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Iron DeficienciesPhase 1/2NCT06486623

Effect of Supplementation With Anthocyanins on Iron Metabolism in Female Swimmers

A Phase 1/2 study testing Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules in people with Iron Deficiencies and Inflammation, run by Poznan University of Physical Education at 1 site in Poland.

Completed

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

Official record
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Trial summary

The study included 8-weeks supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day), or a placebo product that was made from chokeberry fiber. Read more about this study

Who is it for?
Ages 12 to 19 years, women only
Conditions the study is for
Iron Deficiencies, Inflammation, Oxidative Stress
What is being tested?
Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules
Type of treatment
Pill or oral medicine
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
22 participants
Where
1 sitePoland
Study dates
1 Mar 2023to 28 Dec 2023
Phase
Phase 1/2
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 to 19 years
  • Women only
  • No healthy volunteers
  • Child, Adult

Who may be able to join

  • Current medical examinations issued by a sports medicine doctor
  • Training experience a minimum of three years
  • Student of a sports championship school team
  • Consent of the athlete/legal guardian to participate in the research
  • Completion of the exercise test in the swimming pool - crawl style intensive test (800 m + 200 m + 50 m) on two test deadline

Who cannot join

  • Taking: oral contraceptive pills, supplements containing anthocyanin compounds during the study or a one month earlier
  • Health problems
  • Antibiotic therapy

Trial locations and contacts

1 site in 1 country.

Poland1 site
  • University of Physical Education in Poznan

    Poznan

Other trials in Poland

About this study

Official title: Effect of Supplementation With Anthocyanins Contained in Black Chokeberry (Aronia Melanocarpa) on Selected Indicators of Iron Metabolism in Female Swimmers

The study included 8-weeks supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day), or a placebo product that was made from chokeberry fiber.

Purpose:

Read more

The aim of the study is effectiveness check of black chokeberry intake as a potential factor which, due to its ability to reduce inflammation and chelate iron ions, will have an impact on minimizing undesirable changes in the red blood cell system.

Hypothesis:

Main hypothesis: Supplementation of black chokeberry (Aronia melanocarpa) has a positive effect on iron economy of female swimmers.

Auxiliary hypotheses:

  1. Supplementation of black chokeberry enhances the antioxidant status and has a positive effect on the prooxidant-antioxidant balance.
  2. Supplementation of black chokeberry reduce inflammation induced by intensive exercises, by reducing inflammatory markers.

Study plan:

Before first term of the study:

Control of Menstrual Cycle Phases since March 2023 (installing the application on the phone - Menstrual Period Tracker calendar).

First term of the study:

  1. Menstrual cycle control survey.
  2. Conduct a body composition analysis.
  3. Collection of blood samples before the exercise test for biochemical determinations.
  4. Exercise test in the swimming pool - crawl style intensive test (800 m + 200 m + 50 m).
  5. Collection of blood immediately after exercise and 3 hours later.
  6. Supplementation for nearly 56 days, depending on the length of the menstrual cycle.

Second term of the study:

Repeat the measurements from the 1st date of test.

Participants: The group of selective and homogeneous female swimmers, who train swimming intensively and attend the Sports Championship School Complex.

Read the detailed description

This study included 8-weeks supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (dose 2×200 mg per day), or a placebo product that was made from chokeberry fiber. The first date of research completed the group of twenty-four and homogeneous female swimmers, who train swimming intensively and attend the Sports Championship School Complex. The second date of research completed the group of twenty-two selective and homogeneous female swimmers, who train swimming intensively and attend the Sports Championship School Complex.

Purpose:

The aim of the study is effectiveness check of black chokeberry intake as a potential factor which, due to its ability to reduce inflammation and chelate iron ions, will have an impact on minimizing undesirable changes in the red blood cell system.

Hypothesis:

Main hypothesis: Supplementation of black chokeberry (Aronia melanocarpa) has a positive effect on iron economy of female swimmers.

Auxiliary hypotheses:

  1. Supplementation of black chokeberry enhances the antioxidant status and has a positive effect on the prooxidant-antioxidant balance.
  2. Supplementation of black chokeberry reduce inflammation induced by intensive exercises, by reducing inflammatory markers.

The research is going to be carried out as a medicinal experiment with tissue interference (approval of Research Ethics Committee: 538/22 of 06/23/2022, with changes: 221/23 of 03/09/2023). All swimmers qualified to study based on inclusion and exclusion criteria and were informed of the extract course of the study and gave written consent to participate.

EXPERIMENTAL PROCEDURE, WHICH WAS APPLIED (STUDY PLAN):

  1. Before first term of the study:

Control of Menstrual Cycle Phases since March 2023 (installing the application on the phone - Menstrual Period Tracker calendar) and three surveys in three terms.

  1. First term of the study:
  2. Menstrual cycle control by application Menstrual Tracker Period Calendar and surveys, before swimming test.
  3. Body composition analysis (TANITA MC-780 S MA).
  4. Biochemical determinations - blood samples will be taken before and after exercise test as well as after 3-hour restitution, in order to determine:
  • morphological parameters,
  • value of indicators:
  1. iron status problems (iron, hepcidin, erythroferrone, total iron-binding capacity, unsaturated iron-binding capacity, ferritin, transferrin,
  2. oxidative stress (total antioxidant capacity),
  3. immunological indicators (interleukins: IL-6, IL-2, IL-10, C-reactive protein),
  4. hormonal balance (progesterone, estradiol, luteinizing hormone, follicle-stimulating hormone),
  5. other: lactic acid, myoglobin, hypoxanthine. Blood samples were collected from the elbow vein into two 4-ml tubes (to obtain serum) and centrifuged at 3,000 rpn and into 2,7-ml tubes to determine morphology. Morphology was determined on the same day the samples were collected, while serum was frozen and stored at -80 Celsius degrees until assays were performed. In addition, before and immediately after the exercise test, capillary blood was drawn from the earlobe to determine lactate levels. Lactate level were determined immediately after capillary blood sampling using a commercial available kit (Dr Lange, Germany). The concentration of lactate was determined in mmol/l. Other measurements were determined using ELISA kits (DRG Medtek).
  6. Intensive exercise test in the swimming pool, before supplementation - crawl style (800 m + 200 m + 50 m) with 15-minute active rest between test sections.
  7. Supplementation of black chokeberry - nearly 56-days supplementation of black chokeberry extract with 18% standardization of the anthocyanins content (connection with menstrual cycle phase).The swimmers were randomly divided into two groups: supplementation and placebo. The placebo contained chokeberry fiber. Whole products were manufactured by MLB BIOTRADE, Poznan. The swimmers took 2 capsules per day (before breakfast and dinner) and they sipped each capsule with glass of water.
  8. Second term of the study:
  9. Menstrual cycle control by application Menstrual Tracker Period Calendar and surveys, before swimming test.
  10. Body composition analysis (TANITA MC-780 S MA).
  11. Biochemical determinations - blood samples will be taken before and after exercise test as well as after 3-hour restitution, in order to determine:
  • morphological parameters (erythrocytes, leukocytes, thrombocytes),
  • value of indicators responsible for:
  1. iron status problems (iron, hepcidin, erythroferrone, total iron-binding capacity, unsaturated iron-binding capacity, ferritin, transferrin),
  2. oxidative stress (total antioxidant capacity),
  3. immunological indicators (interleukins: IL-6, IL-2, IL-10, C-reactive protein (CRP)),
  4. hormonal balance (progesterone, estradiol, luteinizing hormone (LH), follicle-stimulating hormone (FSH)),
  5. other: lactic acid, myoglobin, hypoxanthine. Blood samples were collected from the elbow vein into two 4-ml tubes (to obtain serum) and centrifuged at 3,000 rpn and into 2,7-ml tubes to determine morphology. Morphology wa determined on the same day the samples were collected, while serum was frozen and stored at -80 Celsius degrees until assays were performed. In addition, before and immediately after the exercise test, capillary blood was drawn from the earlobe to determine lactate levels. Lactate level were determined immediately after capillary blood sampling using a commercial available kit (Dr Lange, Germany). The concentration of lactate was determined in mmol/l. Other measurements were determined using ELISA kits (DRG Medtek).
  6. Intensive exercise test in the swimming pool, after supplementation - crawl style (800 m + 200 m + 50 m) with 15-minute active rest between test sections.

Data collection, analysis in laboratory, statistical analysis and preparation articles to publication.

Being tested
Black chokeberry extract in capsules with 18% standardization of the anthocyanins content, Chokeberry fiber in capsules
Medical subject headings
Iron Deficiencies, Inflammation, Female Athlete Triad Syndrome

What participants receive

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

  • Black chokeberry extract in capsules with 18% standardization of the anthocyanins contentDrug

    Also called Aronia melanocarpa

    Supplement group: supplement of diet - black chokeberry extract (capsules) with 18% standardization of the anthocyanins content (one capsule contained 200 mg). Each capsule also contained: chokeberry fiber, E460b magnesium salts of stearic acid (anti-caking agent), E551 silicon dioxide (anti-caking agent), hydrocypropyl methylcellulose (capsule shell) and E171 titanium dioxide (shell colour).

    The producer of all capsules is MLD Biotrade in Poznan.

  • Chokeberry fiber in capsulesDrug

    Also called Placebo product

    Placebo group: placebo product - chokeberry fiber (placebo capsules, which were made from chokeberry fiber).

    The producer of all capsules is MLD Biotrade in Poznan.

Study groups in NCT06486623
Study groupRoleWhat they receive
1. Supplemented groupExperimentalThe supplemented group (n=12) consumed capsules with highly concentrated 18% chokeberry extract (one capsule contained 200 mg). Each capsule also contained: chokeberry fiber, E460b magnesium salts of stearic acid (anti-caking agent), E551 silicon dioxide (anti-caking agent), hydrocypropyl methylcellulose (capsule shell) and E171 titanium dioxide (shell colour). The producer of all capsules is MLD Biotrade in Poznan. The swimmers took 2 capsules a day (before breakfast and dinner) for nearly 56 days (depending on length menstrual cycle phase). The swimmers sipped each capsule with glass of water.
Receives: Drug: Black chokeberry extract in capsules with 18% standardization of the anthocyanins content
2. Placebo groupPlacebo comparatorThe control group (n=10) consumed capsules that were made from chokeberry fiber. The producer of all capsules is MLD Biotrade in Poznan. The swimmers took 2 capsules a day (before breakfast and dinner) for nearly 56 days (depending on length menstrual cycle phase). The swimmers sipped each capsule with glass of water.
Receives: Drug: Chokeberry fiber in capsules

What is being measured

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

  1. Physiological parameters of blood morphology I

    erythrocytes: RBC [10^6/mL], HGB [g/dL], HCT [%], MCV [mm^3], MCH [pg], MCHC [g/dL], RDW [%],

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  2. Physiological parameters of blood morphology II

    leukocytes: WBC [10^3/mL], LYM [10^3/mL], MON [10^3/mL], GRA [10^3/mL], LYM [%], MON [%], GRA [%],

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  3. Physiological parameters of blood morphology III

    thrombocytes: PLT [10^3/mL], MPV [mm^3], PCT [%], PDW [%]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  4. Physiological parameters of iron metabolism indicator I

    iron [µg/dl]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  5. Physiological parameters of iron metabolism indicator II

    hepcidin [ng/ml]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  6. Physiological parameters of iron metabolism indicator III

    transferrin [mg/ml]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  7. Physiological parameters of iron metabolism indicator IV

    total iron-binding capacity (TIBC) [µg/dl]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  8. Physiological parameters of iron metabolism indicator V

    ferritin [ng/ml]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  9. Physiological parameters of iron metabolism indicator VI

    erythroferrone [ng/mL]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  10. Physiological parameters of antioxidant-prooxidant indicator

    total antioxidant capacity [mmol/l]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  11. Physiological parameters of immunological indicator I

    interleukin 6 [ng/L]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  12. Physiological parameters of immunological indicator II

    interleukin 2 [ng/L]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  13. Physiological parameters of immunological indicator III

    interleukin 10 [ng/L]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  14. Physiological parameters of immunological indicator IV

    C-reactive protein [mg/dL]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  15. Physiological parameter of hormonal indicator I

    progesterone [ng/ml]

    Measured: At each exercise test (up to 15 minute before exercise)

  16. Physiological parameter of hormonal indicator II

    estradiol [pg/ml]

    Measured: At each exercise test (up to 15 minute before exercise)

  17. Physiological parameter of hormonal indicator III

    luteinizing hormone (LH) [mIU/ml]

    Measured: At each exercise test (up to 15 minute before exercise)

  18. Physiological parameter of hormonal indicator IV

    follicle-stimulating hormone (FSH) [mIU/ml]

    Measured: At each exercise test (up to 15 minute before exercise)

  19. Other physiological parameter I

    myoglobin [ng/ml]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  20. Other physiological parameter II

    hypoxanthine [mmol/l]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

  21. Other physiological parameter (with capillary blood - earlobe)

    lactic acid [mmol/l]

    Measured: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

Secondary outcomes (1)
  1. Physiological parameters of iron metabolism indicator VII

    unsaturated iron-binding capacity (UIBC)

    Measured: Calculated with blood samples at each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)

Timeline

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

  1. First posted3 Jul 2024
  2. Study start1 Mar 2023
  3. Primary completion28 Dec 2023
  4. Study completion28 Dec 2023

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 1/2
Primary purpose
Basic science
Allocation
Randomised
Intervention model
Single group
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
22 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06486623
Sponsor's protocol ID
MMydłowska_PhD
Status last verified
Jan 2024
First submitted
6 Feb 2024
Last updated
3 Jul 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing Black chokeberry extract in capsules with 18% standardization of the anthocyanins content and Chokeberry fiber in capsules in people with Iron Deficiencies and Inflammation, run by Poznan University of Physical Education at 1 site in Poland.

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 5 inclusion and 3 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 Jul 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 Poland. 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. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this combined phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

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?

Physiological parameters of blood morphology I (time frame: At each exercise test (up to 15 minute before exercise, up to 1 minute post exercise, 3 hours after)). The study lists 21 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 Jul 2024.

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