Protocol summary

Summary
Recent data indicates that 5 methyltetrahydrofolate (5MTHF) can reduce serum homocystein level more efficiently than folic acid. On the other hand, folic acid is currently an important part of treatment in idiopathic recurrent abortion. There is no study comparing the effectiveness of these supplements in the treatment of recurrent abortion. The aim of this study is to compare the efficiency of these two agents in the treatment of recurrent abortion. In this study, patients with idiopathic recurrent abortion, referring to Avicenna clinic will be randomly allocated into two groups of those taking either folic acid (5 mg) or 5 MTHF (5mg) from 8 weeks prior to conception until the 20th week of pregnancy. The serum level of folate, homocystein, and ongoing pregnancy will be analysed and compared in the two groups.

General information

Acronym
IRCT registration information
IRCT registration number: IRCT138903034010N1
Registration date: 2010-06-22, 1389/04/01
Registration timing: retrospective

Last update:
Update count: 0
Registration date
2010-06-22, 1389/04/01
Registrant information
Name
Azita Hekmatdoost
Name of organization / entity
Shahid Beheshti University of Medical Sciences, National Institute of Nutrition Research
Country
Iran (Islamic Republic of)
Phone
+98 21 2293 0824
Email address
hekmat@sina.tums.ac.ir
Recruitment status
Recruitment complete
Funding source
Avicenna Research Institute and National nutrition research institute
Expected recruitment start date
2010-06-22, 1389/04/01
Expected recruitment end date
2011-12-22, 1390/10/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the effect of folic acid and 5-methyltetrahydrofolate (5MTHF) on serum folat and homocysteine levels, and abortion rates in women suffering from recurrent abortion
Public title
Comparison of the effect of folic acid and 5-methyltetrahydrofolate (5MTHF) on serum folat and homocysteine levels, and abortion rates in women suffering from recurrent abortion
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria: Willing to participate in the study and filling out the informed consent form, History of 3 or more idiopathic abortion, the last one should be more than 6 months ago, no history of intaking folate supplements or high folate containing foods during last 6 months, All previous abortions should be idiopathic without any anatomic, cytologic, hormonal, septic pathologic finding, no special diets Exclusion criteria: elective or induced abortion, molar or ectopic pregnancies, presence of any malignancy, chromosomal abnormality, uterine abnormality, Thyroid, kidney, or liver dysfunction, Glucose intolerance, seizure, Alcohol or drug abuse, Taking any drug affecting homocystein metabolism, not following the study protocol.
Age
From 18 years old to 50 years old
Gender
Female
Phase
2
Groups that have been masked
No information
Sample size
Target sample size: 60
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Double blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Avicenna Ethics Committee
Street address
Avicenna Reserch Institute
City
Tehran
Postal code
Approval date
2009-09-23, 1388/07/01
Ethics committee reference number
55

Health conditions studied

1

Description of health condition studied
recurrent abortion
ICD-10 code
O03
ICD-10 code description
spontaneous abortion

Primary outcomes

1

Description
changes in recurrent abortion successful treatment
Timepoint
20 weeks
Method of measurement
clinical and paraclinical findings

Secondary outcomes

1

Description
serum folate level
Timepoint
8 weeks
Method of measurement
ELISA

2

Description
Serum Homocystein level
Timepoint
8 weeks
Method of measurement
ELISA

Intervention groups

1

Description
5 methyltetrahydrofolate (Intervention, 5 mg, 7 months)
Category
Treatment - Drugs

2

Description
folic acid (control, 5mg, 7 months)
Category
Treatment - Drugs

Recruitment centers

1

Recruitment center
Name of recruitment center
Avicenna Clinic
Full name of responsible person
Dr. Soheila Arefi
Street address
City
Tehran

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Avicenna Research Institute and National Institute of Nutrition Research
Full name of responsible person
Azita Hekmatdoost
Street address
Dep Human Nutrition, Shahid Beheshti University of Medical Sciences
City
Tehran
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Avicenna Research Institute and National Institute of Nutrition Research
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Dep Human Nutrition, Shahid Beheshti University of Medical Sciences
Full name of responsible person
Azita Hekmatdoost
Position
Assisatnt Prof
Other areas of specialty/work
Street address
West Arghavan, Shahrak Gharb
City
Tehran
Postal code
Phone
+98 21 2293 0824
Fax
Email
a_hekmat2000@yahoo.com
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Dep Human Nutrition
Full name of responsible person
Azita Hekmatdoost
Position
MD, Ph.D
Other areas of specialty/work
Street address
West Arghavan, Shahrak Gharb
City
Tehran
Postal code
Phone
+98 21 2293 0824
Fax
Email
a_hekmat2000@yahoo.com
Web page address

Person responsible for updating data

Contact

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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