Donor Lifestyle and Nutritional Status, Blood Component Quality, and Patient Safety (ESENCIA)

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18-64
SponsorInstituto Nacional de Perinatologia

About this trial

The goal of this observational study is to evaluate how blood donors' lifestyle and nutritional status influence the quality of packed red blood cells (pRBCs) during storage and their impact on patient safety in transfused neonates and postpartum women. The main questions it aims to answer are:

1. Are donor lifestyle and nutritional profiles associated with the development of storage lesions in pRBCs? 2. Do these donor-related factors influence clinical outcomes after transfusion in neonates and postpartum women? 3. Are storage lesion in pRBCs associated with clinical outcomes in transfused neonates and postpartum women?

Researchers will compare pRBC units stratified according to donor lifestyle and nutritional profiles to determine differences in storage lesion biomarkers and post-transfusion clinical outcomes.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

Eligible candidates according to Mexican regulatory standards for blood donation (NOM-253-SSA1-2012)

Disqualifiers

None

Trial population

The study population consists of candidates for whole blood donation at the Blood Bank (BDS) of the National Institute of Perinatology (INPer). All candidates must first complete standard Blood Bank procedures, including medical interview, complete blood count screening, blood collection, and infectious disease testing, in accordance with institutional protocols. Candidates deemed eligible for donation following routine evaluation will be invited to participate in the study. Those who agree will provide study-specific informed consent. Participation involves additional assessments beyond standard Blood Bank procedures.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

No trial groups listed

Trial outcomes

Primary outcomes

1

Antioxidant capacity in stored blood units

Quantification of total antioxidant capacity, including hydrophilic and lipophilic antioxidants (vitamins, proteins, lipids, glutathione, and uric acid), reflecting the ability to neutralize free radicals. Unit of Measure: mmol (Trolox equivalents)

Time frame
From donation (baseline) to transfusion or end of storage (up to 42 days)
2

Oxidative damage in stored blood units

Measurement of lipid peroxidation products, including malondialdehyde (MDA), quantified as thiobarbituric acid reactive substances (TBARS) using colorimetric assays. Unit of Measure: µM MDA

Time frame
From donation (baseline) to transfusion or end of storage (up to 42 days)
3

Red blood cell membrane changes

Assessment of erythrocyte membrane integrity based on phosphatidylserine externalization, quantified by flow cytometry. Percentage of phosphatidylserine-positive cells (%)

Time frame
From donation (baseline) to transfusion or end of storage (up to 42 days)
4

Hemolysis in stored blood units

Determination of hemolysis as the percentage of free hemoglobin in the supernatant, quantified using HemoCue Plasma/Low Hb system. Unit of Measure: % hemolysis

Time frame
From donation (baseline) to transfusion or end of storage (up to 42 days)

Secondary outcomes

Other outcomes

Sponsors and contacts

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