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Safety and Effectiveness of Iron Hydroxide Adipate Tartrate (IHAT) in Iron Deficient Premenopausal Women

PHASE3RECRUITING

This is a double blind, randomised, placebo-controlled trial to evaluate orally-dosed Iron Hydroxide Adipate Tartrate (IHAT) at 2 different dose levels compared to placebo for increasing serum ferritin levels in iron deficient, but otherwise healthy premenopausal women over 12 weeks.

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Study details:

This is a double blind, randomised, placebo-controlled trial to evaluate orally-dosed Iron Hydroxide Adipate Tartrate (IHAT) at 2 different dose levels compared to placebo for increasing serum ferritin levels in iron deficient, but otherwise healthy premenopausal women over 12 weeks. IHAT is a novel bioavailable source of iron. It is a tartrate-modified, nanoparticulate ferric oxo-hydroxide with similar functional properties and small primary particle size to the iron form found in the ferritin core (ferrihydrite).

In this trial, subjects will be randomly assigned to receive either (1) IHAT once a day, (2) IHAT twice a day or (3) a placebo daily for 12 weeks. The primary endpoint is the correction of iron deficiency at week 12. Secondary endpoints include iron status, iron deficiency symptoms and gastrointestinal symptoms over the course of the 12 weeks.

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Eligibility criteria

Researchers look for people who fit a certain description, called eligibility criteria. See if you qualify.

Inclusion criteria

  • Generally healthy iron deficient premenopausal women, with iron deficiency defined as serum ferritin < 30 ug/L and generally healthy as C-reactive protein < 3mg/L (1)
  • Able to provide informed consent
  • Agree not to participate in another clinical trial while enrolled in this trial
  • Agree not to give blood donations during the study
  • Agree not to change current diet (subjects adhering to a vegetarian or vegan diet are allowed to participate) and/or exercise frequency or intensity
  • Exclusion criteria

  • Anaemia (as determined from the haematocrit and haemoglobin measures) (2)
  • Subjects regularly taking iron specific supplements during or 2 months prior to study commencement (the use of other mineral/vitamin/herbal preparations is allowed but should be recorded) (3)
  • Any uncontrolled serious illness (4)
  • Previously told they have an iron absorption problem
  • Receiving/prescribed coumadin (Warfarin), heparin, dalteparin, enoxaparin or other anticoagulation therapy
  • active smokers, nicotine use, alcohol (5) or drug (prescription or illegal substances) abuse
  • chronic gastrointestinal disorders
  • Pregnant/lactating women or women trying to conceive
  • Diagnosed depression or mental disorder that is uncontrolled
  • Eating disorders
  • BMI > 35 kg/m2
  • Allergic to any of the ingredients in active or placebo formula
  • Any condition which in the opinion of the investigator makes the participant unsuitable for inclusion
  • Participants who have participated in any other clinical trial during past 1 month
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    Eligibility

    Age eligible for study : 18 and older

    Healthy volunteers accepted : No

    Gender eligible for study: Female

    Things to know

    Study dates

    Study start: 2024-03-05

    Primary completion: 2025-12-01

    Study completion finish: 2025-12-31

    study type

    Study type

    TREATMENT

    phase

    Phase

      PHASE3

    trial

    Trial ID

    NCT06285799

    Intervention or treatment

    DRUG: Low Dose IHAT

    DRUG: High Dose IHAT

    DRUG: Carob Flour

    Conditions

    • Iron-deficiency

    Find a site

    Closest Location:

    RDC Clinical Pty Ltd

    Research sites nearby

    Select from list below to view details:

    • RDC Clinical Pty Ltd

      Brisbane, Queensland, Australia

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    Study Plan

    This section provides details of the study plan, including how the study is designed and what the study is measuring.

    How is the study designed?

    Participant Group/ArmIntervention/Treatment
    EXPERIMENTAL: Low Dose IHAT
    • IHAT in capsule form and carob flour in capsule form - taken as 1 x 100mg IHAT capsule (equivalent to 30mg iron) in the morning with water and 1 x placebo capsule in the evening with water
    DRUG: Low Dose IHAT
    • Once daily dose of 1 IHAT capsule (100mg IHAT per capsule) and once daily dose of 1 placebo capsule (carob flour)
    EXPERIMENTAL: High Dose IHAT
    • IHAT in capsule form - taken as 2 capsules (2 x 100mg IHAT, equivalent to 60mg iron total) daily with water (1 capsule in the morning and 1 capsule in the evening)
    DRUG: High Dose IHAT
    • Twice daily dose of 1 IHAT capsule (100mg IHAT per capsule)
    PLACEBO_COMPARATOR: Carob flour
    • Carob flour in capsule form - taken as 2 capsules daily with water (1 capsule in the morning and 1 capsule in the evening)
    DRUG: Carob Flour
    • Twice daily dose of 1 placebo capsule (carob flour)

    What is the study measuring?

    Primary outcome

    Primary Outcome MeasurePrimary Outcome DescriptionPrimary Outcome Time Frame
    Percentage of women recovering from iron deficiency at week 12Percentage of women recovering from iron deficiency at week 12, defined as serum ferritin levels of 30 - 150 ug/Lweek 12

    Secondary outcome

    Secondary Outcome MeasureSecondary Outcome DescriptionSecondary Outcome Time Frame
    Time to reach normalisation of ferritin levelsTime to reach normalisation of ferritin levels via blood test resultsBaseline, week 6 and week 12
    Change in iron statusIron status assessed by serum ferritin in ug/L, haemoglobin in g/dL, serum iron in uM and transferrin saturation, defined as serum iron divided by total iron binding capacity and expressed as a percentageBaseline, week 6 and week 12
    Change in fatigueChange in fatigue via Fatigue Severity ScaleBaseline, week 6 and week 12
    Incidence and prevalence of gastrointestinal side effectsIncidence and prevalence of gastrointestinal side effects via gastrointestinal symptom questionnaireBaseline, week 1-6 and week 12
    Iron deficiency symptomsIron deficiency symptoms via 36-Item Short Form Survey Instrument (SF-36)Baseline, week 6 and week 12

    Frequently Asked Questions

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    References

    Clinical Trials Gov: Safety and Effectiveness of Iron Hydroxide Adipate Tartrate (IHAT) in Iron Deficient Premenopausal Women

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