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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02484274
Other study ID # P140314
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 6, 2016
Est. completion date May 2018

Study information

Verified date February 2019
Source Assistance Publique - Hôpitaux de Paris
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

ID in children is the most frequent micronutrient deficiency in industrialized countries, including France. ID induces neurological impairment reducing cognitive, motor, and behavioral capacities in children in the short and long term.

The purpose of this study is to evaluate the principal determinants of ID in France in two-year-old children and to improve strategies for prevention and screening.

The main objective is to study the association between iron status in two-year-old infants living in France and the consumption of toddler milk formula after taking non-dairy iron ingestion, parental socioeconomic status and educational level into account.

The secondary objectives are the following :

- to estimate the prevalence of ID and ID anemia in 2-year-old children living in France.

- to improve clinical tools for ID screening. to improve strategies for laboratory screening.


Description:

The general methodology planned is a nationwide observational cross-sectional study including a blood sample and nutritional survey. 100 pediatricians will include children from 21 regions different from a geographic and a dietary point of view. Each pediatrician will include 10 children consecutively including 3 with the french medical healthcare coverage called CMU (which is a precariousness marker).

The study will take place according to the following plan and procedures for each child: D1 recruitment in the physician-investigator's office (verification of inclusion criteria and collection of the first parent's consent, clinical data collection, prescription for blood test and delivery of the kit containing the elements needed for the study for the patients); between D8 and D15, performance of the standard laboratory tests to be performed locally in the medical laboratory normally used by the family, and the sending of samples for specific analyses (especially biochemistry) to reference laboratory that will perform all these analyses for this study; between D2 and D7, a 3-day food survey based on a food diary (see below); between D20 and D60, final study visit to the doctor's office (help in completing the food diary, discussion of the laboratory results, prescription of iron treatment if needed). The blood sample and/or the 3-days food survey will be delayed 15 days if any intercurrent disease which may interfere with biological markers or food intake (for example acute gastro-enteritis, fever) appears after D1 of inclusion.


Recruitment information / eligibility

Status Completed
Enrollment 830
Est. completion date May 2018
Est. primary completion date January 15, 2018
Accepts healthy volunteers No
Gender All
Age group 22 Months to 26 Months
Eligibility Inclusion Criteria:

- Infants aged 22-26 months

- living usually in France

- written agreement of one parent or the holder of parental authority

- followed-up by a liberal paediatrician

- with social coverage

Exclusion Criteria:

- chronic disease known at inclusion that might affect iron metabolism or reserves : blood transfusion since birth, celiac disease, chronic inflammatory disease, including of the intestines, cystic fibrosis, other enteropathy, enteral nutrition for more than 15 days in the past 6 months, chronic hemolytic diseases, chronic kidney disease, hemophilia, or chronic bleeding, such as ENT or gastrointestinal, hemochromatosis, any malignant condition, or lead poisoning)

- participation to another study

Study Design


Related Conditions & MeSH terms


Intervention

Biological:
Blood samples
1 blood sample of 9 ml. 3-day food diary , according to the European Food Safety Authority methodology

Locations

Country Name City State
France Necker-Enfants Malades hospital Paris

Sponsors (6)

Lead Sponsor Collaborator
Assistance Publique - Hôpitaux de Paris Association Française de Pédiatrie Ambulatoire- AFPA, CERBA, Clinical and Therapeutic Association of Val de Marne: ACTIV, INSERM 1153, Centre de Recherche Epidémiologique et Biostatistique, Laboratoire de Biochimie, CHU Louis Mourier

Country where clinical trial is conducted

France, 

References & Publications (3)

Baker RD, Greer FR; Committee on Nutrition American Academy of Pediatrics. Diagnosis and prevention of iron deficiency and iron-deficiency anemia in infants and young children (0-3 years of age). Pediatrics. 2010 Nov;126(5):1040-50. doi: 10.1542/peds.2010-2576. Epub 2010 Oct 5. — View Citation

Domellöf M, Braegger C, Campoy C, Colomb V, Decsi T, Fewtrell M, Hojsak I, Mihatsch W, Molgaard C, Shamir R, Turck D, van Goudoever J; ESPGHAN Committee on Nutrition. Iron requirements of infants and toddlers. J Pediatr Gastroenterol Nutr. 2014 Jan;58(1):119-29. doi: 10.1097/MPG.0000000000000206. Review. — View Citation

Ghisolfi J, Fantino M, Turck D, de Courcy GP, Vidailhet M. Nutrient intakes of children aged 1-2 years as a function of milk consumption, cows' milk or growing-up milk. Public Health Nutr. 2013 Mar;16(3):524-34. doi: 10.1017/S1368980012002893. Epub 2012 Jul 4. — View Citation

Outcome

Type Measure Description Time frame Safety issue
Primary Serum ferritin level Iron deficiency determined by serum ferritin level < 10 µg/l with C Reactive Protein (CRP) < 5 mg/l Between day 8 and day 15 (or plus 15 days)
Secondary Haemoglobin blood level Iron-deficiency anemia determined by haemoglobin blood level < 11g/dl in infant with iron deficiency Between day 8 and day 15 (or plus 15 days)
Secondary Dosage of biochemical markers (hepcidin, erythrocytic protoporphyrin) Between day 8 and day 15 (or plus 15 days)
Secondary Iron intake related to toddler milk formula Food diary Between day 2 and day 7 (or plus 15 days)
Secondary Parents' economical and educational level Day 1