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CTRI Number  CTRI/2025/09/095049 [Registered on: 18/09/2025] Trial Registered Prospectively
Last Modified On: 17/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Efficacy of Heme Iron polypeptide versus Ferrous sulphate in children with Iron Deficiency Anemia- Randomised Control Trial 
Scientific Title of Study   Evaluation of efficacy of Heme Iron Polypeptide in comparison to Ferrous sulphate in children with Iron Deficiency Anemia- Randomised Control Trial 
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 Arshiya Shaikh 
Designation  1st year Paediatrics PG student 
Affiliation  KAHER Jawaharlal Nehru Medical College Belgaum 
Address  1st year PG student DEPT OF PAEDIATRICS KAHER Jawaharlal Nehru Medical College Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  9449536551  
Fax    
Email  saleemshaikh1964@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Abhilasha Sampagar 
Designation  Professor 
Affiliation  KAHER Jawaharlal Nehru Medical College Belgaum 
Address  Professor Paediatric Hematologist Oncologist DEPT OF PAEDIATRIC Hematology oncology KAHER Jawaharlal Nehru Medical College Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  9686187023  
Fax    
Email  abhilasha.pedia@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Abhilasha Sampagar 
Designation  Professor 
Affiliation  KAHER Jawaharlal Nehru Medical College Belgaum 
Address  Professor Paediatric Hematologist Oncologist DEPT OF PAEDIATRICS Hematology Oncology KAHER Jawaharlal Nehru Medical College Belgaum

Belgaum
KARNATAKA
590010
India 
Phone  9686187023  
Fax    
Email  abhilasha.pedia@gmail.com  
 
Source of Monetary or Material Support  
KAHER Jawaharlal Nehru Medical College, Belgaum 
 
Primary Sponsor  
Name  Dr Arshiya Shaikh  
Address  1st year PG student Dept of Paediatrics KAHER Jawaharlal Nehru Medical College Belgaum, Karnataka 590010 
Type of Sponsor  Other [Self] 
 
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 Arshiya Shaikh   Jawaharlal Nehru Medical College   Dept of Paediatrics Paediatric ward
Belgaum
KARNATAKA 
9449536551

saleemshaikh1964@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
JNMC 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  Ferrous sulphate oral  Oral Ferrous sulphate will be given in two divided doses at four MG per kg daily. We are comparing the rise in hemoglobin and side effects with ferrous sulphate. Ferrous sulphate will be given for 84 days after which CBC will be repeated. 
Intervention  Heme Iron Polypeptide tablet  Oral 12 MG heme iron polypeptide tablet is a new type of iron preparation which is derived directly from hemoglobin hence is metabolised faster with lesser side effects,to be given once daily in children less than 20 kg AND twice daily for children more than 20 kg. The tablets will be given for 84 days, after which CBC will be repeated. 
 
Inclusion Criteria  
Age From  1.00 Year(s)
Age To  18.00 Year(s)
Gender  Both 
Details  All children between 1 year to 18 years with Iron Deficiency Anemia  
 
ExclusionCriteria 
Details  1. Patients who have received blood transfusion in the last three months
2. Patients who received iv Iron in the last one month
3. Patients who have malabsorption syndrome and inflammatory bowel disease
4. Patients who suffer from chronic blood loss like portal hypertension, anastomosis leak from surgical site, hemorrhoids, polyp, etc
5. Patients not consenting for study 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   On-site computer system 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Increase in hemoglobin with heme Iron polypeptide in comparison to Ferrous sulphate in children in Iron Deficiency Anemia   After 84 days of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Relation between heme Iron polypeptide & Ferrous sulphate on hepcidin levels  After 24 hours of initiating intervention 
Gastro intestinal side effects in both groups of heme Iron polypeptide & Ferrous sulphate  Every week after starting intervention till 84 days 
 
Target Sample Size   Total Sample Size="84"
Sample Size from India="84" 
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   Post Marketing Surveillance 
Date of First Enrollment (India)   08/10/2025 
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="1"
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 - NO
Brief Summary   Iron Deficiency Anemia - IDA affects around 67  percent of Indian children, making it a major public health problem. Oral iron supplementation is the mainstay of treatment, but ferrous salts often cause gastrointestinal side effects. Heme Iron Polypeptide- HIP shows superior bioavailability and better tolerance compared to ferrous sulphate. Evidence suggests HIP may improve hemoglobin more effectively, but comparative studies in children are limited.
 
This study is an open-labeled randomized controlled trial conducted at KAHER JNMC, Belagavi, comparing efficacy of heme Iron polypeptide versus Ferrous sulphate in children with Iron Deficiency Anemia.  A total of 84 children aged 1 to 18 years with IDA will be randomized into two groups. Group 1 will receive HIP, while Group 2 will receive ferrous sulphate, both as daily oral therapy. Blood investigations and detailed physical examination will be done, and the children will be followed up telephonically.

Primary outcome is hemoglobin rise after 84 days of treatment
Secondary outcomes are hepcidin levels association and GI side effects. Data will be analyzed using appropriate statistical methods, with significance at p less than 0.05. The study aims to determine whether HIP is a more effective and safer alternative to ferrous sulphate in treating pediatric IDA.
 
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