Child Development Clinical Trial
Official title:
Neuroimaging Ancillary Study of the IV Iron RAPIDIRON Trial
Verified date | May 2024 |
Source | Thomas Jefferson University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
As a follow-up to the RAPIDIRON Trial (NCT05358509), and in combination with the RAPIDIRON-KIDS Study (NCT05504863), this study will involve infants of RAPIDIRON Trial participants recruited at one site in Karnataka and is designed to implement a magnetic resonance imaging (MRI) protocol and incorporate neuroimaging measures. Implementation of this study will promote an understanding of the effects on fetal and neonatal brain development, including iron deposition in brain tissues, when a woman is treated for iron deficiency anemia (IDA) by either (a) providing her oral iron tablets and instructions for use; or (b) administering a single-dose IV iron infusion for the treatment of IDA during pregnancy.
Status | Active, not recruiting |
Enrollment | 184 |
Est. completion date | February 2025 |
Est. primary completion date | February 14, 2024 |
Accepts healthy volunteers | No |
Gender | Female |
Age group | 18 Years to 40 Years |
Eligibility | Inclusion Criteria: - For the maternal participant in the parent RAPIDIRON Trial - a pregnancy that has not gone beyond the period for obtaining a fetal MRI (by scanning the mother at 32-35 weeks fetal gestational age) - An indication of the pregnant woman's intent to deliver in the study area and to reside there so as to be available not only to complete RAPIDIRON participation but also to allow her and her offspring to participate in ancillary study visits; - Informed consent of the pregnant RAPIDIRON participant for her participation and that of her offspring in this ancillary trial; and - Concurrent participation in the RAPIDIRON-KIDS follow-up study (NCT05504863). Exclusion Criteria: - If a fetal brain anomaly is found when the maternal participant undergoes an MRI at 32-35 weeks fetal gestational age, the dyad would be excluded from the ancillary study; - If any of the following occur, this would result in dyad ineligibility for participation or continued participation in this ancillary study: maternal blood transfusion after enrollment, a pregnancy ending in stillbirth, neonatal death, diagnosis in the offspring of moderate to severe hypoxic-ischemic encephalopathy (or HIE), and/or blood transfusion to the offspring. |
Country | Name | City | State |
---|---|---|---|
India | Jawaharlal Nehru Medical College | Belgaum | Karnataka |
Lead Sponsor | Collaborator |
---|---|
Thomas Jefferson University | Jawaharlal Nehru Medical College |
India,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Other | Child auditory brain response (ABR) results | Results on auditory brain response test | Birth - 4 months of age | |
Other | Hair cortisol results | Results from hair cortisol testing | Birth | |
Other | Maternal depression | Maternal depression, measured via the Edinburgh Post-Natal Depression Scale | Measured from 32-35 weeks fetal gestational age - 24 months offspring age | |
Other | Maternal anxiety | Maternal anxiety, measured via State-Trait Anxiety Inventory | Measured from 32-35 weeks fetal gestational age - 24 months offspring age | |
Other | Maternal Perceived Stress | Maternal Perceived Stress, measured via the Perceived Stress Scale (PSS-10) | Measured from 32-35 weeks fetal gestational age - 24 months offspring age | |
Other | Maternal Empowerment | Maternal empowerment, measured via the SWPER Global Survey | Measured from 32-35 weeks fetal gestational age - 24 months offspring age | |
Other | Breastmilk micronutrient analysis | Breastmilk micronutrient analysis, measured via maternal breastmilk samples | 4 months offspring age | |
Other | Maternal iron status | Maternal iron status, measured via hemoglobin, ferritin and TSAT | 32 - 35 weeks fetal gestational age | |
Primary | Fetal hippocampal volume | Fetal hippocampus volume, measured via fetal MRI | 32-35 weeks fetal gestational age | |
Primary | Fetal diffusion parameters: fractional anisotropy (FA) | Fetal white matter microstructure will be measured via FA at the posterior limb of internal capsule using fetal MRI | 32-35 weeks fetal gestational age | |
Primary | Fetal diffusion parameters: mean diffusivity | Fetal white matter microstructure will be measured via MD at the posterior limb of internal capsule using fetal MRI | 32-35 weeks fetal gestational age | |
Secondary | Fetal sub-cortical gray matter structures | Fetal sub-cortical gray matter structures in the brain using fetal MRI | 32-35 weeks fetal gestational age | |
Secondary | Fetal white matter microstructure measures | Additional fetal white matter microstructure measures using fetal MRI, including qualitative T2 MRI measures and NODDI metrics | 32-35 weeks fetal gestational age | |
Secondary | Child hippocampal volume | Child hippocampal volume, measured via MRI | 4 - 24 months of age | |
Secondary | Child white matter volume | Child white matter volume, measured via MRI | 4 - 24 months of age | |
Secondary | Child white matter microstructure | Child white matter microstructure, including myelination, fiber coherence, and architecture, measured via MRI | 4 - 24 months of age | |
Secondary | Child white matter connectivity | Child white matter connectivity, measured via MRI | 4 - 24 months of age | |
Secondary | Child functional connectivity | Child functional connectivity, measured via MRI | 4 - 24 months of age | |
Secondary | Child cerebral metabolism | Child cerebral metabolism, including perfusion and spectroscopy, measured via MRI | 4 - 24 months of age |
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