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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 4 November 2019
Main ID:  ISRCTN21955180
Date of registration: 14/04/2014
Prospective Registration: Yes
Primary sponsor: The Medical Research Council (MRC) (UK)
Public title: Hepcidin and Anaemia in Pregnancy (HAPn)
Scientific title: A double-blind randomised controlled trial comparing standard dose of iron supplementation for pregnant women with two screen-and-treat approaches using hepcidin as a biomarker for ready and safe to receive iron
Date of first enrolment: 21/04/2014
Target sample size: 462
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN21955180
Study type:  Interventional
Study design:  Proof-of-concept three-arm double-blind randomised controlled trial (Prevention)  
Phase:  Not Applicable
Countries of recruitment
Gambia
Contacts
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Name: Amat    Bah
Address:  MRC International Nutrition Group MRC Keneba POBOX 273 Banjul Gambia
Telephone: +220 9901696
Email: Amat.Bah@lshtm.ac.uk
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria:
1. Pregnant (gestational age between 14 - 22 weeks)
2. Age: 18 to 45 years
3. Likely to be resident in study area for duration of trial
4. Written informed consent obtained

Exclusion criteria:
1. Severely anaemic (< 7 g/dl)
2. Seriously ill (infectious disease of clinical significance) at recruitment
3. Chronic disease
4. Pregnancy complications (e.g. pre-eclampsia) at enrolment
5. Already part of another study


Age minimum:
Age maximum:
Gender: Female
Health Condition(s) or Problem(s) studied
Anaemia in pregnancy
Pregnancy and Childbirth
Intervention(s)

This study will involve 462 pregnant women between 14 and 22 weeks gestation over a period of 12 weeks randomly assigned (1:1:1 ratio) to either receive:
1. UNIMMAP containing 60 mg/day iron
2. UNIMMAP containing 60 mg/day iron but based on a weekly hepcidin screening indicating if iron can be given for the next 7 days or not
3. UNIMMAP containing 30 mg/day iron

Intervention product
The nutritional supplement to be used in this trial is the UNICEF/WHO/UNU international multiple micronutrient preparation (UNIMMAP). All formulations also contain 400 ug folic acid and 14 other micronutrients. Three investigational products will be administered:

UNIMMAP with 60 mg iron
UNIMMAP with 30 mg iron
UNIMMAP with 0 mg iron (for when iron is not needed).
Primary Outcome(s)
Haemoglobin - defined as pregnancy stage adjusted haemoglobin at day 84
Secondary Outcome(s)

1. Proportion of anaemia (Hb < 11 g/dl) at day 84
2. Iron deficiency prevalence at day 84
3. Iron deficiency anaemia (IDA) prevalence at day 84
4. Iron dosage
5. Beneficial and adverse events
6. Compliance
Secondary ID(s)
SCC 1357v3
Source(s) of Monetary Support
Medical Research Council (MRC) (UK) - International Nutrition Group, Bill & Melinda Gates Foundation (USA)
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
The Gambia Government/MRC Joint Ethics Committee, 19/12/2013, ref. SCC 1357v3
Results
Results available: Yes
Date Posted:
Date Completed: 21/03/2015
URL:
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