Comparison of the Effect of Zinc-Sulfate Supplementation on the Treatment of Neonates with Hyperbilirubinemia: a Double-blind Randomized Clinical Trial
Determining the effect of zinc sulfate supplementation on the treatment of newborns with hyperbilirubinemia
Design
This double-blind randomized clinical trial study has an intervention group and a placebo group. The intervention group includes 140 newborns with hyperbilirubinemia who receive zinc sulfate orally at a daily dose of 1 mg per kilogram for 3 days. The placebo group includes 140 newborns with hyperbilirubinemia who receive 10% dextrose orally at a daily dose of 1 mg per kilogram of serum for 3 days. Randomization process: newborns will be completely randomly divided into two groups receiving zinc sulfate and placebo (10% dextrose serum). To perform randomization, Excel software uses the Random between command.
Settings and conduct
This study will be conducted in the neonatal department of Besat Hospital located in Sanandaj city, Kurdistan, Iran.
Participants/Inclusion and exclusion criteria
Inclusion criteria: Term newborns with hyperbilirubinemia admitted to the neonatal department of Besat Hospital of Sanandaj in 2022, gestational age from 37 weeks to 42 weeks and 6 days, birth weight from 2500 gr to 4000 gr
Exclusion criteria: Evidence of infection, congenital malformation, history of phenobarbital use, hypothyroidism, intrauterine growth restriction, oral intolerance, mechanical ventilation
Intervention groups
Intervention group: The group receiving zinc sulfate medicine at a dose of 1 mg per kilogram once a day
Placebo group: The group receiving 10% dextrose serum at a dose of 1 mg per kilogram once a day
Main outcome variables
Average serum total bilirubin 24 hours, 48 hours and 72 hours after intervention in two groups
Average serum indirect bilirubin 24 hours, 48 hours and 72 hours after intervention in two groups
The mean changes in serum total bilirubin between before the intervention and 24, 48 and 72 hours after the intervention for two groups
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220806055625N1
Registration date:2022-12-25, 1401/10/04
Registration timing:registered_while_recruiting
Last update:2022-12-25, 1401/10/04
Update count:0
Registration date
2022-12-25, 1401/10/04
Registrant information
Name
Siros Hemmatpour
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 87 3362 7751
Email address
dr.siroshemmatour@yahoo.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-12-22, 1401/10/01
Expected recruitment end date
2023-04-20, 1402/01/31
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparison of the Effect of Zinc-Sulfate Supplementation on the Treatment of Neonates with Hyperbilirubinemia: a Double-blind Randomized Clinical Trial
Public title
Investigating the effect of Zinc-Sulfate on the Treatment of Neonatal Hyperbilirubinemia
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Term infants with hyperbilirubinemia admitted to the neonatal department of Besat Sanandaj Hospital in 1401
Gestational age from 37 weeks to 42 weeks and 6 days
Birth weight from 2500 Grams to 4000 Grams
Exclusion criteria:
Evidence of infection
Congenital malformation
History of phenobarbital use in mother
Hypothyroidism
Inappropriate intrauterine growth
Oral intolerance
Mechanical ventilation
Age
From 1 day old to 30 days old
Gender
Both
Phase
3
Groups that have been masked
Participant
Care provider
Sample size
Target sample size:
250
Randomization (investigator's opinion)
Randomized
Randomization description
Neonates will be completely randomly assigned to two groups receiving Zinc- Sulfate and placebo (10% Dextrose serum). To perform randomization, Excel software is used with the Random between command. To carry out this process, a two-digit code is assigned to each of the people entered into the study, and then using the software, these numbers are randomly selected to enter each of the groups. Odd or even numbers will be assigned to one group each.
Blinding (investigator's opinion)
Double blinded
Blinding description
In this study, the design is double-blind; so that the neonates studied in two groups and their families and clinical caregivers are blinded to the intervention and intervention status. Medicines are stored in dark bottles labeled A and B and given using a dropper.
Placebo
Used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics committee of Kurdistan University of Medical Sciences
Street address
Pasdaran Str. Kurdistan University of Medical Sciences
City
Sanandaj
Province
Kurdistan
Postal code
661776796
Approval date
2022-03-08, 1400/12/17
Ethics committee reference number
IR.MUK.REC.1400.322
Health conditions studied
1
Description of health condition studied
Neonatal Hyperbilirubinemia
ICD-10 code
P58
ICD-10 code description
Neonatal jaundice due to other excessive hemolysis
Primary outcomes
1
Description
Mean serum total bilirubin
Timepoint
Serum total bilirubin 24 hours, 48 hours and 72 hours after intervention in two groups
Method of measurement
taking blood samples from the infants in the study at 24 hours, 48 hours and 72 hours after the intervention by a trained nurse and sending them to the lab
2
Description
Mean serum indirect bilirubin
Timepoint
serum indirect bilirubin 24 hours, 48 hours and 72 hours after intervention in two groups
Method of measurement
taking blood samples from the infants in the study at 24 hours, 48 hours and 72 hours after the intervention by a trained nurse and sending them to the lab
3
Description
The amount of changes in the mean serum total bilirubin
Timepoint
Before the intervention and 24 hours after the intervention
Method of measurement
comparing the average total serum bilirubin before the intervention and the average total serum bilirubin obtained 24 hours after the intervention.
4
Description
The amount of changes in the mean serum total bilirubin
Timepoint
Before the intervention and 48 hours after the intervention
Method of measurement
comparing the average total serum bilirubin before the intervention and the average total serum bilirubin obtained 48 hours after the intervention.
5
Description
The amount of changes in the mean serum total bilirubin
Timepoint
Before the intervention and 72 hours after the intervention
Method of measurement
comparing the average total serum bilirubin before the intervention and the average total serum bilirubin obtained 72 hours after the intervention.
Secondary outcomes
1
Description
The average number of hospitalization days of newborns in two groups
Timepoint
Number of hospitalization days 24 hours, 48 hours and 72 hours after intervention in two groups
Method of measurement
Registration the number of hospitalization days of the newborns according to the file by a trained nurse
2
Description
The average hours of receiving phototherapy for newborns in two groups
Timepoint
Number of hours receiving phototherapy 24 hours, 48 hours and 72 hours after intervention in two groups
Method of measurement
Registering data of number of hours receiving phototherapy by a trained nurse
3
Description
Possible complications of zinc sulfate drug
Timepoint
24 hours, 48 hours and 72 hours after the intervention in two groups
Method of measurement
A booklet containing the desired questions related to possible complications (these complications are selected by reviewing the literature) is provided to the mothers of babies and is followed up by a trained nurse.
Intervention groups
1
Description
Intervention group: 125 infants will be placed in the group receiving zinc sulfate orally at a dose of 1 mg per kilogram once a day, on the first, second and third days of the intervention. According to Harriet Lane's book, which is one of the authoritative references for infants and children, the recommended dose of zinc sulfate for infants is 1 mg per kilogram per day, which is the same amount prescribed for infants in the intervention group.
Category
Treatment - Drugs
2
Description
Control group: 125 infants are placed in the group receiving 10% dextrose serum orally on the first, second and third days of the intervention. Dextrose serum at the rate of one milligram per kilogram once a day is administered to infants in the control group.
Category
Treatment - Drugs
Recruitment centers
1
Recruitment center
Name of recruitment center
Besat hospital
Full name of responsible person
Sirus Hematpour
Street address
Keshavarz Street
City
Sanandaj
Province
Kurdistan
Postal code
6618634683
Phone
+98 87 3328 5911
Email
Info@muk.ac.ir
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Sanandaj University of Medical Sciences
Full name of responsible person
Afshin Maleki
Street address
Abidar Ave., Sanandaj
City
Sanandaj
Province
Kurdistan
Postal code
6618634683
Phone
+98 87 3322 9494
Email
Info@muk.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?