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CTRI Number  CTRI/2025/11/096791 [Registered on: 03/11/2025] Trial Registered Prospectively
Last Modified On: 30/10/2025
Post Graduate Thesis  No 
Type of Trial  Interventional 
Type of Study   Drug 
Study Design  Other 
Public Title of Study   Understanding Why some Women Do Not Improve with iron and folic acid treatment for anemia. 
Scientific Title of Study   Root cause analysis(RCA)of non-responders to Iron folic acid treatment among women of reproductive age(WRA)at community setting 
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 Neena Malhotra 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences Delhi 
Address  Department of Obstetrics and Gynaecology Mother and Child block All India Institute of Medical Sciences Ansari Nagar New Delhi

South
DELHI
110029
India 
Phone  9891557707  
Fax    
Email  malhotraneenaaiims@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Neena Malhotra 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences Delhi 
Address  Department of Obstetrics and Gynaecology Mother and Child block All India Institute of Medical Sciences Ansari Nagar New Delhi

South
DELHI
110029
India 
Phone  9891557707  
Fax    
Email  malhotraneenaaiims@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Neena Malhotra 
Designation  Professor 
Affiliation  All India Institute of Medical Sciences Delhi 
Address  Department of Obstetrics and Gynaecology Mother and Child block All India Institute of Medical Sciences Ansari Nagar New Delhi

South
DELHI
110029
India 
Phone  9891557707  
Fax    
Email  malhotraneenaaiims@gmail.com  
 
Source of Monetary or Material Support  
Indian Council of Medical Research AIIMS Campus Ansari Nagar 
 
Primary Sponsor  
Name  Indian Council of Medical Research 
Address  Indian Council of Medical Research AIIMS Campus Ansari Nagar 
Type of Sponsor  Research institution 
 
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 Neena Malhotra  AIIMS Delhi   Room no 724, Mother and child block Aiims NEW delhi
South West
DELHI 
9891557707

malhotraneenaaiims@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institute ethics comittee  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 
Intervention  Invasive hemoglobinometer  we will compare the result of invasive hemoglobinometer with non invasive hemoglobinometer 
Comparator Agent  Non -invasive hemoglobinometer  we will compare the result of invasive and non invasive hemoglobinometer 
 
Inclusion Criteria  
Age From  15.00 Year(s)
Age To  45.00 Year(s)
Gender  Female 
Details  women of reproductive age group 15 to 45 years living in a community 
 
ExclusionCriteria 
Details  Pregnant and lactating women  
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
various causes of non response IFA treatment filled on the questionnaire  3 years 
 
Secondary Outcome  
Outcome  TimePoints 
Acceptance and response of I.V. iron treatment  3 years 
Acceptance and response of IV Iron treatment  3 years 
 
Target Sample Size   Total Sample Size="12000"
Sample Size from India="12000" 
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)   01/01/2026 
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="3"
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   Anemia is a serious health problem among women of reproductive age (15-45 years) in India. despite large scale programs like Anemia Mukt Bharat many women continue to suffer from anemia and nearly 30% do not improve even after taking iron and folic acid tablets. This project aims to understand the reasons behind such treatment failure. The study will conducted in ballabgarh, haryana and around 12000 women will be screened for anemia using both invasive and non invasive hemoglobin testing devices. those found anemic will receive standard treatment. after one month women who do not show improvement will undergo further tests to identify possible causes such as vitamin B12 or folic acid deficiency poor absorption of iron, hemoglobin disorders. The study will also explore whether non invasive hemoglobin testing is more acceptable in women and frontline health workers compared to the traditional invasive method. In case of severe anemia intravenous iron treatment will be offered and its effectiveness evaluated. The findings will help in identifying the root cause of non-response to IFA improving screening acceptability and guiding better treatment strategies.   
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