Status:

COMPLETED

Feasibility or Oral Lactoferrin to Prevent Iron Deficiency Anemia in Obese Pregnancy

Lead Sponsor:

University of Illinois at Chicago

Collaborating Sponsors:

National Heart, Lung, and Blood Institute (NHLBI)

Conditions:

Iron-deficiency

Pregnancy Anemia

Eligibility:

FEMALE

18-45 years

Phase:

NA

Brief Summary

Maternal iron deficiency anemia is associated with maternal and infant mortality, spontaneous preterm birth, maternal postpartum hemorrhage, and neurocognitive defects in the neonate. Therefore, preve...

Eligibility Criteria

Inclusion

  • naturally conceived, single pregnancy
  • at risk of IDA \[Hb 11.0 - 12.0 g/dL (first trimester)/10.5 - 11.5 g/dL (second trimester) for non-Black women and 10.2 - 11.2 g/dL (first trimester)/9.7 -- 10.7 g/dL (second trimester) for Black women\]42 based on new OB complete blood count (CBC) results obtained from the EMR
  • 18 - 45 years old
  • pre-conception BMI ≥ 30.0 kg/m2 \[based on measured height in EMR and recent pre-conception weight (within 3 months of pregnancy) from EMR if available or self-reported\]; \< 20 WG
  • fluency in English to provide consent and complete study procedures;
  • ability to provide consent
  • ownership of a smartphone (currently more than 90% of our patient population at the Center for Women's Health)

Exclusion

  • birth, or other pregnancy in the previous 12 months
  • IDA requiring high dose supplemental iron
  • allergy to milk proteins or wheat
  • vegan (due to content of the supplements)
  • recent blood transfusion
  • previously diagnosed type 1 or type 2 diabetes
  • autoimmune disorder (e.g., rheumatoid arthritis)
  • inflammatory bowel disease
  • premature rupture of membranes or chorioamnionitis
  • previous spontaneous preterm birth
  • current bacterial or viral infection
  • history of bariatric surgery
  • malabsorptive disease
  • current hyperemesis
  • current eating disorder
  • hematologic disorder or trait carrier (e.g., hemochromatosis, β-thalassemia)
  • current tobacco, alcohol or illicit drug use (including marijuana)
  • regular use of medications that may interfere with nutrient absorption
  • unstable housing, first trimester PHQ-9 score \> 10, and/or a recent traumatic event (e.g., death of a significant other or parent) may make it difficult to comply with the interventions, hence these women will also be excluded.

Key Trial Info

Start Date :

February 1 2022

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

October 9 2024

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT04810546

Start Date

February 1 2022

End Date

October 9 2024

Last Update

November 21 2024

Active Locations (1)

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1

University of Illinois at Chicago

Chicago, Illinois, United States, 60612