Title

Probing the Synergistic Effect of Pre-Biotics & Iron Fortificants in Anemic Subjects
Probing the Synergistic Effect of Pre-Biotics & Iron Fortificants in Anemic
  • Phase

    Phase 1/Phase 2
  • Study Type

    Interventional
  • Study Participants

    75
Hypothesis: Synergistic effect of pre-biotics and iron fortificants will enhance the bioavailability of iron; thereby improving the body iron reserves.

A double blind, randomized controlled trail will be conducted on iron deficient female adults (age 18-25 years) in order to determine the synergistic effect of pre-biotics and iron fortificants in anemic human subjects. 75 iron deficient females will be randomly divided into 5 groups (D0, D1, D2, D3 and D4), each having 15 study subjects and will be given varying doses of FeSO4 and NaFeEDTA and Inulin and GOS. Blood samples will be collected from overnight fasted women from each group on monthly basis up to three months. Various biomarkers for iron absorption, LFTs, RFTs, and Immunoglobulins will be estimated.
Study Design A double blind, randomized controlled trial will be used for the purpose of this study.

Study Site The study will be conducted in Islamabad and/or Lahore, depending on the availability of the required sample size with the desired profiles.

Study Duration The trial will last for 12 weeks. Study Population The study population will consist of university going iron deficient female adults (age 18-25 years).

Inclusion and Exclusion Criteria Inclusion Criteria All willing anemic female adults without any chronic diseases such as diabetes or hypertension will be included in the study.

Exclusion Criteria Married females or those with chronic diseases or those already taking iron and/or prebiotic supplements will be excluded from the study.

Sampling Sampling Technique The technique of convenience sampling will be used for the current study. Sample Size Each group will consist of 15 study subjects for the purpose of convenience and the total sample size will be 75.

Treatment Plan For this phase of the study, 4 best treatment combinations of pre-biotics (Inulin & Galactooligosaccharides) and iron fortificants (FeSO4 and NaFeEDTA) will be chosen.

Study participants will be randomly chosen to receive either the best treatment combination 1, 2, 3, 4 or the placebo for 12 weeks on daily basis.

Efficacy Trials Blood samples will be collected from overnight fasted women from each group on monthly basis up to three months. Hematological analysis The collected blood from respective groups will be assessed for hematological analysis.

Iron Biomarkers Obtained sera will also be analyzed for blood serum biomarkers like serum iron, folate, ferritin, transferrin saturation fraction & TIBC.

Liver function tests Liver function tests including AST (Aspartate Aminotransferase), ALT (Alanine Aminotransferase), ALP (Alkaline Phosphatase) and Total Bilirubin will be conducted Renal function tests Blood urea (GLDH-method) and creatinine (Jaffe-method) levels will be determined using commercial kits.

Immunoglobulins Immunoglobulins, including Immunoglobulin A, Immunoglobulin E, Immunoglobulin G, and Immunoglobulin M will be determined using the technique of ELISA (Enzyme linked Immunosorbent Assay).
Study Started
Apr 06
2019
Primary Completion
Jul 06
2019
Study Completion
Jul 06
2019
Results Posted
Aug 22
2019
Last Update
Aug 22
2019

Combination Product Prebiotic + Iron Forificant [inulin, alpha-galacto-oligosaccharides, iron sulfate]

A combination dosage of prebiotic (Inulin or GOS) and Iron Fortificant (FeSO4 or NaFeEDTA) will be given to the study subjects.

Placebo only Placebo Comparator

Prebiotic Inulin & Iron Salt FeSO4 Experimental

Prebiotic GOS & Iron Salt FeSO4 Experimental

Prebiotic Inulin & Iron Salt NaFeEDTA Experimental

Prebiotic GOS & Iron Salt NaFeEDTA Experimental

Criteria

Inclusion Criteria:

All willing anemic female adults without any chronic diseases such as diabetes or hypertension will be included in the study.

Exclusion Criteria:

Married females or those with chronic diseases or those already taking iron and/or prebiotic supplements will be excluded from the study.

Summary

Placebo Only

Prebiotic Inulin & Iron Salt NaFeEDTA

Prebiotic Inulin & Iron Salt NaFeEDTA (2)

Prebiotic Inulin & Iron Salt FeS04

Prebiotic GOS & Iron Salt NaFeEDTA

All Events

Event Type Organ System Event Term

Change in Hemoglobin Concentration From Baseline to 90 Days

Placebo Only

30 days

11.52
g/dL (Mean)
Standard Deviation: 0.01

60 days

11.64
g/dL (Mean)
Standard Deviation: 0.01

90 days

11.91
g/dL (Mean)
Standard Deviation: 0.02

Baseline

11.44
g/dL (Mean)
Standard Deviation: 0.04

Prebiotic Inulin & Iron Salt FeSO4

30 days

11.71
g/dL (Mean)
Standard Deviation: 0.01

60 days

11.83
g/dL (Mean)
Standard Deviation: 0.01

90 days

12.04
g/dL (Mean)
Standard Deviation: 0.03

Baseline

11.58
g/dL (Mean)
Standard Deviation: 0.02

Prebiotic GOS & Iron Salt FeSO4

30 days

11.62
g/dL (Mean)
Standard Deviation: 0.01

60 days

11.74
g/dL (Mean)
Standard Deviation: 0.01

90 days

11.85
g/dL (Mean)
Standard Deviation: 0.01

Baseline

11.54
g/dL (Mean)
Standard Deviation: 0.01

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

11.78
g/dL (Mean)
Standard Deviation: 0.03

60 days

11.9
g/dL (Mean)
Standard Deviation: 0.01

90 days

12.17
g/dL (Mean)
Standard Deviation: 0.04

Baseline

11.61
g/dL (Mean)
Standard Deviation: 0.02

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

11.54
g/dL (Mean)
Standard Deviation: 0.02

60 days

11.84
g/dL (Mean)
Standard Deviation: 0.02

90 days

12.33
g/dL (Mean)
Standard Deviation: 0.02

Baseline

11.28
g/dL (Mean)
Standard Deviation: 0.04

Change in Hematocrit in Concentration From Baseline to 90 Days

Placebo Only

30 days

31.62
% of RBCs in blood (Mean)
Standard Deviation: 0.04

60 days

32.65
% of RBCs in blood (Mean)
Standard Deviation: 0.03

90 days

34.36
% of RBCs in blood (Mean)
Standard Deviation: 0.16

Baseline

30.26
% of RBCs in blood (Mean)
Standard Deviation: 0.17

Prebiotic Inulin & Iron Salt FeSO4

30 days

34.84
% of RBCs in blood (Mean)
Standard Deviation: 0.12

60 days

35.14
% of RBCs in blood (Mean)
Standard Deviation: 0.10

90 days

36.43
% of RBCs in blood (Mean)
Standard Deviation: 0.07

Baseline

33.76
% of RBCs in blood (Mean)
Standard Deviation: 0.19

Prebiotic GOS & Iron Salt FeSO4

30 days

33.72
% of RBCs in blood (Mean)
Standard Deviation: 0.08

60 days

34.76
% of RBCs in blood (Mean)
Standard Deviation: 0.17

90 days

36.17
% of RBCs in blood (Mean)
Standard Deviation: 0.07

Baseline

32.77
% of RBCs in blood (Mean)
Standard Deviation: 0.07

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

34.59
% of RBCs in blood (Mean)
Standard Deviation: 0.09

60 days

35.6
% of RBCs in blood (Mean)
Standard Deviation: 0.07

90 days

36.56
% of RBCs in blood (Mean)
Standard Deviation: 0.06

Baseline

33.5
% of RBCs in blood (Mean)
Standard Deviation: 0.06

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

33.81
% of RBCs in blood (Mean)
Standard Deviation: 0.13

60 days

35.24
% of RBCs in blood (Mean)
Standard Deviation: 0.06

90 days

37.86
% of RBCs in blood (Mean)
Standard Deviation: 0.26

Baseline

31.5
% of RBCs in blood (Mean)
Standard Deviation: 0.06

Change in Mean Corpuscular Volume From Baseline to 90 Days

Placebo Only

30 days

70.46
fL (Mean)
Standard Deviation: 0.29

60 days

72.72
fL (Mean)
Standard Deviation: 0.09

90 days

77.09
fL (Mean)
Standard Deviation: 0.15

Baseline

68.53
fL (Mean)
Standard Deviation: 0.11

Prebiotic Inulin & Iron Salt FeSO4

30 days

71.63
fL (Mean)
Standard Deviation: 0.24

60 days

75.11
fL (Mean)
Standard Deviation: 0.49

90 days

78.64
fL (Mean)
Standard Deviation: 0.17

Baseline

69.56
fL (Mean)
Standard Deviation: 0.11

Prebiotic GOS & Iron Salt FeSO4

30 days

74.7
fL (Mean)
Standard Deviation: 0.17

60 days

80.18
fL (Mean)
Standard Deviation: 0.17

90 days

83.77
fL (Mean)
Standard Deviation: 0.13

Baseline

73.79
fL (Mean)
Standard Deviation: 0.19

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

78.77
fL (Mean)
Standard Deviation: 0.14

60 days

81.82
fL (Mean)
Standard Deviation: 0.17

90 days

83.64
fL (Mean)
Standard Deviation: 0.15

Baseline

76.61
fL (Mean)
Standard Deviation: 0.13

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

80.03
fL (Mean)
Standard Deviation: 0.13

60 days

81.96
fL (Mean)
Standard Deviation: 0.14

90 days

85.59
fL (Mean)
Standard Deviation: 0.24

Baseline

78.06
fL (Mean)
Standard Deviation: 0.09

Change in Mean Corpuscular Hemoglobin From Baseline to 90 Days

Placebo Only

30 days

23.24
pg (Mean)
Standard Deviation: 1.14

60 days

24.47
pg (Mean)
Standard Deviation: 1.00

90 days

25.09
pg (Mean)
Standard Deviation: 0.89

Baseline

21.94
pg (Mean)
Standard Deviation: 1.35

Prebiotic Inulin & Iron Salt FeSO4

30 days

24.83
pg (Mean)
Standard Deviation: 0.86

60 days

25.05
pg (Mean)
Standard Deviation: 0.45

90 days

26.76
pg (Mean)
Standard Deviation: 0.59

Baseline

23.63
pg (Mean)
Standard Deviation: 1.02

Prebiotic GOS & Iron Salt FeSO4

30 days

21.86
pg (Mean)
Standard Deviation: 0.74

60 days

24.29
pg (Mean)
Standard Deviation: 0.69

90 days

26.28
pg (Mean)
Standard Deviation: 0.51

Baseline

20.63
pg (Mean)
Standard Deviation: 0.79

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

25.31
pg (Mean)
Standard Deviation: 1.08

60 days

26.47
pg (Mean)
Standard Deviation: 0.28

90 days

26.93
pg (Mean)
Standard Deviation: 0.26

Baseline

24.02
pg (Mean)
Standard Deviation: 0.69

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

27.42
pg (Mean)
Standard Deviation: 0.66

60 days

28.26
pg (Mean)
Standard Deviation: 0.88

90 days

30.75
pg (Mean)
Standard Deviation: 0.81

Baseline

24.56
pg (Mean)
Standard Deviation: 0.79

Change in Mean Corpuscular Hemoglobin Concentration From Baseline to 90 Days

Placebo Only

30 days

31.07
g/dL (Mean)
Standard Deviation: 0.74

60 days

31.7
g/dL (Mean)
Standard Deviation: 0.45

90 days

32.78
g/dL (Mean)
Standard Deviation: 0.58

Baseline

31.44
g/dL (Mean)
Standard Deviation: 0.77

Prebiotic Inulin & Iron Salt FeSO4

30 days

30.3
g/dL (Mean)
Standard Deviation: 1.11

60 days

31.91
g/dL (Mean)
Standard Deviation: 0.59

90 days

33.46
g/dL (Mean)
Standard Deviation: 0.83

Baseline

29.3
g/dL (Mean)
Standard Deviation: 0.79

Prebiotic GOS & Iron Salt FeSO4

30 days

30.08
g/dL (Mean)
Standard Deviation: 0.76

60 days

31.19
g/dL (Mean)
Standard Deviation: 0.94

90 days

33.13
g/dL (Mean)
Standard Deviation: 0.94

Baseline

28.06
g/dL (Mean)
Standard Deviation: 0.31

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

30.74
g/dL (Mean)
Standard Deviation: 0.67

60 days

33.42
g/dL (Mean)
Standard Deviation: 0.96

90 days

34.15
g/dL (Mean)
Standard Deviation: 1.06

Baseline

29.05
g/dL (Mean)
Standard Deviation: 0.50

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

30.67
g/dL (Mean)
Standard Deviation: 0.77

60 days

34.25
g/dL (Mean)
Standard Deviation: 0.85

90 days

36.91
g/dL (Mean)
Standard Deviation: 0.98

Baseline

28.51
g/dL (Mean)
Standard Deviation: 0.38

Change in Serum Iron Levels From Baseline to 90 Days

Placebo Only

30 days

69.17
mcg/dL (Mean)
Standard Deviation: 0.85

60 days

70.25
mcg/dL (Mean)
Standard Deviation: 0.85

90 days

70.93
mcg/dL (Mean)
Standard Deviation: 0.95

Baseline

68.41
mcg/dL (Mean)
Standard Deviation: 0.70

Prebiotic Inulin & Iron Salt FeSO4

30 days

72.34
mcg/dL (Mean)
Standard Deviation: 1.01

60 days

74.34
mcg/dL (Mean)
Standard Deviation: 1.12

90 days

75.36
mcg/dL (Mean)
Standard Deviation: 1.23

Baseline

70.97
mcg/dL (Mean)
Standard Deviation: 0.70

Prebiotic GOS & Iron Salt FeSO4

30 days

73.95
mcg/dL (Mean)
Standard Deviation: 0.77

60 days

75.5
mcg/dL (Mean)
Standard Deviation: 0.90

90 days

77.42
mcg/dL (Mean)
Standard Deviation: 0.91

Baseline

72.65
mcg/dL (Mean)
Standard Deviation: 0.50

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

72.62
mcg/dL (Mean)
Standard Deviation: 0.73

60 days

73.96
mcg/dL (Mean)
Standard Deviation: 0.99

90 days

76.16
mcg/dL (Mean)
Standard Deviation: 1.09

Baseline

71.41
mcg/dL (Mean)
Standard Deviation: 0.60

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

74.51
mcg/dL (Mean)
Standard Deviation: 0.39

60 days

76.61
mcg/dL (Mean)
Standard Deviation: 0.53

90 days

79.1
mcg/dL (Mean)
Standard Deviation: 0.95

Baseline

72.6
mcg/dL (Mean)
Standard Deviation: 0.33

Change in Serum Folate Levels From Baseline to 90 Days

Placebo Only

30 days

8.81
ng/mL (Mean)
Standard Deviation: 0.11

60 days

8.88
ng/mL (Mean)
Standard Deviation: 0.09

90 days

8.94
ng/mL (Mean)
Standard Deviation: 0.09

Baseline

8.74
ng/mL (Mean)
Standard Deviation: 0.12

Prebiotic Inulin & Iron Salt FeSO4

30 days

10.03
ng/mL (Mean)
Standard Deviation: 0.17

60 days

10.31
ng/mL (Mean)
Standard Deviation: 0.15

90 days

10.74
ng/mL (Mean)
Standard Deviation: 0.16

Baseline

9.26
ng/mL (Mean)
Standard Deviation: 0.18

Prebiotic GOS & Iron Salt FeSO4

30 days

8.32
ng/mL (Mean)
Standard Deviation: 0.10

60 days

8.99
ng/mL (Mean)
Standard Deviation: 0.11

90 days

9.46
ng/mL (Mean)
Standard Deviation: 0.13

Baseline

8.05
ng/mL (Mean)
Standard Deviation: 0.08

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

9.4
ng/mL (Mean)
Standard Deviation: 0.12

60 days

9.75
ng/mL (Mean)
Standard Deviation: 0.13

90 days

10.02
ng/mL (Mean)
Standard Deviation: 0.14

Baseline

8.96
ng/mL (Mean)
Standard Deviation: 0.11

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

9.97
ng/mL (Mean)
Standard Deviation: 0.07

60 days

10.87
ng/mL (Mean)
Standard Deviation: 0.12

90 days

11.01
ng/mL (Mean)
Standard Deviation: 0.17

Baseline

8.2
ng/mL (Mean)
Standard Deviation: 0.05

Change in Serum Ferritin Levels From Baseline to 90 Days

Placebo Only

30 days

11.86
ng/mL (Mean)
Standard Deviation: 0.08

60 days

11.98
ng/mL (Mean)
Standard Deviation: 0.09

90 days

12.04
ng/mL (Mean)
Standard Deviation: 0.17

Baseline

11.76
ng/mL (Mean)
Standard Deviation: 0.11

Prebiotic Inulin & Iron Salt FeSO4

30 days

14.09
ng/mL (Mean)
Standard Deviation: 0.53

60 days

16.28
ng/mL (Mean)
Standard Deviation: 0.54

90 days

16.88
ng/mL (Mean)
Standard Deviation: 0.55

Baseline

13.73
ng/mL (Mean)
Standard Deviation: 0.18

Prebiotic GOS & Iron Salt FeSO4

30 days

13.59
ng/mL (Mean)
Standard Deviation: 0.34

60 days

14.31
ng/mL (Mean)
Standard Deviation: 0.37

90 days

15.77
ng/mL (Mean)
Standard Deviation: 0.36

Baseline

13.29
ng/mL (Mean)
Standard Deviation: 0.31

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

12.86
ng/mL (Mean)
Standard Deviation: 0.10

60 days

13.37
ng/mL (Mean)
Standard Deviation: 0.14

90 days

15.1
ng/mL (Mean)
Standard Deviation: 0.27

Baseline

12.03
ng/mL (Mean)
Standard Deviation: 0.09

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

13.56
ng/mL (Mean)
Standard Deviation: 0.24

60 days

14.77
ng/mL (Mean)
Standard Deviation: 0.25

90 days

17.55
ng/mL (Mean)
Standard Deviation: 0.21

Baseline

12.67
ng/mL (Mean)
Standard Deviation: 0.23

Change in Serum Transferrin Levels From Baseline to 90 Days

Placebo Only

30 days

16.74
mg/dL (Mean)
Standard Deviation: 0.04

60 days

16.55
mg/dL (Mean)
Standard Deviation: 0.09

90 days

16.44
mg/dL (Mean)
Standard Deviation: 0.08

Baseline

16.84
mg/dL (Mean)
Standard Deviation: 0.05

Prebiotic Inulin & Iron Salt FeSO4

30 days

16.63
mg/dL (Mean)
Standard Deviation: 0.09

60 days

16.52
mg/dL (Mean)
Standard Deviation: 0.11

90 days

16.41
mg/dL (Mean)
Standard Deviation: 0.13

Baseline

16.74
mg/dL (Mean)
Standard Deviation: 0.09

Prebiotic GOS & Iron Salt FeSO4

30 days

16.3
mg/dL (Mean)
Standard Deviation: 0.09

60 days

16.21
mg/dL (Mean)
Standard Deviation: 0.09

90 days

16.09
mg/dL (Mean)
Standard Deviation: 0.10

Baseline

16.38
mg/dL (Mean)
Standard Deviation: 0.08

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

16.69
mg/dL (Mean)
Standard Deviation: 0.10

60 days

16.59
mg/dL (Mean)
Standard Deviation: 0.14

90 days

16.46
mg/dL (Mean)
Standard Deviation: 0.08

Baseline

16.79
mg/dL (Mean)
Standard Deviation: 0.07

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

16.97
mg/dL (Mean)
Standard Deviation: 0.04

60 days

16.69
mg/dL (Mean)
Standard Deviation: 0.16

90 days

16.47
mg/dL (Mean)
Standard Deviation: 0.12

Baseline

17.15
mg/dL (Mean)
Standard Deviation: 0.06

Change in Transferrin Saturation Factor Levels From Baseline to 90 Days

Placebo Only

30 days

17.22
% Transferrin (Mean)
Standard Deviation: 0.23

60 days

17.69
% Transferrin (Mean)
Standard Deviation: 0.19

90 days

17.98
% Transferrin (Mean)
Standard Deviation: 0.20

Baseline

16.92
% Transferrin (Mean)
Standard Deviation: 0.20

Prebiotic Inulin & Iron Salt FeSO4

30 days

18.13
% Transferrin (Mean)
Standard Deviation: 0.32

60 days

18.75
% Transferrin (Mean)
Standard Deviation: 0.38

90 days

19.13
% Transferrin (Mean)
Standard Deviation: 0.42

Baseline

17.66
% Transferrin (Mean)
Standard Deviation: 0.24

Prebiotic GOS & Iron Salt FeSO4

30 days

18.91
% Transferrin (Mean)
Standard Deviation: 0.23

60 days

19.41
% Transferrin (Mean)
Standard Deviation: 0.27

90 days

20.05
% Transferrin (Mean)
Standard Deviation: 0.30

Baseline

18.49
% Transferrin (Mean)
Standard Deviation: 0.19

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

18.13
% Transferrin (Mean)
Standard Deviation: 0.19

60 days

18.58
% Transferrin (Mean)
Standard Deviation: 0.26

90 days

19.28
% Transferrin (Mean)
Standard Deviation: 0.33

Baseline

17.73
% Transferrin (Mean)
Standard Deviation: 0.14

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

18.29
% Transferrin (Mean)
Standard Deviation: 0.13

60 days

19.13
% Transferrin (Mean)
Standard Deviation: 0.16

90 days

20.02
% Transferrin (Mean)
Standard Deviation: 0.27

Baseline

17.64
% Transferrin (Mean)
Standard Deviation: 0.10

Change in Total Iron Binding Capacity Levels From Baseline to 90 Days

Placebo Only

30 days

401.75
mcg/dL (Mean)
Standard Deviation: 1.07

60 days

397.21
mcg/dL (Mean)
Standard Deviation: 2.16

90 days

394.63
mcg/dL (Mean)
Standard Deviation: 2.04

Baseline

404.26
mcg/dL (Mean)
Standard Deviation: 1.16

Prebiotic Inulin & Iron Salt FeSO4

30 days

399.06
mcg/dL (Mean)
Standard Deviation: 2.19

60 days

396.57
mcg/dL (Mean)
Standard Deviation: 2.62

90 days

393.92
mcg/dL (Mean)
Standard Deviation: 3.17

Baseline

401.81
mcg/dL (Mean)
Standard Deviation: 2.12

Prebiotic GOS & Iron Salt FeSO4

30 days

391.08
mcg/dL (Mean)
Standard Deviation: 2.06

60 days

388.93
mcg/dL (Mean)
Standard Deviation: 2.09

90 days

386.16
mcg/dL (Mean)
Standard Deviation: 2.30

Baseline

393.06
mcg/dL (Mean)
Standard Deviation: 1.93

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days

400.55
mcg/dL (Mean)
Standard Deviation: 1.72

60 days

398.17
mcg/dL (Mean)
Standard Deviation: 1.63

90 days

395.03
mcg/dL (Mean)
Standard Deviation: 1.95

Baseline

402.84
mcg/dL (Mean)
Standard Deviation: 1.68

Prebiotic GOS & Iron Salt NaFeEDTA

30 days

407.29
mcg/dL (Mean)
Standard Deviation: 1.61

60 days

400.57
mcg/dL (Mean)
Standard Deviation: 1.52

90 days

395.2
mcg/dL (Mean)
Standard Deviation: 1.75

Baseline

411.67
mcg/dL (Mean)
Standard Deviation: 1.53

Change in Liver Functions Tests (ALT) From Baseline to 90 Days

Placebo Only

30 days ALT

10.61
IU/L (Mean)
Standard Deviation: 0.23

60 days ALT

10.59
IU/L (Mean)
Standard Deviation: 0.24

90 days ALT

11.28
IU/L (Mean)
Standard Deviation: 0.60

Baseline ALT

10.51
IU/L (Mean)
Standard Deviation: 0.10

Prebiotic Inulin & Iron Salt FeSO4

30 days ALT

11.1
IU/L (Mean)
Standard Deviation: 0.35

60 days ALT

10.69
IU/L (Mean)
Standard Deviation: 0.40

90 days ALT

10.27
IU/L (Mean)
Standard Deviation: 0.40

Baseline ALT

11.8
IU/L (Mean)
Standard Deviation: 0.18

Prebiotic GOS & Iron Salt FeSO4

30 days ALT

14.31
IU/L (Mean)
Standard Deviation: 0.52

60 days ALT

12.85
IU/L (Mean)
Standard Deviation: 0.76

90 days ALT

11.81
IU/L (Mean)
Standard Deviation: 0.84

Baseline ALT

15.18
IU/L (Mean)
Standard Deviation: 0.44

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days ALT

13.24
IU/L (Mean)
Standard Deviation: 0.45

60 days ALT

12.32
IU/L (Mean)
Standard Deviation: 0.75

90 days ALT

11.13
IU/L (Mean)
Standard Deviation: 0.89

Baseline ALT

14.73
IU/L (Mean)
Standard Deviation: 0.08

Prebiotic GOS & Iron Salt NaFeEDTA

30 days ALT

10.54
IU/L (Mean)
Standard Deviation: 0.56

60 days ALT

9.75
IU/L (Mean)
Standard Deviation: 0.70

90 days ALT

9.27
IU/L (Mean)
Standard Deviation: 0.66

Baseline ALT

11.59
IU/L (Mean)
Standard Deviation: 0.31

Change in Liver Functions Tests (AST) From Baseline to 90 Days

Placebo Only

30 days AST

16.81
IU/L (Mean)
Standard Deviation: 0.14

60 days AST

16.68
IU/L (Mean)
Standard Deviation: 0.13

90 days AST

16.55
IU/L (Mean)
Standard Deviation: 0.11

Baseline AST

16.83
IU/L (Mean)
Standard Deviation: 0.15

Prebiotic Inulin & Iron Salt FeSO4

30 days AST

15.76
IU/L (Mean)
Standard Deviation: 0.54

60 days AST

15.73
IU/L (Mean)
Standard Deviation: 0.55

90 days AST

15.62
IU/L (Mean)
Standard Deviation: 0.56

Baseline AST

15.93
IU/L (Mean)
Standard Deviation: 0.53

Prebiotic GOS & Iron Salt FeSO4

30 days AST

17.13
IU/L (Mean)
Standard Deviation: 0.19

60 days AST

17.04
IU/L (Mean)
Standard Deviation: 0.22

90 days AST

16.84
IU/L (Mean)
Standard Deviation: 0.25

Baseline AST

18.07
IU/L (Mean)
Standard Deviation: 0.11

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days AST

18.9
IU/L (Mean)
Standard Deviation: 0.82

60 days AST

18.8
IU/L (Mean)
Standard Deviation: 0.85

90 days AST

18.78
IU/L (Mean)
Standard Deviation: 0.90

Baseline AST

18.77
IU/L (Mean)
Standard Deviation: 0.14

Prebiotic GOS & Iron Salt NaFeEDTA

30 days AST

15.99
IU/L (Mean)
Standard Deviation: 0.21

60 days AST

15.87
IU/L (Mean)
Standard Deviation: 0.27

90 days AST

15.75
IU/L (Mean)
Standard Deviation: 0.32

Baseline AST

16.09
IU/L (Mean)
Standard Deviation: 0.26

Change in Liver Functions Tests (ALP) From Baseline to 90 Days

Placebo Only

30 days ALP

65.63
IU/L (Mean)
Standard Deviation: 2.03

60 days ALP

65.51
IU/L (Mean)
Standard Deviation: 1.41

90 days ALP

65.48
IU/L (Mean)
Standard Deviation: 1.38

Baseline ALP

65.84
IU/L (Mean)
Standard Deviation: 1.54

Prebiotic Inulin & Iron Salt FeSO4

30 days ALP

71.07
IU/L (Mean)
Standard Deviation: 0.72

60 days ALP

73.34
IU/L (Mean)
Standard Deviation: 0.73

90 days ALP

76.06
IU/L (Mean)
Standard Deviation: 0.71

Baseline ALP

69.35
IU/L (Mean)
Standard Deviation: 0.76

Prebiotic GOS & Iron Salt FeSO4

30 days ALP

73.77
IU/L (Mean)
Standard Deviation: 1.32

60 days ALP

73.42
IU/L (Mean)
Standard Deviation: 1.36

90 days ALP

73.14
IU/L (Mean)
Standard Deviation: 1.35

Baseline ALP

73.92
IU/L (Mean)
Standard Deviation: 1.33

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days ALP

74.86
IU/L (Mean)
Standard Deviation: 1.23

60 days ALP

74.72
IU/L (Mean)
Standard Deviation: 1.24

90 days ALP

74.55
IU/L (Mean)
Standard Deviation: 1.19

Baseline ALP

74.99
IU/L (Mean)
Standard Deviation: 1.25

Prebiotic GOS & Iron Salt NaFeEDTA

30 days ALP

68.37
IU/L (Mean)
Standard Deviation: 1.30

60 days ALP

68.19
IU/L (Mean)
Standard Deviation: 1.24

90 days ALP

68.12
IU/L (Mean)
Standard Deviation: 1.24

Baseline ALP

68.43
IU/L (Mean)
Standard Deviation: 1.31

Change in Liver Functions Tests (Total Bilirubin) From Baseline to 90 Days

Placebo Only

30 days Total Bilirubin

0.31
mg/dL (Mean)
Standard Deviation: 0.03

60 days Total Bilirubin

0.26
mg/dL (Mean)
Standard Deviation: 0.04

90 days Total Bilirubin

0.19
mg/dL (Mean)
Standard Deviation: 0.06

Baseline Total Bilirubin

0.31
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic Inulin & Iron Salt FeSO4

30 days Total Bilirubin

0.41
mg/dL (Mean)
Standard Deviation: 0.03

60 days Total Bilirubin

0.36
mg/dL (Mean)
Standard Deviation: 0.05

90 days Total Bilirubin

0.27
mg/dL (Mean)
Standard Deviation: 0.07

Baseline Total Bilirubin

0.44
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic GOS & Iron Salt FeSO4

30 days Total Bilirubin

0.43
mg/dL (Mean)
Standard Deviation: 0.03

60 days Total Bilirubin

0.41
mg/dL (Mean)
Standard Deviation: 0.04

90 days Total Bilirubin

0.28
mg/dL (Mean)
Standard Deviation: 0.07

Baseline Total Bilirubin

0.47
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days Total Bilirubin

0.55
mg/dL (Mean)
Standard Deviation: 0.07

60 days Total Bilirubin

0.51
mg/dL (Mean)
Standard Deviation: 0.08

90 days Total Bilirubin

0.43
mg/dL (Mean)
Standard Deviation: 0.06

Baseline Total Bilirubin

0.61
mg/dL (Mean)
Standard Deviation: 0.05

Prebiotic GOS & Iron Salt NaFeEDTA

30 days Total Bilirubin

0.2
mg/dL (Mean)
Standard Deviation: 0.04

60 days Total Bilirubin

0.13
mg/dL (Mean)
Standard Deviation: 0.05

90 days Total Bilirubin

0.11
mg/dL (Mean)
Standard Deviation: 0.03

Baseline Total Bilirubin

0.35
mg/dL (Mean)
Standard Deviation: 0.03

Change in Renal Functions Tests (Serum Urea) From Baseline to 90 Days

Placebo Only

30 days Serum Urea

18.53
mg/dL (Mean)
Standard Deviation: 0.20

60 days Serum Urea

18.23
mg/dL (Mean)
Standard Deviation: 0.21

90 days Serum Urea

18.01
mg/dL (Mean)
Standard Deviation: 0.10

Baseline Serum Urea

18.86
mg/dL (Mean)
Standard Deviation: 0.13

Prebiotic Inulin & Iron Salt FeSO4

30 days Serum Urea

17.77
mg/dL (Mean)
Standard Deviation: 0.18

60 days Serum Urea

17.86
mg/dL (Mean)
Standard Deviation: 0.17

90 days Serum Urea

17.92
mg/dL (Mean)
Standard Deviation: 0.20

Baseline Serum Urea

17.59
mg/dL (Mean)
Standard Deviation: 0.19

Prebiotic GOS & Iron Salt FeSO4

30 days Serum Urea

19.63
mg/dL (Mean)
Standard Deviation: 0.34

60 days Serum Urea

19.65
mg/dL (Mean)
Standard Deviation: 0.35

90 days Serum Urea

19.1
mg/dL (Mean)
Standard Deviation: 2.51

Baseline Serum Urea

19.6
mg/dL (Mean)
Standard Deviation: 0.33

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days Serum Urea

21.01
mg/dL (Mean)
Standard Deviation: 0.44

60 days Serum Urea

21.06
mg/dL (Mean)
Standard Deviation: 0.47

90 days Serum Urea

21.04
mg/dL (Mean)
Standard Deviation: 0.55

Baseline Serum Urea

21.02
mg/dL (Mean)
Standard Deviation: 0.46

Prebiotic GOS & Iron Salt NaFeEDTA

30 days Serum Urea

21.56
mg/dL (Mean)
Standard Deviation: 0.29

60 days Serum Urea

21.59
mg/dL (Mean)
Standard Deviation: 0.31

90 days Serum Urea

21.65
mg/dL (Mean)
Standard Deviation: 0.35

Baseline Serum Urea

21.55
mg/dL (Mean)
Standard Deviation: 0.27

Change in Renal Functions Tests (Serum Creatinine) From Baseline to 90 Days

Placebo Only

30 days Serum Creatinine

0.76
mg/dL (Mean)
Standard Deviation: 0.03

60 days Serum Creatinine

0.78
mg/dL (Mean)
Standard Deviation: 0.03

90 days Serum Creatinine

0.8
mg/dL (Mean)
Standard Deviation: 0.02

Baseline Serum Creatinine

0.77
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic Inulin & Iron Salt FeSO4

30 days Serum Creatinine

0.86
mg/dL (Mean)
Standard Deviation: 0.03

60 days Serum Creatinine

0.9
mg/dL (Mean)
Standard Deviation: 0.03

90 days Serum Creatinine

0.93
mg/dL (Mean)
Standard Deviation: 0.03

Baseline Serum Creatinine

0.83
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic GOS & Iron Salt FeSO4

30 days Serum Creatinine

0.93
mg/dL (Mean)
Standard Deviation: 0.02

60 days Serum Creatinine

0.95
mg/dL (Mean)
Standard Deviation: 0.02

90 days Serum Creatinine

0.92
mg/dL (Mean)
Standard Deviation: 0.03

Baseline Serum Creatinine

0.89
mg/dL (Mean)
Standard Deviation: 0.01

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days Serum Creatinine

0.7
mg/dL (Mean)
Standard Deviation: 0.04

60 days Serum Creatinine

0.77
mg/dL (Mean)
Standard Deviation: 0.05

90 days Serum Creatinine

0.86
mg/dL (Mean)
Standard Deviation: 0.06

Baseline Serum Creatinine

0.62
mg/dL (Mean)
Standard Deviation: 0.02

Prebiotic GOS & Iron Salt NaFeEDTA

30 days Serum Creatinine

0.74
mg/dL (Mean)
Standard Deviation: 0.03

60 days Serum Creatinine

0.84
mg/dL (Mean)
Standard Deviation: 0.05

90 days Serum Creatinine

0.94
mg/dL (Mean)
Standard Deviation: 0.03

Baseline Serum Creatinine

0.65
mg/dL (Mean)
Standard Deviation: 0.02

Change in Immunoglobulins (IgA) From Baseline to 90 Days

Placebo Only

30 days IgA

201.09
g/dL (Mean)
Standard Deviation: 0.98

60 days IgA

198.97
g/dL (Mean)
Standard Deviation: 1.05

90 days IgA

196.23
g/dL (Mean)
Standard Deviation: 1.20

Baseline IgA

200.91
g/dL (Mean)
Standard Deviation: 0.66

Prebiotic Inulin & Iron Salt FeSO4

30 days IgA

212.33
g/dL (Mean)
Standard Deviation: 1.82

60 days IgA

209.24
g/dL (Mean)
Standard Deviation: 2.06

90 days IgA

205.58
g/dL (Mean)
Standard Deviation: 2.75

Baseline IgA

214.75
g/dL (Mean)
Standard Deviation: 1.39

Prebiotic GOS & Iron Salt FeSO4

30 days IgA

207.42
g/dL (Mean)
Standard Deviation: 2.34

60 days IgA

203.48
g/dL (Mean)
Standard Deviation: 4.55

90 days IgA

200.37
g/dL (Mean)
Standard Deviation: 4.67

Baseline IgA

210.56
g/dL (Mean)
Standard Deviation: 1.26

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days IgA

201.29
g/dL (Mean)
Standard Deviation: 2.95

60 days IgA

198.56
g/dL (Mean)
Standard Deviation: 2.99

90 days IgA

195.68
g/dL (Mean)
Standard Deviation: 3.22

Baseline IgA

204.54
g/dL (Mean)
Standard Deviation: 1.31

Prebiotic GOS & Iron Salt NaFeEDTA

30 days IgA

194.84
g/dL (Mean)
Standard Deviation: 2.56

60 days IgA

191.9
g/dL (Mean)
Standard Deviation: 3.65

90 days IgA

186.22
g/dL (Mean)
Standard Deviation: 3.65

Baseline IgA

199.97
g/dL (Mean)
Standard Deviation: 1.34

Change in Immunoglobulins (IgE) From Baseline to 90 Days

Placebo Only

30 days IgE

192.59
IU/mL (Mean)
Standard Deviation: 1.34

60 days IgE

190.81
IU/mL (Mean)
Standard Deviation: 1.32

90 days IgE

187.32
IU/mL (Mean)
Standard Deviation: 1.39

Baseline IgE

195.02
IU/mL (Mean)
Standard Deviation: 1.06

Prebiotic Inulin & Iron Salt FeSO4

30 days IgE

181.87
IU/mL (Mean)
Standard Deviation: 2.19

60 days IgE

179.0
IU/mL (Mean)
Standard Deviation: 2.63

90 days IgE

176.28
IU/mL (Mean)
Standard Deviation: 3.49

Baseline IgE

184.86
IU/mL (Mean)
Standard Deviation: 1.14

Prebiotic GOS & Iron Salt FeSO4

30 days IgE

182.36
IU/mL (Mean)
Standard Deviation: 3.44

60 days IgE

178.23
IU/mL (Mean)
Standard Deviation: 3.79

90 days IgE

174.09
IU/mL (Mean)
Standard Deviation: 3.50

Baseline IgE

186.02
IU/mL (Mean)
Standard Deviation: 2.81

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days IgE

171.73
IU/mL (Mean)
Standard Deviation: 2.63

60 days IgE

168.62
IU/mL (Mean)
Standard Deviation: 3.31

90 days IgE

164.6
IU/mL (Mean)
Standard Deviation: 3.98

Baseline IgE

174.62
IU/mL (Mean)
Standard Deviation: 1.59

Prebiotic GOS & Iron Salt NaFeEDTA

30 days IgE

189.69
IU/mL (Mean)
Standard Deviation: 2.47

60 days IgE

185.56
IU/mL (Mean)
Standard Deviation: 2.83

90 days IgE

177.73
IU/mL (Mean)
Standard Deviation: 3.90

Baseline IgE

193.76
IU/mL (Mean)
Standard Deviation: 1.49

Change in Immunoglobulins (IgG) From Baseline to 90 Days

Placebo Only

30 days IgG

1681.23
g/dL (Mean)
Standard Deviation: 2.12

60 days IgG

1678.54
g/dL (Mean)
Standard Deviation: 2.46

90 days IgG

1674.86
g/dL (Mean)
Standard Deviation: 1.86

Baseline IgG

1684.1
g/dL (Mean)
Standard Deviation: 2.39

Prebiotic Inulin & Iron Salt FeSO4

30 days IgG

1708.98
g/dL (Mean)
Standard Deviation: 5.18

60 days IgG

1704.64
g/dL (Mean)
Standard Deviation: 5.80

90 days IgG

1700.06
g/dL (Mean)
Standard Deviation: 6.47

Baseline IgG

1718.47
g/dL (Mean)
Standard Deviation: 3.49

Prebiotic GOS & Iron Salt FeSO4

30 days IgG

1727.2
g/dL (Mean)
Standard Deviation: 3.66

60 days IgG

1719.79
g/dL (Mean)
Standard Deviation: 4.51

90 days IgG

1711.76
g/dL (Mean)
Standard Deviation: 4.32

Baseline IgG

1734.16
g/dL (Mean)
Standard Deviation: 2.61

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days IgG

1687.67
g/dL (Mean)
Standard Deviation: 3.06

60 days IgG

1682.53
g/dL (Mean)
Standard Deviation: 4.26

90 days IgG

1678.98
g/dL (Mean)
Standard Deviation: 5.66

Baseline IgG

1691.93
g/dL (Mean)
Standard Deviation: 2.76

Prebiotic GOS & Iron Salt NaFeEDTA

30 days IgG

1684.95
g/dL (Mean)
Standard Deviation: 2.32

60 days IgG

1655.01
g/dL (Mean)
Standard Deviation: 2.39

90 days IgG

1622.73
g/dL (Mean)
Standard Deviation: 2.45

Baseline IgG

1707.56
g/dL (Mean)
Standard Deviation: 2.14

Change in Immunoglobulins (IgM) From Baseline to 90 Days

Placebo Only

30 days IgM

300.55
g/dL (Mean)
Standard Deviation: 2.51

60 days IgM

299.38
g/dL (Mean)
Standard Deviation: 2.51

90 days IgM

296.9
g/dL (Mean)
Standard Deviation: 2.51

Baseline IgM

303.66
g/dL (Mean)
Standard Deviation: 2.51

Prebiotic Inulin & Iron Salt FeSO4

30 days IgM

281.25
g/dL (Mean)
Standard Deviation: 2.36

60 days IgM

278.21
g/dL (Mean)
Standard Deviation: 2.59

90 days IgM

271.64
g/dL (Mean)
Standard Deviation: 2.93

Baseline IgM

285.2
g/dL (Mean)
Standard Deviation: 2.57

Prebiotic GOS & Iron Salt FeSO4

30 days IgM

271.15
g/dL (Mean)
Standard Deviation: 2.31

60 days IgM

267.81
g/dL (Mean)
Standard Deviation: 2.83

90 days IgM

264.02
g/dL (Mean)
Standard Deviation: 3.15

Baseline IgM

273.74
g/dL (Mean)
Standard Deviation: 2.20

Prebiotic Inulin & Iron Salt NaFeEDTA

30 days IgM

264.41
g/dL (Mean)
Standard Deviation: 3.05

60 days IgM

259.83
g/dL (Mean)
Standard Deviation: 3.23

90 days IgM

256.95
g/dL (Mean)
Standard Deviation: 3.16

Baseline IgM

267.76
g/dL (Mean)
Standard Deviation: 3.05

Prebiotic GOS & Iron Salt NaFeEDTA

30 days IgM

234.41
g/dL (Mean)
Standard Deviation: 1.87

60 days IgM

213.71
g/dL (Mean)
Standard Deviation: 2.28

90 days IgM

203.21
g/dL (Mean)
Standard Deviation: 3.43

Baseline IgM

256.37
g/dL (Mean)
Standard Deviation: 1.69

Total

75
Participants

Race and Ethnicity Not Collected

0
Participants

Age, Categorical

Region of Enrollment

Sex: Female, Male

Overall Study

Placebo Only

Prebiotic Inulin & Iron Salt NaFeEDTA

Prebiotic Inulin & Iron Salt NaFeEDTA (2)

Prebiotic Inulin & Iron Salt FeS04

Prebiotic GOS & Iron Salt NaFeEDTA