Actively Recruiting

Age: 18Years - 45Years
FEMALE
ID05973552

Assessment of Iron Absorption and Requirements During Pregnancy and Lactation in Kenyan Women

Led by University of Oxford · Updated on 2023-08-03

250

Participants Needed

1

Research Sites

9 weeks

Total Duration

On this page

Sponsors

U

University of Oxford

Lead Sponsor

C

Columbia University

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to understand iron needs and absorption during pregnancy and lactation in women living in Kenya, where anemia and infections are common. It focuses on pregnant and lactating women, using stable iron isotopes to measure iron absorption, losses, and gains throughout pregnancy and into early infancy. The study enrolls women in their first trimester who previously participated in an iron absorption study. Participants will be followed through pregnancy and the first six months after birth. All women receive standard prenatal care including daily iron and folate supplements as per Kenyan guidelines. A subgroup of women will receive oral and intravenous stable iron isotope tracers in the second and third trimesters to directly assess iron absorption and incorporation into red blood cells. Throughout the study, researchers will collect blood samples from mothers each trimester and at delivery, as well as from infants during the first six months of life. Iron isotope levels, hemoglobin, and other blood markers will be measured to assess iron status and absorption. The study monitors changes in iron isotope abundance at multiple time points during pregnancy and lactation to understand iron requirements and losses in mothers and infants.

CONDITIONS

Brief Title

Iron Absorption and Requirements in Pregnancy and Lactation

Who Can Participate

Age: 18Years - 45Years
FEMALE

Eligibility Criteria

Eligible

You may qualify if you...

  • Providing consent to the informed consent form
  • Participation in a previous stable isotope absorption study and having received an oral dose of 15 mg 57Fe at least 12 months prior
  • Positive pregnancy test with gestational age less than 10 weeks based on last menstrual period
  • Permanent residence in the study area with no planned absence longer than 4 weeks over 16 months
  • Good health as assessed by professional staff at Msambweni Hospital
Not Eligible

You will not qualify if you...

  • Pre-pregnancy body mass index over 30 kg/m2
  • Blood transfusion or intravenous iron treatment within 4 months before study start
  • Major chronic infectious diseases such as tuberculosis, HIV, or hepatitis
  • Major chronic non-infectious diseases such as Type 1 or 2 diabetes or cancer

AI-Screening

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Your Study Journey

Screening

Duration - Up to 10 weeks of gestation

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Monitoring During Pregnancy

Duration - From less than 10 weeks gestation up to 35 weeks gestation

Participants are followed throughout their pregnancy with repeated measurements of iron status and blood parameters using stable iron isotope tracers and blood samples.

Multiple visits at approximately 6, 10, 15, 20, 25, 30 and 35 weeks gestation

Sub-group Iron Isotope Administration

Duration - During the second and third trimester

A randomly selected sub-group of participants receive oral and intravenous stable iron isotope tracers in the second and third trimester to directly assess dietary iron absorption and erythrocyte iron incorporation.

2 visits for tracer administration and assessment 14 days after each administration

Postpartum Monitoring

Duration - Up to 6 months postpartum

Mother-infant pairs are followed for 6 months postpartum with continued assessment of iron status and blood parameters using stable isotope tracers and blood samples.

Multiple visits at approximately 6, 14 and 24 weeks postpartum

Trial Site Locations

Total: 1 location

1

Msambweni Referral Hospital

Msambweni, Kenya

Actively Recruiting

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Research Team

N

Nicole Stoffel, PhD

J

Joyce Wali, BSc

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

2

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