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CTRI Number  CTRI/2025/02/080226 [Registered on: 10/02/2025] Trial Registered Prospectively
Last Modified On: 04/02/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Other (Specify) [Iron Fortified Dark Chocolate]  
Study Design  Other 
Public Title of Study   Comparison of Standard treatment and Iron-Folic acid Fortified dark chocolate on Iron deficiency anemia in school children 
Scientific Title of Study   Effect of standard treatment for Iron deficiency anemia over effects of fortified dark chocolate with iron and folic acid among school children  
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Indhumathi RK 
Designation  Postgraduate 
Affiliation  Saveetha Medical College and Hospital 
Address  Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Chennai
TAMIL NADU
602105
India 
Phone  9789277797  
Fax    
Email  rkindhumathi01@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Buvnesh Kumar M 
Designation  Professor, Department of community medicine 
Affiliation  Saveetha Medical College and Hospital 
Address  Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Chennai
TAMIL NADU
602105
India 
Phone  9176899784  
Fax    
Email  buvnesh@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Indhumathi RK 
Designation  Postgraduate, Department of community medicine 
Affiliation  Saveetha Medical College and Hospital 
Address  Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Department of Community Medicine, Saveetha Medical College and Hospital, Thandalam, Chennai, Tamil nadu, India.
Chennai
TAMIL NADU
602105
India 
Phone  9789277797  
Fax    
Email  rkindhumathi01@gmail.com  
 
Source of Monetary or Material Support  
Nil  
 
Primary Sponsor  
Name  NIL 
Address  NOT APPLICABLE 
Type of Sponsor  Other [] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Indhumathi RK  Saveetha institute of medical and technical sciences  Department of community medicine/ Saveetha hospital/ Ward 120-123
Chennai
TAMIL NADU 
9789277797

rkindhumathi01@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Saveetha Medical College and Hospital Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: D509||Iron deficiency anemia, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  IRON AND FOLIC ACID TABLETS  Standard treatment for Iron deficiency anemia WHO Guidelines 
Intervention  Iron fortified dark chocolate  To assess the efficacy of fortified dark chocolate for increasing the level of haemoglobin, and to improve micronutrient status and is sustainable once established 
 
Inclusion Criteria  
Age From  12.00 Year(s)
Age To  17.00 Year(s)
Gender  Both 
Details  1)⁠Age- 12 to 17 years school children
2)⁠Children with mild to moderate anaemia
 
 
ExclusionCriteria 
Details  1)Blood haemoglobin less than 8g/dl.
2)Patient having occult blood positive on stool examination.
3)Any other type of anemia except Iron Deficiency Anemia (IDA).
4)IDA with any associated severe complication 
 
Method of Generating Random Sequence   Other 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
The efficacy of fortified dark chocolate for increasing the level of haemoglobin and anemia status  Baseline/3months 
 
Secondary Outcome  
Outcome  TimePoints 
The efficacy of fortified dark chocolate for improving anaemia status and to improve micronutrient status  Baseline/3months 
 
Target Sample Size   Total Sample Size="176"
Sample Size from India="176" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/02/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="3"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Iron deficiency (ID), the primary cause of anemia, has adverse effects on both human health and socioeconomic development, with increased susceptibility to infections, elevated risk of maternal and child mortality, impaired cognitive and physical development of children, and lower work productivity of adults .The 2011 estimates suggest anemia affects around 800 million children and women worldwide. Anemia is primarily caused by iron deficiency but also by other micronutrient deficiencies such as vitamins B2, folate, and B12.
               Iron  deficiency during the school years can impair physical and mental development and reduce school attendance by increasing morbidity. Some studies reported that it is still possible to improve cognition at school age by improving iron status , as well as positive effects on morbidity and growth, but the overall effects on these outcomes were equivocal and more evidence is required from studies in different contexts.
              Food fortification is an effective and cost effective, medium-term approach to improve micronutrient status and is sustainable once established. Since the prevalence of micronutrient deficiencies are generally higher and the consequences are graver in children, the identification of a child friendly vehicle is important. 
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