Protocol summary
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Study aim
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Evaluate the effect of Zinc on Hyperbilirubinemia in newborn babies in Zanjan
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Design
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Clinical trial with control group, parallel group, double blinded, randomized
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Settings and conduct
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In this double-blind, randomized clinical trial, 112 healthy newborns with physiologic jaundice were equally divided into two groups receiving zinc and placebo. Each day, 10 mg of zinc (5 cc of syrup) was administered to the case group and also 5 cc of placebo was administered to the control group and the total bilirubin levels of the second, third, fourth and fifth day and duration of hospitalization and phototherapy were compared.
Blinded people: Participant- Care provider
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Participants/Inclusion and exclusion criteria
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Participants:Healthy children with jaundice admitted to the neonatal ward
Inclusion criteria: term infants; breast-feeding; jaundice; photo-therapy; serum bilirubin 15-20 mg / dL; age of 3 to 7 days; using no other drug
Exclusion criteria: recent weight loss; infection; hemolytic disease; oral intolerance; congenital birth defects; gastrointestinal anomalies; parental dissatisfaction for participation in the study; need for ventilators; need for blood transfusion
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Intervention groups
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Intervention group: Patients in the intervention group will receive 5 mg zinc (2.5 ml) of 10 mg per 5 ml Zinc Sulfate syrup produced by Donya-ye-Behdasht company twice a day from admission day until discharging from hospital.
Control group: Patients in the control group will receive 2.5 ml of placebo syrup twice a day from admission day until discharging from hospital, which producted in the Faculty of Pharmacy, Zanjan University of Medical Sciences, completely similar to the main drug.
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Main outcome variables
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Serum total bilirubin in hospitalization days and hospitalization days
General information
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Reason for update
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Acronym
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IRCT registration information
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IRCT registration number:
IRCT2017061515835N5
Registration date:
2017-10-14, 1396/07/22
Registration timing:
prospective
Last update:
2018-12-13, 1397/09/22
Update count:
2
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Registration date
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2017-10-14, 1396/07/22
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Registrant information
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Recruitment status
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Recruitment complete
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Funding source
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Zanjan University of Medical Sciences, vice chancellor for research
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Expected recruitment start date
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2017-11-01, 1396/08/10
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Expected recruitment end date
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2018-09-01, 1397/06/10
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Actual recruitment start date
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2017-12-22, 1396/10/01
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Actual recruitment end date
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2018-08-23, 1397/06/01
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Trial completion date
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2018-08-23, 1397/06/01
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Scientific title
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The effect of Zinc on Hyperbilirubinemia of healthy and normal newborns, a clinical trial
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Public title
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The effect of Zinc on Hyperbilirubinemia of newborns
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Purpose
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Treatment
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Inclusion/Exclusion criteria
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Inclusion criteria:
Term infants
Breast-feeding
Jaundice
Photo-therapy
Serum bilirubin 15-20 mg/dL
Age 3 to 7 days
Using no other drug
Exclusion criteria:
Recent weight loss
Infection
Hemolytic disease
Oral intolerance
Congenital birth defects
Gastrointestinal anomalies
Parental dissatisfaction for participation in the study
Need for ventilators
Need for blood transfusion
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Age
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From 3 days old to 7 days old
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Gender
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Both
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Phase
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3
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Groups that have been masked
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- Participant
- Care provider
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Sample size
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Target sample size:
112
Actual sample size reached:
112
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Randomization (investigator's opinion)
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Randomized
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Randomization description
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Block randomization is done. Patients are randomly assigned to one of the two intervention and placebo groups. The randomization unit is individual. Random number table is used. The random number table contains numbers from 1 to 112 in and we will read these numbers from up to down and we will write the succession. Then we will give Zinc sulfate to numbers 1 to 56 and Placebo to numbers 57 to 112. Then for hiding the sequence we will use sealed, opaque envelopes. Every one who will enter our study will choose one envelope which has one number of the random number table in it and his group will be defined.
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Blinding (investigator's opinion)
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Double blinded
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Blinding description
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drug packs are marked by the main investigator with two signs A or B. Medication packs are delivered to the care provider with signs A or B. The care provider and the participant are unaware of the contents of the A or B envelopes. After the end of the study, specific intervention of each patient would be explained to him. A contains zinc sulfate and B contains placebo.
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Placebo
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Used
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Assignment
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Parallel
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Other design features
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Ethics committees
1
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Ethics committee
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Approval date
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2017-06-06, 1396/03/16
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Ethics committee reference number
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ZUMS.REC.1396.30
Health conditions studied
1
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Description of health condition studied
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Neonatal physiological jaundice
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ICD-10 code
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P59.9
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ICD-10 code description
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Neonatal jaundice, unspecified
Primary outcomes
1
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Description
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Serum total bilirubin in hospitalization days
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Timepoint
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One time measuring before prescribing of Zink and immediately after that daily measurment in three days
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Method of measurement
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Colorimetric method by Lathe and Ruthven
2
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Description
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Hospitalization days
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Timepoint
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Patient's discharging day
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Method of measurement
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Computation the number of hospitalization days from admission to discharge
Intervention groups
1
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Description
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Daily administration of 5 mg (2.5 ml) twice daily of 10 mg per 5 ml Zinc Sulfate syrup produced by Donya-ye-Behdasht company in case group until the newborn is admitted
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Category
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Treatment - Drugs
2
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Description
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Daily administration of 2.5 ml twice daily placebo produced by Faculty of Pharmacy, Zanjan University of Medical Sciences in control group until the newborn is admitted
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Category
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Placebo
1
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Sponsor
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Grant name
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Grant code / Reference number
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Is the source of funding the same sponsor organization/entity?
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Yes
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Title of funding source
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Zanjan University of Medical Sciences
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Proportion provided by this source
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100
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Public or private sector
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Public
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Domestic or foreign origin
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Domestic
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Category of foreign source of funding
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empty
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Country of origin
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Type of organization providing the funding
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Academic
Sharing plan
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Deidentified Individual Participant Data Set (IPD)
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Undecided - It is not yet known if there will be a plan to make this available
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Study Protocol
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Undecided - It is not yet known if there will be a plan to make this available
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Statistical Analysis Plan
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Undecided - It is not yet known if there will be a plan to make this available
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Informed Consent Form
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Undecided - It is not yet known if there will be a plan to make this available
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Clinical Study Report
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Undecided - It is not yet known if there will be a plan to make this available
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Analytic Code
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Undecided - It is not yet known if there will be a plan to make this available
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Data Dictionary
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Undecided - It is not yet known if there will be a plan to make this available