AzTrials
AzTrials

Nutrient DeficiencyMFSNCT05166980

Study of Multiply-fortified Salt Among Women of Reproductive Age and Preschool Children in India

A study testing Mutiply-fortified salt and Iodized salt in people with Nutrient Deficiency, run by University of California, San Francisco at 1 site in India.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Micronutrient (MN) deficiencies are highly prevalent in India, particularly among women of reproductive age (WRA) and preschool aged children (PSC). MN fortification of a staple food or condiment can be an effective strategy for improving the MN status of nutritionally vulnerable populations, as the approach is… Read more about this study

Who is it for?
Ages 12 months to 49 yearsHealthy volunteers can take part
Conditions the study is for
Nutrient Deficiency
What is being tested?
Mutiply-fortified salt and Iodized salt
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1,389 participants
Where
1 siteIndia
Study dates
17 Oct 2022to 2 May 2024
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 12 months to 49 years
  • All sexes
  • Healthy volunteers accepted
  • Child, Adult

Who may be able to join

  • 18-49 years of age;
  • Not currently pregnant (self-reported);
  • Not severely anemia (defined as a hemoglobin concentration < 8 g/dL);
  • Not planning to become pregnant within the next year;
  • Permanent resident of the study village with no plans to move or travel outside the village for more than 4 weeks over the next 12 months;
  • No serious health problems that requires regular visits to a health facility;
Show all 13Show fewer
  • Willingness to use refined salt provided by the study as a primary source of household discretionary salt.
  • Child 12-59 months of age at the time of enrollment;
  • Child's mother or primary female caregiver has been enrolled into the parent trial;
  • Not severely anemic (defined as a hemoglobin concentration < 7 g/dL);
  • Child's family is a permanent resident of the study village with no plans to move or travel outside the village for more than 4 weeks over the next 12 months;
  • No serious medical problems that interfere with the child's eating practices;
  • Child's mother or primary female caregiver is willing to use refined salt provided by the study as the primary source of the household's discretionary salt for the course of the study.

Who cannot join

  • Age <18 or > 49 years of age;
  • Pregnant at the time of enrollment (self report) or planning to become pregnant within the next year;
  • Severely anemic (i.e. hemoglobin concentration < 8 g/dL);
  • Not a permanent resident of the study area;
  • Planning to leave the study area for at least one month over the study period;
  • Serious health problem that interferes with eating practices and/or requires hospitalization;
Show all 13Show fewer
  • Unwilling to use refined salt provided by the study as the primary source of the household's discretionary salt.
  • Child age < 12 or > 59 months of age;
  • Child's mother has not been enrolled in the parent trial;
  • Severely anemic (i.e. hemoglobin concentration < 7 g/dL);
  • Child's family is not a permanent resident of the study village and/or has plans to travel outside the village for more than 4 weeks over the next 12 months;
  • Serious health problem that interferes with the child's eating practices;
  • Child's mother or primary female caregiver is unwilling to use refined salt provided by the study as the primary sources of the household's discretionary salt for the course of the study.

Trial locations and contacts

1 site in 1 country.

India1 site
  • Postgraduate Institute of Medical Education and Research, Chandigarh

    Chandigarh

Other trials in India

About this study

Micronutrient (MN) deficiencies are highly prevalent in India, particularly among women of reproductive age (WRA) and preschool aged children (PSC). MN fortification of a staple food or condiment can be an effective strategy for improving the MN status of nutritionally vulnerable populations, as the approach is cost-effective, utilizes existing delivery systems, can deliver multiple MNs simultaneously, and does not require behavior change by the population. Salt is a particularly attractive vehicle for multiple MN fortification in India, as it is universally consumed in fairly consistent amounts; and 93% of households already use adequately iodized salt.

The overall goal of this study is to evaluate the nutritional impact of quintuply-fortified salt with iron in the form of FePP (FePP-Q5S, i.e. salt fortified with iron in the form of ferric pyrophosphate plus ethylenediaminetetraacetic acid as an enhancer of absorption; zinc in the form of zinc oxide; vitamin B12; folic acid; and iodine) vs. quintuply-fortified salt with iron in the form of eFF (eFF-Q5S i.e. salt fortified with iron in the form of encapsulated ferrous fumarate; zinc in the form of zinc oxide, vitamin B12, folic acid, and iodine) vs. iodized salt (IS) for the improvement of micronutrient status among nonpregnant WRA and preschool-aged children (12-59 months of age) in Punjab, India.

Enrolled women (and their affiliated households) will be randomized to receive 1 kg of their assigned study salt per month for 12 months, and will be instructed to use the study salt in place of their usual salt. Blood and urine samples will be collected from participant WRA and PSC at enrollment, 6 months and at the end of the 12-month intervention period. The change in the mean concentration of various MN biomarkers will be considered primary outcomes. Stool samples will also be collected from a subgroup of women and children to assess changes in the gut microbiome over the intervention period.

Being tested
Mutiply-fortified salt, Iodized salt
Keywords
Micronutrient deficiencies

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mutiply-fortified saltDietary supplement

    Also called Quintuply-fortified salt

    Salt fortified with iron, zinc, vitamin B12, folic acid, and iodine

  • Iodized saltDietary supplement

    Also called Salt fortified with iodine

    Salt fortified with iodine

Study groups in NCT05166980
Study groupRoleWhat they receive
FePP-Q5SExperimentalSalt fortified with iron in the form of ferric pyrophosphate (at 1.3 mg of iron per gram of salt) plus ethylenediaminetetraacetic acid (EDTA) as an enhancer of absorption, zinc in the form of zinc oxide (at 1.4 mg of zinc per gram of salt), vitamin B12 (at 0.6 ug of vitamin B12 per gram of salt), folic acid (at 52 ug per gram of salt) and iodine (at 30 mg of iodine per gram of salt). Mean intake of discretionary salt among women of reproductive age in the study area is 4.6 grams per day. Therefore, the FePP-Q5S will deliver an average of 6.0 mg of iron, 6.4 mg of zinc, 2.8 ug of vitamin B12, 241 ug of folic acid, and 138 mg of iodine to each participating woman per day.
Receives: Dietary Supplement: Mutiply-fortified salt
eFF-Q5SExperimentalSalt fortified with iron in the form of encapsulated ferrous fumarate (at 1.3 mg of iron per gram of salt), zinc in the form of zinc oxide (at 1.4 mg of zinc per gram of salt), vitamin B12 (at 0.6 ug of vitamin B12 per gram of salt), folic acid (at 52 ug per gram of salt) and iodine (at 30 mg of iodine per gram of salt). Mean intake of discretionary salt among women of reproductive age in the study area is 4.6 grams per day. Therefore, the eFF-Q5S will deliver an average of 6.0 mg of iron, 6.4 mg of zinc, 2.8 ug of vitamin B12, 241 ug of folic acid, and 138 mg of iodine to each participating woman per day.
Receives: Dietary Supplement: Mutiply-fortified salt
Iodized SaltActive comparatorIodized salt containing 30 mg of iodine per gram of salt. Mean intake of discretionary salt among women of reproductive age in the study area is 4.6 grams per day. Therefore, the iodized salt will deliver an average of 138 mg of iodine to each participating woman per day.
Receives: Dietary Supplement: Iodized salt

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in serum ferritin

    Change in inflammation-adjusted mean serum ferritin concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  2. Change in hemoglobin

    Change in mean hemoglobin concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  3. Change in soluble transferrin

    Change in inflammation-adjusted mean soluble transferrin concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  4. Change in red blood cell folate

    Change in mean red blood cell folate concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  5. Change in plasma zinc

    Change in mean plasma zinc concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  6. Change in serum vitamin B12

    Change in mean serum vitamin B12 concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  7. Change in holo-transcobalamin

    Change in mean holo-transcobalamin concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  8. Change in methylmalonic acid

    Change in mean concentration of methylmalonic acid

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  9. Change in serum folate

    Change in mean serum folate concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  10. Change in urinary iodine

    Change in mean urinary iodine concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  11. Change in serum thyroglobulin

    Change in mean serum thyroglobulin concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

Secondary outcomes (2)
  1. Change in nail zinc

    Change in mean fingernail zinc concentration

    Measured: Enrollment to 12 months (i.e. end of intervention period)

  2. Change in gut microbiota

    Change in the abundance of potentially beneficial microbiota in the gut

    Measured: Enrollment to 12 months (i.e. end of intervention period)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Dec 2021
  2. Study start17 Oct 2022
  3. Primary completion2 May 2024
  4. Study completion2 May 2024

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
3-armed, double-blind, community-based efficacy trial
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
1,389 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05166980
Sponsor's protocol ID
MFS_1.2
Acronym
MFS
Status last verified
May 2024
First submitted
20 Dec 2021
Last updated
3 May 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
Yes: As soon as the manuscripts summarizing the study's primary outcomes are published, all datasets will be posted to Open Science Framework and made available to the public in accordance with the Gates Foundation's Open Data Policy.

Publications

  • Thompson L, Goh YE, Jamwal M, Singh BL, Brar GK, Arnold CD, Westcott J, Long JM, Krebs NF, Zivkovic A, Das R, Duggal M, McDonald CM. The Effect of Quintuply-Fortified Salt on the Gut Microbiome of Young Children 1-5 y of Age in Punjab, India; A Substudy of a Randomized, Community-Based Trial. Curr Dev Nutr. 2025 Oct 23;9(11):107580. doi: 10.1016/j.cdnut.2025.107580. eCollection 2025 Nov.

    PubMed 41323692
  • Goh YE, Duggal M, Das R, Manger MS, Jamwal M, Singh BL, Brar GK, Long JM, Westcott J, Thompson L, Arnold CD, Krebs NF, Brown KH, McDonald CM. Effects of quintuply-fortified salt on the micronutrient status of females of reproductive age in Punjab, India: a randomized, community-based trial. Am J Clin Nutr. 2025 Jul;122(1):146-156. doi: 10.1016/j.ajcnut.2025.04.009. Epub 2025 Jun 6.

    PubMed 40610127
  • Thompson L, Goh YE, Jamwal M, Singh BL, Brar GK, Arnold CD, Westcott J, Krebs NF, Zivkovic A, Das R, Duggal M, McDonald CM. The Effect of Quintuply-Fortified Salt on the Gut Microbiome of Nonpregnant Women of Reproductive Age in Punjab, India: A Substudy of a Randomized, Community-Based Trial. J Nutr. 2025 Jun;155(6):1899-1908. doi: 10.1016/j.tjnut.2025.04.012. Epub 2025 Apr 15.

    PubMed 40246238
  • McDonald CM, Brown KH, Goh YE, Manger MS, Arnold CD, Krebs NF, Westcott J, Long JM, Gibson RS, Jamwal M, Singh BL, Dahiya N, Budhija D, Das R, Duggal M. Quintuply-fortified salt for the improvement of micronutrient status among women of reproductive age and preschool-aged children in Punjab, India: protocol for a randomized, controlled, community-based trial. BMC Nutr. 2022 Sep 6;8(1):98. doi: 10.1186/s40795-022-00583-y.

    PubMed 36068647

Questions about this trial

What is this clinical trial studying?

A study testing Mutiply-fortified salt and Iodized salt in people with Nutrient Deficiency, run by University of California, San Francisco at 1 site in India.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 13 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 3 May 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in India. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in serum ferritin (time frame: Enrollment to 12 months (i.e. end of intervention period)). The study lists 11 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT05166980, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 3 May 2024.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in