Iron-deficiency
Conditions
Brief summary
Open, monocentric, comparative, cross-over study to evaluate the rate and the extent of iron absorption after a single oral dose of (A) IBSA Iron orodispersible film vs (B) SiderAL® FORTE capsules in healthy women aged 18 to 55 years.
Detailed description
Open, monocentric, comparative cross-over study to compare the rate and the extent of iron absorption after a single oral dose of (A) IBSA Iron orodispersible film vs (B) SiderAL® FORTE capsules in healthy women aged 18 to 55 years. IBSA Iron is a food supplement based on ferric pyrophosphate and folic acid in orodispersible film. SiderAL® FORTE is a preparation based on ferric pyrophosphate and Vit.C in capsules. Each subject will be observed for two consecutive days (phase I, day -1 and day 0) and after a 7-day washout (phase II) for an additional two consecutive days (day -1 and day 0). Half of the enrolled subjects will take A in phase I and B in phase II; the remaining half of the enrolled subjects will take B in phase I and A in phase II. In the two days (day -1 and day 0) of both phases, peripheral blood samples will be taken and the defined parameters, indicative of blood iron levels, will be measured. The primary endpoint is the AUC0-t, Tmax and Cmax of serum iron. The secondary endpoints are the standard parameters indicative of blood iron levels.
Interventions
IBSA Iron ODF is a food supplement based on ferric pyrophosphate and folic acid in orodispersible film. IBSA Iron ODF appears as a yellow, opaque, homogeneous film, without visible particles. Once taken, it dissolves on the tongue and can be swallowed without adding water.
Sideral® r.m. contained in SiderAL® FORTE is an iron protected with Sucrosomial® Technology which passes through the gastric environment intact and is absorbed in the intestine, thus preventing any irritation and discomfort to the stomach. The presence of Vitamin C facilitates the absorption of iron.
Sponsors
Study design
Masking description
No masking procedure will be applied
Intervention model description
Single-dose, open-label, randomized, double-arm cross-over study
Eligibility
Inclusion criteria
* Written informed consent signed prior to inclusion in the study; * Women 18-55 years; * Ability to understand the nature and the purpose of the study, including possible risks and side effects; * Cability to collaborate with the investigator and meet the requirements of the entire study
Exclusion criteria
* Smoke * Clinically significant abnormalities in the ECG evaluation * Clinically significant abnormal laboratory values indicative of disease * Known allergy or presumed hypersensitivity to the food supplement investigated (iron) and / or to the excipients of the two formulations; * History of anaphylaxis from drugs, dietary supplements or allergic reactions in general, which the investigator believed could influence the outcome of the study * Significant history of kidney, liver, gastrointestinal, cardiovascular, respiratory, skin, haematological, endocrine or neurological diseases that may interfere with the purpose of the study * Taking herbal remedies and dietary supplements in the 2 weeks prior to the start of the study * Taking corticosteroids, thyroid hormones, antibiotics, antiepileptics * Alcohol abuse * Any clinical condition that in the investigator's judgment is deemed incompatible with study participation * Women who are pregnant or breastfeeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Maximum plasma concentration of serum Iron | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Maximum plasma concentration (Cmax) of serum iron to evaluate the rate of absorption of iron after a single oral dose of test versus reference |
| Tmax of serum iron | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Time to achieve Cmax (Tmax) after a single oral dose of test versus reference |
| AUC0-8 of serum iron | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evaluation of area under the curve of serum iron up to 8h post-administration to evaluate the extent of iron absorption after a single oral dose of test versus reference |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline in blood concentration of transferrin | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of transferrin after administration of test versus reference product |
| Change from baseline in blood concentration of hemoglobin | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of hemoglobin after administration of test versus reference product |
| Change from baseline in blood concentration of folic acid | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of folic acid after administration of test versus reference product |
| Change from baseline in blood concentration of transferrin receptor | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of transferrin receptor after administration of test versus reference product |
| Change from baseline in blood concentration of hematocrit | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of hematocrit after administration of test versus reference product |
| Change from baseline in blood concentration of ferritin | -24 hour, 0 hour, 1 hour, 2 hour, 3 hour, 4 hour, 5 hour, 8 hour | Evalution of the change from baseline of ferritin after administration of test versus reference product |
Countries
Italy