Randomized Placebo-Controlled Trial (RPCT) of Maize/Zinc in Guatemala
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Purpose
Malnutrition is a serious health problem in the developing world. This study looks at the effects of changing the type of basic food staple (corn) used in Guatemala and infant zinc supplementation on infants' growth, development, and illnesses from infectious diseases.
| Condition | Intervention | Phase |
|---|---|---|
|
Nutrition Pregnancy |
Drug: Low phytic acid maize Drug: Zinc |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Double-Blind Primary Purpose: Prevention |
| Official Title: | Randomized Placebo-Controlled Trial (RPCT) of Maize/Zinc in Guatemala |
- Infant Maize/Zn Supplementation Trial:
- Linear growth velocity
- Zn Homeostasis Studies:
- Measures of zinc homeostatsis
- Infant Maize/Zn Supplementation Trial:
- Weight gain
- Morbidity
- Infant neurodevelopment
- Maternal and infant biomarkers
| Estimated Enrollment: | 420 |
| Study Start Date: | March 2003 |
| Study Completion Date: | April 2007 |
Poor mineral nutrition, especially deficiencies of iron and zinc, is a major cause of maternal and, especially, infant morbidity/mortality in developing world countries. The objectives of this study are to determine whether: a) linear growth velocity between 6 and 12 months in infants receiving a 5mg Zn supplement will be greater than that for infants receiving placebo; b) linear growth velocity will be greater for infants receiving complementary foods containing low phytate maize than for the infants fed wild-type conrol maize. In addition, Zn metabolic studies will be performed. The objective of the metabolic stuides are to measure key variables of Zn homeostasis in maternal participants during changes in the reproductive cycle and in infants during a time when they are most vulnerable to Zn deficiency.
The primary outcome measurement is linear growth velocity between 6 and 12 motnhs. Secondary outcomes are weight gain, diarrheal incidence/prevalence and infant neurodevelopmental measures. Optional maternal and infant biochemical data will be collected from a convenience sample comprised of willing participants.
One additional component to this study is to collect information on the nutritional status of the women receiving low-phytate vs. control maize and the infants enrolled in this study.
The current protocol for infants in this study specifies measurements of exchangeable zinc pool (EZP) at 6 and 12 months of age; in order to lesson the burden of study participation we plan to conduct the metabolic studies in infants at only nine months of age. In addition to decreasing the number of infant studies, this chanage will enable families who are only participating in the metabolic studies (not simultaneously enrolled in the sibling cohort) to cease all study demands at the end of the ninc month measurement (an overall decrease of three months in study participation).
The primary outcome measure for this study is the quantity of zinc absorbed (mg/day)from complementary foods and a Zn supplement at age 9 months. The rationale for measures of zinc absorption in infants is that the low phytate complementary feeding is expected to have a beneficial public health effect only if it results in enhanced mineral, especially zinc, absorption. Therefore, confirmation of increased zinc absorption can be regarded as the first logical stage of any efficacy study.
The sample size of 420 is required in order to observe a 6% increase in growth rates for Zn supplemented infants compared to placebo treated infants within each maize group with 80% power.
Eligibility| Ages Eligible for Study: | 18 Years to 40 Years |
| Genders Eligible for Study: | Female |
| Accepts Healthy Volunteers: | Yes |
Inclusion criteria:
- Informed consent of mother
- Mother between the ages of 18 and 40 years
- Mother typically eats homemade tortillas
- Mother typically eats a minimum of 15 homemade tortillas per day.
- Mother resides in a community served by the Compalapa, Chimaltenango, Community Health Center in the Western Highlands of Guatemala
Exclusion criteria:
- Other member of the dwelling unti already enrolled in the study.
- Mother has more than eight living children.
Contacts and Locations| Guatemala | |
| Community | |
| Comalapa, Guatemala | |
| Principal Investigator: | Michael Hambidge, MD | University of Colorado, Denver |
More Information
Additional Information:
No publications provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00098202 History of Changes |
| Other Study ID Numbers: | GN 06, U01 HD040657 |
| Study First Received: | December 3, 2004 |
| Last Updated: | August 13, 2007 |
| Health Authority: | United States: Federal Government |
Keywords provided by Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD):
|
Global Network Micronutrients Zinc Maternal and child health Women's health |
International Guatemala Nutrition Corn Maize |
Additional relevant MeSH terms:
|
Zinc Trace Elements Micronutrients |
Growth Substances Physiological Effects of Drugs Pharmacologic Actions |
ClinicalTrials.gov processed this record on May 16, 2013