Evidence map›Paper›PMID 35681097›Full record

Trial reportPediatric research2022

Lactoferrin for iron-deficiency anemia in children with inflammatory bowel disease: a clinical trial.

Doaa El Amrousy, Dalia El-Afify, Abdallah Elsawy, Mai Elsheikh, Amr Donia, Mohammed Nassar

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pediatric research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06232642 (The Effects of Lactoferrin and Iron-enriched Whey on Iron Status of Active Collegiate Females), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06232642 naunknown statusnot on this mapstarted 2024, after this paper: background citation

The Effects of Lactoferrin and Iron-enriched Whey on Iron Status of Active Collegiate Females

TypeinterventionalSponsorUtah State UniversityRan2024 to 2025Enrolled82ConditionsSerum FerritinArmsLactoferrin, iron and B12 in Whey Protein, Lactoferrin, Iron and B12 in Rice Protein, Lactoferrin, Iron and B12 in Maltrodextrin
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
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  14. Article
  15. To Boost or to Reset: The Role of Lactoferrin in Energy Metabolism.International journal of molecular sciences · 2023
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Doaa El AmrousyPediatric Department, Faculty of Medicine, Tanta University, Tanta, Egypt. doaa.moha@med.tanta.edu.eg.ORCID 0000-0001-7836-1170
Dalia El-AfifyDepartment of Clinical Pharmacy, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Abdallah ElsawyDepartment of Internal Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mai ElsheikhPediatric Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Amr DoniaPediatric Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Mohammed NassarPediatric Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Tanta University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIron-deficiency anemia (IDA) is common in children with inflammatory bowel disease (IBD); however, oral iron supplements are commonly associated with poor compliance due to gastrointestinal side effects. We compared the effect of lactoferrin versus oral ferrous sulfate for the treatment of IDA in children with IBD.

methodsNinety-two IBD children with IDA were included but only 80 children completed the study and they were randomized into two groups: ferrous sulfate group (n = 40) who received ferrous sulfate 6 mg/kg/day for 3 months and lactoferrin group (n = 40) who received lactoferrin 100 mg/day for 3 months. Complete blood count, serum iron, total iron-binding capacity (TIBC), transferrin saturation (TS), serum ferritin, interleukin-6 (IL-6), and hepcidin 25 were measured before and after the treatment.

resultsHemoglobin (Hb), mean corpuscular volume, serum iron, TS, and serum ferritin significantly increased, while TIBC decreased significantly after the administration of either ferrous sulfate or lactoferrin compared to their baseline data. In addition, lactoferrin significantly increased Hb, serum iron, TS, and serum ferritin compared to ferrous sulfate. Moreover, lactoferrin significantly decreased IL-6 and hepcidin levels.

conclusionLactoferrin is a promising effective treatment with fewer side effects than oral elemental iron in children with IBD and IDA. CLINICAL

trial registrationThe study was registered at www.pactr.org (PACTR202002763901803). IMPACT: Iron-deficiency anemia (IDA) in children with inflammatory bowel disease (IBD) is treated with oral iron therapy; however, oral iron supplements are commonly associated with poor compliance due to gastrointestinal side effects. To the best of our knowledge, our study was the first in pediatrics that compared the effect of lactoferrin versus oral ferrous sulfate as an iron supplement for the treatment of IDA in children with IBD. We found that lactoferrin is a promising effective treatment with fewer side effects than oral elemental iron in children with IBD and IDA.

Indexed as

Anemia, Iron-DeficiencyInflammatory Bowel DiseasesPregnancy Complications, HematologicChildChronic DiseaseFemaleFerritinsFerrous CompoundsHemoglobinsHepcidinsHumansInterleukin-6IronLactoferrinPregnancyFerritinsFerrous Compoundsferrous sulfateHemoglobinsHepcidinsInterleukin-6IronLactoferrin

Identifiers

PMID35681097
PMCPMC9556315
OpenAlexW4282043216

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.