Effects of a Dietary Approach to Iron Deficiency in Premenopausal Women Affected by Celiac Disease
Study Details
Study Description
Brief Summary
Anemia and sideropenia are a common effect of untreated celiac disease. In a portion of patients a certain degree of hypoferritinemia persist after the diagnosis, despite a good compliance and clinical response to gluten-free diet. These patients are usually premenopausal women in whom the cyclic menstrual bleeding and the oral iron intake are not balanced.
The aim of the study is to compare the efficacy of a pharmacological therapy, frequently not tolerated, and a dietary approach through a iron-rich diet in this subset of patients.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: Iron sulfate 105 mg Iron sulfate 105 mg: 1 pill/day is administered |
Drug: Iron sulfate 105 mg
Daily supplementation with iron sulfate 105 mg 1 pill/day
|
Experimental: Iron-rich diet Iron-rich diet recommendations are given |
Dietary Supplement: Iron-rich diet
|
Outcome Measures
Primary Outcome Measures
- Ferritin levels (ng/mL) increase > 95% compared to basal levels [12 weeks]
Secondary Outcome Measures
- Hemoglobin levels (g/dL), compared to basal levels [12 weeks]
- Iron levels (mcd/dl), compared to basal levels [12 weeks]
- Transferrin saturation (%, ratio of serum iron and total iron-binding capacity), compared to basal levels [12 weeks]
Other Outcome Measures
- Number of participants with treatment-related adverse events assessed through NRS (number rating scales) [12 weeks]
- Degree of compliance to therapy assessed through telephone interviews (number of pills taken) [12 weeks]
- Degree of compliance to diet assessed through compliance questionnaires (mg of irons ingested) [12 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Celiac patients on gluten free diet since 1 year
-
iron deficiency (ferritin <15 ng/L or ferritin 15-20 + transferrin saturation <15%)
Exclusion Criteria:
-
allergy to iron supplementation
-
anemia
-
pregnancy or breastfeeding
-
menopause
-
organic or psychiatric diseases
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico | Milan | Italy | 20122 |
Sponsors and Collaborators
- Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico
Investigators
- Principal Investigator: Francesca Francesca, MD, Gastroenterology and Endoscopy Unit Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Department of Pathophysiology and Transplantation Università degli Studi di Milano - Italy.
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Atto 302/2016