Calcium supplementation during pregnancy in low-intake populations

ISRCTN ISRCTN37214165
DOI https://doi.org/10.1186/ISRCTN37214165
Secondary identifying numbers WHO/HRP ID 98295
Submission date
19/03/2004
Registration date
01/04/2004
Last edited
10/11/2022
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Pregnancy and Childbirth
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr José Villar
Scientific

World Health Organization
20 Avenue Appia
Geneva-27
CH-1211
Switzerland

Email villarj@who.int

Study information

Study designMulticentre double blind randomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleCalcium supplementation during pregnancy in low-intake populations
Study objectivesThe purpose of this trial was to determine whether calcium supplementation of pregnant women with low calcium intake reduces pre-eclampsia and preterm delivery.
Ethics approval(s)This trial was approved by:
1. The Scientific and Ethical Review Group at UNDP/UNFPA/WHO/World Bank Special Programme for Research, Development and Research Training in Human Reproduction
2. The WHO Secretariat Committee for Research into Human Subjects
3. The Institutional Review Boards of participating centres
Health condition(s) or problem(s) studiedPre-eclampsia
InterventionWomen were assigned randomly to receive:
1. Calcium-containing tablets (1.5 g/d), one tablet three times daily (at meal time, greater than 3 hours after any iron supplements)
2. Indentical placebo

Treatment continued from enrolment to delivery. Treatment was discontinued when magnesium sulphate therapy was initiated to treat pre-eclampsia or when nephrolithiasis was diagnosed, but not when pre-eclampsia or hypertension was diagnosed.
Intervention typeSupplement
Primary outcome measure1. Primary maternal outcome: incidence of preeclampsia and/or eclampsia
2. Primary neonatal outcome: preterm delivery
Secondary outcome measures1. Early preterm delivery (less than 32 weeks of gestation)
2. Term low birth weight (less than 2500 g; greater than or equal to 37 weeks of gestation)
3. Hospitalisation of greater than 2 days
4. Greater than or equal to 7 days in the neonatal intensive care unit
5. Foetal, neonatal, and perinatal death
Overall study start date01/11/2001
Completion date01/06/2003

Eligibility

Participant type(s)Patient
Age groupAdult
SexFemale
Target number of participants8500
Total final enrolment8325
Key inclusion criteria1. Nulliparous pregnant women less than 20 weeks gestation
2. Living in low calcium intake areas
Key exclusion criteria1. The presence of blood pressure greater than 140 and/or 90 mmHg at first antenatal visit
2. A history of chronic hypertension or renal disease
3. A history or signs and/or symptoms of nephrolithiasis, parathyroid disorders, and diseases that require digoxin, phenytoin, or tetracycline therapy
Date of first enrolment01/11/2001
Date of final enrolment01/06/2003

Locations

Countries of recruitment

  • Argentina
  • Egypt
  • India
  • Peru
  • South Africa
  • Switzerland
  • Viet Nam

Study participating centre

World Health Organization
Geneva-27
CH-1211
Switzerland

Sponsor information

UNDP/UNFPA/WHO/World Bank - Special Programme of Research, Development and Research Training in Human Reproduction
Research organisation

World Health Organization
20 Avenue Appia
Geneva-27
CH-1211
Switzerland

Website http://www.who.int/reproductive-health/hrp/
ROR logo "ROR" https://ror.org/01f80g185

Funders

Funder type

Research organisation

United Nations Development Programme (UNDP)/United Nations Population Fund (UNFPA)/World Health Organization (WHO)/World Bank - Special Programme of Research, Development and Research Training in Human Reproduction (HRP)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing planNot provided at time of registration

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 01/03/2006 Yes No

Editorial Notes

10/11/2022: The following changes were made to the trial record:
1. Publication reference added.
2. The total final enrolment was added.