Maternal Iodine Supplementation and Effects on Thyroid Function and Child Development (MITCH)

The recruitment status of this study is unknown because the information has not been verified recently.
Verified November 2008 by Wageningen University.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
St. John's Research Institute
Mahidol University
Unilever Holding B.V., Vlaardingen, the Netherlands
Swiss National Science Foundation
Nestlé Foundation
Information provided by:
Wageningen University
ClinicalTrials.gov Identifier:
NCT00791466
First received: November 13, 2008
Last updated: NA
Last verified: November 2008
History: No changes posted

November 13, 2008
November 13, 2008
September 2008
March 2012   (final data collection date for primary outcome measure)
Maternal thyroid function [ Time Frame: 3-month intervals during pregnancy, at delivery ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
  • Birth outcome [ Time Frame: At delivery ] [ Designated as safety issue: Yes ]
  • Infant thyroid function [ Time Frame: Regular intervals up till 2 years of age ] [ Designated as safety issue: No ]
  • Infant cognitive and motor development [ Time Frame: Regular intervals up till 2 years of age ] [ Designated as safety issue: No ]
  • Maternal and infant urinary iodine [ Time Frame: Regular intervals during pregnancy up till 2 years after delivery ] [ Designated as safety issue: No ]
  • Breast milk iodine [ Time Frame: 3 and 6 months after delivery ] [ Designated as safety issue: No ]
Same as current
 
 
 
Maternal Iodine Supplementation and Effects on Thyroid Function and Child Development
Iodine Supplementation in Pregnant Women Living in Mild-to-Moderately Iodine Deficient Areas in India and Thailand: Effects on Pregnancy Outcome and Infant Development

Rationale: In regions of severe endemic goiter, the adverse effects of in utero iodine deficiency on neuromotor development are well established: randomized controlled trials of iodine supplements given to iodine deficient mothers before pregnancy or during early pregnancy improve motor and cognitive performance of their offspring. However, the potential adverse effects of mild-to-moderate iodine deficiency during pregnancy are unclear. Inadequate thyroid function in the fetus and newborn are the likely cause of brain damage in iodine deficiency.

Objective: To determine whether the daily oral administration of 200 µg iodine to pregnant women in areas of mild-to-moderate iodine deficiency improves maternal and newborn thyroid function, pregnancy outcome, birth weight, infant growth and cognitive performance.

Study design: Double-blind randomized controlled multicentre trial. Study population: Pregnant women (18-40 years) presenting at the clinic for their first prenatal visit will be recruited at two research sites, namely St. Martha's hospital in Bangalore, India and Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. At each site, 400 women will be recruited.

Intervention: Half of the women will be randomized to iodine treatment (200 µg per day) and the other half to placebo throughout pregnancy.

Main study parameters/endpoints: Differences between group means in indicators of thyroid function, birth outcome, urinary iodine, breast milk iodine, infant growth, and psychomotor development.

 
Interventional
 
Allocation: Randomized
Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor)
Primary Purpose: Prevention
  • Iodine Deficiency
  • Infant Development
  • Dietary Supplement: Placebo
    Daily placebo supplementation from enrolment <14 wk of gestation until delivery
  • Dietary Supplement: Iodine
    Daily supplementation with 200 µg iodine from enrolment <14 wk of gestation until delivery
  • Experimental: 1
    Intervention: Dietary Supplement: Iodine
  • Placebo Comparator: 2
    Intervention: Dietary Supplement: Placebo
 

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruiting
800
 
March 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Age 18-40 years;
  • Gestational age: ≤ 14 weeks (as judged by the date of the last menstrual period);
  • Single pregnancy;
  • Non-lactating;
  • Planned residence in the area for the duration of the study (3 years).

Exclusion Criteria:

  • TSH levels outside the normal range
  • History of serious medical conditions such as HIV, hypertension, diabetes, renal, hepatic or cardiovascular disease, thyroid disorders, mental disorders;
  • Use of iodine supplement.
Female
18 Years to 40 Years
Yes
 
India,   Thailand
 
NCT00791466
MITCH-01
Yes
Prof. Dr. Michael Zimmermann, Wageningen University, Division of Human Nutrition, the Netherlands
Wageningen University
  • St. John's Research Institute
  • Mahidol University
  • Unilever Holding B.V., Vlaardingen, the Netherlands
  • Swiss National Science Foundation
  • Nestlé Foundation
Principal Investigator: Michael Zimmermann, Prof. dr. Wageningen University
Principal Investigator: Alida Melse-Boonstra, PhD Wageningen University
Wageningen University
November 2008

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP