Iron Absorption From Plant Heme Iron
PHIA
Iron Absorption From Plant-Derived Heme Iron: An Experimental Study in Iron-Deficient Women (PHIA)
1 other identifier
interventional
45
1 country
1
Brief Summary
Heme, an iron protoporphyin IX complex, consists of a ferrous ion captured in a porphyrin ring acting as a tetradentate ligand. The unique features of heme iron -its unusually high absorption in foods and its resistance to luminal inhibitors of iron absorption- make it a potentially interesting iron fortificant. This study aims to compare fractional iron absorption from two plant-derived heme iron compounds-iron chlorophyllin and soy hemoglobin-with ferrous sulfate (negative control) and porcine hemoglobin (positive control) in iron-deficient women. All four compounds will be intrinsically labeled with stable iron isotopes. Fractional absorption will be assessed 14 days after test meal administration via erythrocyte iron incorporation. Absorption will be tested in two matrices: water and maize porridge (an inhibitory matrix). Each participant will consume all test conditions in a randomized order, allowing for within-subject comparisons.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Sep 2025
Shorter than P25 for not_applicable
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
August 20, 2025
CompletedFirst Posted
Study publicly available on registry
August 27, 2025
CompletedStudy Start
First participant enrolled
September 22, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
May 1, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 1, 2026
CompletedFebruary 12, 2026
August 1, 2025
7 months
August 20, 2025
February 11, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Fractional Iron Absorption (%)
Fractional iron absorption will be calculated based on the shift of the iron isotope ratios in the collected blood samples after the administration of the intervention products. Fractional iron absorption will be measured as erythrocyte incorporation of the naturally occurring iron forms with different masses used to label the iron supplements.
Day 22
Fractional Iron Absorption (%)
Fractional iron absorption will be calculated based on the shift of the iron isotope ratios in the collected blood samples after the administration of the intervention products. Fractional iron absorption will be measured as erythrocyte incorporation of the naturally occurring iron forms with different masses used to label the iron supplements.
Day 43
Fractional Iron Absorption (%)
Fractional iron absorption will be calculated based on the shift of the iron isotope ratios in the collected blood samples after the administration of the intervention products. Fractional iron absorption will be measured as erythrocyte incorporation of the naturally occurring iron forms with different masses used to label the iron supplements.
Day 64
Secondary Outcomes (19)
Hemoglobin (g/dL)
Day 1
Hemoglobin (g/dL)
Day 22
Hemoglobin (g/dL)
Day 43
Hemoglobin (g/dL)
Day 64
Serum Ferritin (µg/L)
Day 1
- +14 more secondary outcomes
Study Arms (8)
Iron chlorophyllin + Water
EXPERIMENTAL3 mg iron as Fe chlorophyllin (54Fe) + water
Soy hemoglobin + Water
EXPERIMENTAL3 mg iron as soy hemoglobin (58Fe) + water
Ferrous sulfate + Water (negative control)
ACTIVE COMPARATOR3 mg iron as ferrous sulfate (58Fe) + water
Porcine hemoglobin + Water (positive control)
ACTIVE COMPARATOR3 mg iron as porcine hemoglobin (57Fe) + water
Iron Chlorophyllin + Inhibitory Meal
EXPERIMENTAL3 mg iron as Fe chlorophyllin (54Fe) + maize porridge
Soy Hemoglobin + Inhibitory Meal
EXPERIMENTAL3 mg iron as soy hemoglobin (58Fe) + maize porridge
Ferrous sulfate + Inhibitory Meal (negative control)
ACTIVE COMPARATOR3 mg iron as ferrous sulfate (57Fe) + maize porridge
Porcine hemoglobin + Inhibitory Meal (positive control)
ACTIVE COMPARATOR3 mg of iron as porcine hemoglobin (57Fe) + maize porridge
Interventions
Water with labelled ferrous sulfate (58Fe)
Maize porridge with labelled Fe chlorophyllin (54Fe)
Maize porridge with labelled soy hemoglobin (58Fe)
Maize porridge with labelled ferrous sulfate (57Fe)
Maize porridge with labelled porcine hemoglobin (57Fe)
Water with labelled Fe chlorophyllin (54Fe)
Water with labelled porcine hemoglobin (57Fe)
Eligibility Criteria
You may qualify if:
- Serum ferritin \< 45 µg/L (iron depleted)
- Body weight \< 70 kg
- Body mass index 18,5 - 24,9 kg/m2 (normal weight)
You may not qualify if:
- Hb \< 120 g/L (anemia)
- CRP \> 5 µg/L (inflammation)
- Strict vegan and vegetarians
- Any metabolic, gastrointestinal kidney or chronic disease
- Consumption of mineral and vitamin supplements since screening and over the study period until last blood sample collection
- Blood transfusion over the past 6 months
- blood donation over the past 6 months
- Significant blood loss (accident, surgery) over the past 6 months
- Women who are pregnant or breast feeding
- Smoker (\> 1 cigarette per week)
- Continuous/long-term use of medication (except for contraceptives)
- Therapeutic iron infusion over the past 6 months,
- Known hypersensitivity or allergy to iron supplements,
- Intention to become pregnant during the course of the studies,
- Known or suspected non-compliance, drug or alcohol abuse,
- +3 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- ETH Zurichlead
Study Sites (1)
ETH Zurich, Laboratoy of Clinical Biopharmacy
Zurich, 8092, Switzerland
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- CROSSOVER
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Assistantprofessor
Study Record Dates
First Submitted
August 20, 2025
First Posted
August 27, 2025
Study Start
September 22, 2025
Primary Completion
May 1, 2026
Study Completion
May 1, 2026
Last Updated
February 12, 2026
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share