Anemia, Iron-Deficiency Clinical Trial
Official title:
Non-invasive Optical Detection of Iron Deficiency - Evaluation of a Fiber Optic Tissue Fluorescence Measurement to Determine the Erythrocyte Zinc Protoporphyrin-IX/Heme Ratio
This study aims to evaluate a prototype device detecting zinc protoporphyrin-IX fluorescence
non-invasively from the intact oral mucosa. Zinc protoporphyrin-IX is an established
indicator of iron deficiency. The prototype device is used to measure the erythrocyte zinc
protoporphyrin-IX/heme ratio for women after delivery, a study group chosen because of an
elevated risk of iron deficiency. The results from the non-invasive measurements are
compared to reference measurements of the erythrocyte zinc protoporphyrin-IX/heme ratio from
residual blood samples from the same patients and to other indicators of iron status,
including hemoglobin, ferritin, serum iron, transferrin, transferrin saturation and soluble
transferrin receptor.
Funding Source - Nestec Ltd.
This trial is a proof-of-concept study using a prototype fiber optic fluorometer to acquire
autofluorescence spectra from women after delivery and determine the erythrocyte zinc
protoporphyrin-IX fluorescence intensity from these spectra. The non-invasively determined
fluorescence spectra are evaluated to provide a quantitative measure of the erythrocyte zinc
protoporphyrin-IX/heme concentration ratio. These values are primarily compared to an
erythrocyte zinc protoporphyrin-IX determined by HPLC from residual blood samples from the
same subjects and secondarily to erythrocyte zinc protoporphyrin-IX/heme ratios determined
using a commercial hematofluorometer (AVIV, model 206d) and other indicators of iron status,
including hemoglobin, ferritin, serum iron, transferrin, transferrin saturation and soluble
transferrin receptor
This study could help to establish the non-invasive fluorescence measurement of zinc
protoporphyrin-IX as a rapid, easy to use means for point-of-care screening for iron
deficiency in resource-limited settings lacking laboratory infrastructure.
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Time Perspective: Prospective
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