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CTRI Number  CTRI/2025/08/092751 [Registered on: 11/08/2025] Trial Registered Prospectively
Last Modified On: 08/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Observational 
Type of Study   Case Control Study 
Study Design  Single Arm Study 
Public Title of Study   Case- control 
Scientific Title of Study   Role of Iron Homeostasis and Vitamin D in Preeclampsia: A case-control study on Biochemical, Haematological, and Placental morphometric changes 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  SWETANKA PRASAD 
Designation  TUTOR 
Affiliation  Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal) 
Address  Manipal-Tata medical College, Jamshedpur, (A Constituent Unit of MAHE, Manipal), Kadani Road, Baridih, Jamshedpur-831017, Jharkhand

Purbi Singhbhum
JHARKHAND
831017
India 
Phone  9572921357  
Fax    
Email  swetanka.prasad@manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  SWETANKA PRASAD 
Designation  TUTOR 
Affiliation  Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal) 
Address  Manipal-Tata medical College, Jamshedpur, (A Constituent Unit of MAHE, Manipal), Kadani Road, Baridih, Jamshedpur-831017, Jharkhand


JHARKHAND
831017
India 
Phone  9572921357  
Fax    
Email  swetanka.prasad@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  SWETANKA PRASAD 
Designation  TUTOR 
Affiliation  Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal) 
Address  Manipal-Tata medical College, Jamshedpur, (A Constituent Unit of MAHE, Manipal), Kadani Road, Baridih, Jamshedpur-831017, Jharkhand


JHARKHAND
831017
India 
Phone  9572921357  
Fax    
Email  swetanka.prasad@manipal.edu  
 
Source of Monetary or Material Support  
Self sponsored research project. 
 
Primary Sponsor  
Name  SWETANKA PRASAD 
Address  Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal), Kadani Road, Baridih, Jamshedpur-831017, Jharkhand, India 
Type of Sponsor  Private medical college 
 
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 
SWETANKA PRASAD  Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal)  Department of Biochemistry, Manipal-Tata Medical College, Jamshedpur (A Constituent Unit of MAHE, Manipal), Kadani Road, Baridih, Jamshedpur-831017, Jharkhand
Purbi Singhbhum
JHARKHAND 
9572921357

swetanka.prasad@manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Manipal Tata Medical College Institutional Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Preeclampsia (014.9) 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Case- control  Role of Iron Homeostasis and Vitamin D in Preeclampsia. 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  35.00 Year(s)
Gender  Female 
Details  Inclusion Criteria:
i. Pregnant women aged between 18-35 years.
ii. Preeclamptic and eclamptic women
 
 
ExclusionCriteria 
Details  Exclusion Criteria:
i. Pregnant women having Type II Diabetes mellitus, gestational diabetes mellitus
ii. Pregnant women with a hypertension history
iii. Pregnant women who are on antidepressive medication
iv. Thyrotoxicosis
v. Connective tissue disease-systemic lupus erythematosus
vi. Multiple pregnancy
vii. Pheochromocytoma
viii. Pregnant women who are not willing to give consent.
ix. Failed to follow up
x. Pregnant women undergoing blood transfusion.
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
A comprehensive understanding of how iron and vitamin D are regulated in different pregnancy conditions, particularly preeclampsia and eclampsia.
Understanding the metabolic changes and placental morphometry related to iron and vitamin D, providing better management strategies for maternal health.
Identification of key metabolites or metabolic patterns that distinguish normotensive pregnancies, preeclampsia, and eclampsia and could reveal biomarkers associated with iron homeostasis, inflammation, or oxidative stress.
 
First trimester, Second trimester, and Third trimester 
 
Secondary Outcome  
Outcome  TimePoints 
Evidence-based recommendations to the policy makers.  First trimester, Second trimester, and Third trimester 
 
Target Sample Size   Total Sample Size="216"
Sample Size from India="216" 
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)   01/09/2025 
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="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
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 - YES
  1. What data in particular will be shared?
    Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).

  2. What additional supporting information will be shared?
    Response - Informed Consent Form

  3. Who will be able to view these files?
    Response - Researchers whose proposed use of the data has been approved by an independent review committee identified for this purpose.

  4. For what types of analyses will this data be available?
    Response - To achieve aims in the approved proposal.

  5. By what mechanism will data be made available?
    Response - Proposals should be directed to [swetanka.prasad@manipal.edu].

  6. For how long will this data be available start date provided 01-09-2026 and end date provided 01-09-2031?
    Response - Beginning 3 months and ending 5 years following article publication.

  7. Any URL or additional information regarding plan/policy for sharing IPD? 
    Additional Information - NIL
Brief Summary  

Title:
Role of Iron Homeostasis and Vitamin D in Preeclampsia: A Case-Control Study on Biochemical, Hematological, and Placental Morphometric Changes

Study Type:
Case–control study

Study Setting & Duration:
Central Lab, Manipal–Tata Medical College, Jamshedpur; sample collection from Mercy Hospital, Jamshedpur.
Duration: 4 years

Background & Rationale:
Preeclampsia and eclampsia are major pregnancy complications linked to hypertension and proteinuria, with adverse maternal–fetal outcomes. Iron metabolism regulators (hepcidin, erythroferrone) and vitamin D may influence disease development. Limited human data exist on their roles in preeclampsia, particularly in the Jharkhand population. This study will explore biochemical markers, iron regulation, vitamin D status, and placental morphology to better understand disease pathophysiology.

Objectives:

1.     To measure BP, BMI, CBC, erythroferrone, hepcidin, ferritin, vitamin D, AST, ALT, uric acid, and proteinuria in preeclamptic women.

2.     To study the relationship between placental morphometry and iron/vitamin D levels in preeclampsia.

3.     To identify metabolic products in normotensive vs. preeclamptic pregnancies using GC–MS.

Study Population:

 Cases: Pregnant women (18–35 years) diagnosed with preeclampsia/eclampsia.

Controls: Age-matched normotensive pregnant women.

Sample Size: 216 (108 cases, 108 controls; includes 10 percent attrition).

Inclusion Criteria:

Pregnant women aged 18–35 years

Diagnosed with preeclampsia/eclampsia (cases) or normotensive (controls)

Exclusion Criteria:

Pre-existing hypertension, type 2 or gestational diabetes, multiple pregnancy

Thyrotoxicosis, connective tissue diseases, pheochromocytoma

Blood transfusion during pregnancy, unwillingness to consent, or loss to follow-up

Methods:

Sample Collection: 5 mL venous blood; urine for proteinuria.

Biochemical Analyses: ELISA for erythroferrone, hepcidin, ferritin, vitamin D; CBC; inflammatory markers; uric acid, AST, ALT.

·        Placental Morphometry: Weight, diameter, thickness, cotyledon count, surface area, and volume measurement post-delivery.

·        Metabolomics: GC–MS analysis for metabolic profiling.

Data Analysis:
SPSS v16 and GraphPad Prism 5 t-test and ANOVA p less than or equal to 0.05 significant.

Expected Outcomes & Significance:
This study will clarify how iron metabolism and vitamin D status contribute to preeclampsia pathogenesis, and their relationship with placental structural changes. Findings could guide targeted supplementation and improved maternal–fetal care strategies.

 

 
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