About this trial
This will be a randomized clinical trial. Enrolled subjects will be randomized (1:1) into two study arms to receive either daily (Group 1) or alternate day (Group 2) supplementation with one oral pill containing ferrous sulfate with an equivalent elemental iron dose of 65 mg per pill.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant patients will be enrolled at less than 30 weeks gestational age (GA) with laboratory confirmed IDA (as defined by hemoglobin under 10.5 g/dL, as well as ferritin under 15 mcg/L)
Disqualifiers
Patients <18 years old, patients who have severe IDA that requires blood transfusion or IV iron infusion, patients who have other known hemoglobinopathy (such as thalassemia or sickle cell anemia) or anemia of different mechanism (such as vitamin B12 or folate deficiency), patients with ulcerative colitis, Crohn's disease, gastric ulcers, patients who have previously undergone gastric bypass surgery, patients who experience admission for antepartum bleed, have been diagnosed with abnormal placentation (i.e., placenta previa, placenta accreta, placenta increta or percreta)
Trial design
Parallel
Treatments tested in this trial
daily ferrous sulfate with an equivalent elemental iron dose of 65 mg per pill
Drugferrous sulfate with an equivalent elemental iron dose of 65 mg per pill daily
alternate day ferrous sulfate with an equivalent elemental iron dose of 65 mg per pill
Drugferrous sulfate with an equivalent elemental iron dose of 65 mg per pill every other day
Treatment groups
Trial outcomes
Primary outcomes
reversal of iron deficient anemia
hemoglobin \> 10.5 g/dL
reversal of iron deficient anemia
ferritin \> 15 mcg/L
Secondary outcomes
soluble transferrin receptor (sTfR) levels within normal range
1.8-4.6 mg/L
Sponsors and contacts
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