Siciliano RA, Paesano R, Costi R, Musci G, Valenti P. Influence of oral administration mode on the efficacy of commercial bovine Lactoferrin against iron and inflammatory homeostasis disorders. Biometals. 2020 Jun;33(2-3):159-168. doi: 10.1007/s10534-020-00236-2. Epub 2020 Apr 9.

    PMID: 32274616BACKGROUND
  • Rezk M, Dawood R, Abo-Elnasr M, Al Halaby A, Marawan H. Lactoferrin versus ferrous sulphate for the treatment of iron deficiency anemia during pregnancy: a randomized clinical trial. J Matern Fetal Neonatal Med. 2016;29(9):1387-90. doi: 10.3109/14767058.2015.1049149. Epub 2015 Jun 3.

    PMID: 26037728BACKGROUND
  • Paesano R, Torcia F, Berlutti F, Pacifici E, Ebano V, Moscarini M, Valenti P. Oral administration of lactoferrin increases hemoglobin and total serum iron in pregnant women. Biochem Cell Biol. 2006 Jun;84(3):377-80. doi: 10.1139/o06-040.

    PMID: 16936810BACKGROUND
  • Paesano R, Berlutti F, Pietropaoli M, Goolsbee W, Pacifici E, Valenti P. Lactoferrin efficacy versus ferrous sulfate in curing iron disorders in pregnant and non-pregnant women. Int J Immunopathol Pharmacol. 2010 Apr-Jun;23(2):577-87. doi: 10.1177/039463201002300220.

    PMID: 20646353BACKGROUND
  • Omar OM, Assem H, Ahmed D, Abd Elmaksoud MS. Lactoferrin versus iron hydroxide polymaltose complex for the treatment of iron deficiency anemia in children with cerebral palsy: a randomized controlled trial. Eur J Pediatr. 2021 Aug;180(8):2609-2618. doi: 10.1007/s00431-021-04125-9. Epub 2021 May 28.

    PMID: 34101010BACKGROUND
  • Mikulic N, Uyoga MA, Mwasi E, Stoffel NU, Zeder C, Karanja S, Zimmermann MB. Iron Absorption is Greater from Apo-Lactoferrin and is Similar Between Holo-Lactoferrin and Ferrous Sulfate: Stable Iron Isotope Studies in Kenyan Infants. J Nutr. 2020 Dec 10;150(12):3200-3207. doi: 10.1093/jn/nxaa226.

    PMID: 32886113BACKGROUND
  • Lonnerdal B, Du X, Jiang R. Biological activities of commercial bovine lactoferrin sources. Biochem Cell Biol. 2021 Feb;99(1):35-46. doi: 10.1139/bcb-2020-0182. Epub 2020 Jul 24.

    PMID: 32706983BACKGROUND
  • Lepanto MS, Rosa L, Cutone A, Conte MP, Paesano R, Valenti P. Efficacy of Lactoferrin Oral Administration in the Treatment of Anemia and Anemia of Inflammation in Pregnant and Non-pregnant Women: An Interventional Study. Front Immunol. 2018 Sep 21;9:2123. doi: 10.3389/fimmu.2018.02123. eCollection 2018.

    PMID: 30298070BACKGROUND
  • Kruzel ML, Actor JK, Boldogh I, Zimecki M. Lactoferrin in health and disease. Postepy Hig Med Dosw (Online). 2007;61:261-7.

    PMID: 17507874BACKGROUND
  • Ke C, Lan Z, Hua L, Ying Z, Humina X, Jia S, Weizheng T, Ping Y, Lingying C, Meng M. Iron metabolism in infants: influence of bovine lactoferrin from iron-fortified formula. Nutrition. 2015 Feb;31(2):304-9. doi: 10.1016/j.nut.2014.07.006. Epub 2014 Aug 1.

    PMID: 25592008BACKGROUND
  • El-Hawy MA, Abd Al-Salam SA, Bahbah WA. Comparing oral iron bisglycinate chelate, lactoferrin, lactoferrin with iron and iron polymaltose complex in the treatment of children with iron deficiency anemia. Clin Nutr ESPEN. 2021 Dec;46:367-371. doi: 10.1016/j.clnesp.2021.08.040. Epub 2021 Sep 29.

    PMID: 34857222BACKGROUND
  • El Amrousy D, El-Afify D, Elsawy A, Elsheikh M, Donia A, Nassar M. Lactoferrin for iron-deficiency anemia in children with inflammatory bowel disease: a clinical trial. Pediatr Res. 2022 Sep;92(3):762-766. doi: 10.1038/s41390-022-02136-2. Epub 2022 Jun 9.

    PMID: 35681097BACKGROUND
  • Artym J, Zimecki M, Kruzel ML. Lactoferrin for Prevention and Treatment of Anemia and Inflammation in Pregnant Women: A Comprehensive Review. Biomedicines. 2021 Jul 27;9(8):898. doi: 10.3390/biomedicines9080898.

    PMID: 34440102BACKGROUND
  • Pasricha SR, Tye-Din J, Muckenthaler MU, Swinkels DW. Iron deficiency. Lancet. 2021 Jan 16;397(10270):233-248. doi: 10.1016/S0140-6736(20)32594-0. Epub 2020 Dec 4.

    PMID: 33285139BACKGROUND
  • GBD 2016 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016. Lancet. 2017 Sep 16;390(10100):1211-1259. doi: 10.1016/S0140-6736(17)32154-2.

    PMID: 28919117BACKGROUND
  • Miller EM. Iron status and reproduction in US women: National Health and Nutrition Examination Survey, 1999-2006. PLoS One. 2014 Nov 6;9(11):e112216. doi: 10.1371/journal.pone.0112216. eCollection 2014.

    PMID: 25375360BACKGROUND
  • Koury MJ, Ponka P. New insights into erythropoiesis: the roles of folate, vitamin B12, and iron. Annu Rev Nutr. 2004;24:105-31. doi: 10.1146/annurev.nutr.24.012003.132306.

    PMID: 15189115BACKGROUND
  • Koikawa N, Nagaoka I, Yamaguchi M, Hamano H, Yamauchi K, Sawaki K. Preventive effect of lactoferrin intake on anemia in female long distance runners. Biosci Biotechnol Biochem. 2008 Apr;72(4):931-5. doi: 10.1271/bbb.70383. Epub 2008 Apr 7.

    PMID: 18391460BACKGROUND
  • Suzuki YA, Shin K, Lonnerdal B. Molecular cloning and functional expression of a human intestinal lactoferrin receptor. Biochemistry. 2001 Dec 25;40(51):15771-9. doi: 10.1021/bi0155899.

    PMID: 11747454BACKGROUND
  • Shin K, Wakabayashi H, Yamauchi K, Yaeshima T, Iwatsuki K. Recombinant human intelectin binds bovine lactoferrin and its peptides. Biol Pharm Bull. 2008 Aug;31(8):1605-8. doi: 10.1248/bpb.31.1605.

    PMID: 18670097BACKGROUND
  • Berlutti F, Schippa S, Morea C, Sarli S, Perfetto B, Donnarumma G, Valenti P. Lactoferrin downregulates pro-inflammatory cytokines upexpressed in intestinal epithelial cells infected with invasive or noninvasive Escherichia coli strains. Biochem Cell Biol. 2006 Jun;84(3):351-7. doi: 10.1139/o06-039.

    PMID: 16936806BACKGROUND
  • Griffin IJ. The Effects of Different Forms of Lactoferrin on Iron Absorption. J Nutr. 2020 Dec 10;150(12):3053-3054. doi: 10.1093/jn/nxaa314. No abstract available.

    PMID: 33188407BACKGROUND
  • Kell DB, Heyden EL, Pretorius E. The Biology of Lactoferrin, an Iron-Binding Protein That Can Help Defend Against Viruses and Bacteria. Front Immunol. 2020 May 28;11:1221. doi: 10.3389/fimmu.2020.01221. eCollection 2020.

    PMID: 32574271BACKGROUND

MeSH Terms

Interventions

LactoferrinIronVitamin B 12Whey Proteins

Intervention Hierarchy (Ancestors)

Serine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesGlycoproteinsGlycoconjugatesCarbohydratesTransferrinsIron-Binding ProteinsCarrier ProteinsProteinsAmino Acids, Peptides, and ProteinsLactoglobulinsMilk ProteinsAnimal Proteins, DietaryDietary ProteinsGlobulinsMetalloproteinsMetals, HeavyElementsInorganic ChemicalsTransition ElementsMetalsCorrinoidsTetrapyrrolesPyrrolesAzolesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsHeterocyclic Compounds, 4 or More RingsHeterocyclic Compounds, Fused-RingMacrocyclic CompoundsPolycyclic CompoundsWheyMilkDairy ProductsFoodDiet, Food, and NutritionPhysiological PhenomenaFood and Beverages

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, INVESTIGATOR, OUTCOMES ASSESSOR
Masking Details
Supplement arms will be marked with a random number code assigned by a non-participating researcher immediately after supplements are prepared. Supplements will be provided to participants in unmarked sachets.
Purpose
BASIC SCIENCE
Intervention Model
PARALLEL
Model Details: The study has three arms to which participants will be randomly assigned to: Arm 1: A lactoferrin- (200 mg), iron (6 mg) and Vitamin B12 (5.2µg)- enriched whey drink (10 g protein; FerriUpTM). Arm 2: A protein control (rice protein containing drink matched for protein, iron and B12). Arm 3: A lactoferrin control (maltodextrin containing drink matched for lactoferrin, iron, and B12). The parallel design 16 weeks in length with blood draws before and after intervention period to assess iron status, and markers of iron metabolism and inflammation.
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

January 4, 2024

First Posted

January 31, 2024

Study Start

March 1, 2024

Primary Completion

May 30, 2025

Study Completion

May 30, 2025

Last Updated

January 28, 2025

Record last verified: 2024-04

Data Sharing

IPD Sharing
Will share

Any de-identified collected data through RedCap and wet-lab assays will be made available upon publication.

Shared Documents
STUDY PROTOCOL, ICF, ANALYTIC CODE
Time Frame
From January 2025, and indefinitely afterward.
Access Criteria
Freely Available

Locations