Effects of Lactoferrin-enriched Whey on Iron Status in Females
The Effects of Lactoferrin and Iron-enriched Whey on Iron Status of Active Collegiate Females
1 other identifier
interventional
82
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2024
1 active site
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
CompletedFirst Posted
Study publicly available on registry
January 31, 2024
CompletedStudy Start
First participant enrolled
March 1, 2024
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 30, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2025
CompletedJanuary 28, 2025
April 1, 2024
1.2 years
January 4, 2024
January 24, 2025
Conditions
Keywords
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 COMPARATORLactoferrin (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.
Lactoferrin in Rice Protein
ACTIVE COMPARATORLactoferrin (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.
Lactoferrin Control
ACTIVE COMPARATORLactoferrin (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.
Interventions
Chocolate Flavored Whey Protein Isolate Powder with (200mg Lactoferrin, 6 mg Iron, 5.2 ug B12)
Chocolate Flavored Rice Protein Isolate with (200mg Lactoferrin, 6mg Iron, 5.2 ug B12)
Chocolate Flavored (200mg Lactoferrin, 6 mg Iron, 5.2 ug B12)
Eligibility Criteria
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
- Utah State Universitylead
- Glanbia Nutritionalscollaborator
Study Sites (1)
Center for Human Nutrition Studies
Logan, Utah, 84322, United States
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: 33834234BACKGROUNDRosa 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: 32274616BACKGROUNDRezk 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: 26037728BACKGROUNDPaesano 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: 16936810BACKGROUNDPaesano 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: 20646353BACKGROUNDOmar 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: 34101010BACKGROUNDMikulic 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: 32886113BACKGROUNDLonnerdal 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: 32706983BACKGROUNDLepanto 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: 30298070BACKGROUNDKruzel ML, Actor JK, Boldogh I, Zimecki M. Lactoferrin in health and disease. Postepy Hig Med Dosw (Online). 2007;61:261-7.
PMID: 17507874BACKGROUNDKe 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: 25592008BACKGROUNDEl-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: 34857222BACKGROUNDEl 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: 35681097BACKGROUNDArtym 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: 34440102BACKGROUNDPasricha 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: 33285139BACKGROUNDGBD 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: 28919117BACKGROUNDMiller 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: 25375360BACKGROUNDKoury 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: 15189115BACKGROUNDKoikawa 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: 18391460BACKGROUNDSuzuki 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: 11747454BACKGROUNDShin 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: 18670097BACKGROUNDBerlutti 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: 16936806BACKGROUNDGriffin 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: 33188407BACKGROUNDKell 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
Intervention Hierarchy (Ancestors)
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
- 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
- Shared Documents
- STUDY PROTOCOL, ICF, ANALYTIC CODE
- Time Frame
- From January 2025, and indefinitely afterward.
- Access Criteria
- Freely Available
Any de-identified collected data through RedCap and wet-lab assays will be made available upon publication.