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A Trial of Zinc and Micronutrients in Tanzanian Children
This study is currently recruiting participants.
Verified by Harvard School of Public Health, May 2008
Sponsors and Collaborators: Harvard School of Public Health
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Information provided by: Harvard School of Public Health
ClinicalTrials.gov Identifier: NCT00421668
  Purpose

A randomized clinical trial of multiple micronutrients, zinc, zinc + micronutrients, or placebo among 2400 children born to HIV-negative Tanzanian mothers.


Condition Intervention Phase
Risk of Infectious Diseases and Growth Faltering
Drug: Zinc
Drug: Vitamins C, E, B1, B2, niacin, B6, folate and B12
Drug: placebo
Phase III

Drug Information available for: Folic acid Ascorbic acid Niacin Niacin hydrochloride
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Factorial Assignment, Safety/Efficacy Study
Official Title: A Trial of Zinc and Micronutrients in Tanzanian Children

Further study details as provided by Harvard School of Public Health:

Primary Outcome Measures:
  • Incidence of diarrhea [ Time Frame: from ages 6 weeks to 18 months ] [ Designated as safety issue: No ]
  • respiratory tract infections [ Time Frame: from ages 6 weeks to 18 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Weight gain [ Time Frame: from age 6 weeks to 18 months ] [ Designated as safety issue: No ]
  • Length/height gain [ Time Frame: from age 6 weeks to 18 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 2400
Study Start Date: March 2007
Estimated Study Completion Date: July 2010
Estimated Primary Completion Date: March 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
Multivitamins (B,C and E)
Drug: Vitamins C, E, B1, B2, niacin, B6, folate and B12
2: Experimental
Multivitamins (B, C, E) plus zinc
Drug: Zinc
zinc
Drug: Vitamins C, E, B1, B2, niacin, B6, folate and B12
3: Experimental
zinc
Drug: Zinc
zinc
4: Placebo Comparator
placebo
Drug: placebo

Detailed Description:

We propose to study the efficacy of zinc or multiple micronutrient supplementation in reducing the risk of infectious diseases and growth faltering among infants and young children in Tanzania. Infants born to HIV-negative women will be recruited and randomly assigned in a factorial design to either zinc, micronutrients (vitamins C, E, B1, B2, niacin, B6, folate and B12), micronutrients plus zinc, or a placebo given daily. Children will be followed at monthly clinic visits from age 6 weeks for 18 months. Data obtained will include socioeconomic status, anthropometric data (weight, length, head circumference, and arm anthropometrics), dietary intake (including breastfeeding duration and frequency), hemoglobin, ferritin, and blood smear for malaria. The primary outcomes will be the incidence of diarrhea and respiratory tract infections. Secondary outcomes will be weight and length gain. A subset of children will be tested for blood concentrations of vitamin A, E, zinc and C-reactive protein. All children will receive a large periodic dose of vitamin A every 6 months as per standard of care in Tanzania.

  Eligibility

Ages Eligible for Study:   6 Weeks to 18 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Singleton, live born infants born to HIV- negative women
  • Mothers will need to have registered for pre-natal care before 34 weeks gestation
  • intend to stay in Dar es Salaam for until delivery and 18 months thereafter.

Exclusion Criteria:

  • infants born with multiple congenital abnormalities
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00421668

Locations
Tanzania
Muhimbili Uinverstiy College of Health Sciences Recruiting
Dar es Salaam, Tanzania
Contact: karim Manji         kmanji@muchs.ac.tz    
Principal Investigator: Karim Manji            
Sponsors and Collaborators
Harvard School of Public Health
Investigators
Principal Investigator: Christopher P Duggan, MD, MPH Harvard School of Public Health
  More Information

Responsible Party: Harvard School of Public Health ( Christopher Duggan, MD, MPH )
Study ID Numbers: HD048969
Study First Received: January 11, 2007
Last Updated: May 19, 2008
ClinicalTrials.gov Identifier: NCT00421668  
Health Authority: United States: Institutional Review Board;   Tanzania: Institutional Review Board;   Tanzania: Tanzania Food and Drug Authority

Keywords provided by Harvard School of Public Health:
HIV
Tanzania
Micronutrients
Infants/children
Infectious Disease
Growth faltering

Study placed in the following topic categories:
Folic Acid
Nicotinic Acids
HIV Infections
Zinc
Acquired Immunodeficiency Syndrome
Niacin
Ascorbic Acid

Additional relevant MeSH terms:
Communicable Diseases
Growth Substances
Physiological Effects of Drugs
Trace Elements
Micronutrients
Infection
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 14, 2009