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Trial registered on ANZCTR
Registration number
ACTRN12610000411044
Ethics application status
Approved
Date submitted
10/05/2010
Date registered
21/05/2010
Date last updated
13/02/2017
Type of registration
Prospectively registered
Titles & IDs
Public title
Pregnancy Iodine and Neurodevelopment in Kids (PINK)
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Scientific title
A Randomised controlled trial of iodine supplementation in pregnancy to enhance neurodevelopment in children - (PINK)
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Secondary ID [1]
251682
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NA
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Universal Trial Number (UTN)
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Trial acronym
PINK
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Iodine Deficiency in Pregnancy
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Condition category
Condition code
Diet and Nutrition
257434
257434
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0
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Other diet and nutrition disorders
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Reproductive Health and Childbirth
257506
257506
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0
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Normal pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Iodine 150 ug/day, one tablet per day from enrolment to the end of pregnancy.
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Intervention code [1]
256422
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Prevention
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Comparator / control treatment
Placebo contains no iodine (primary component: cellulose-microcrystalline), 1 tablet per day from enrolment to the end of pregnancy
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Neurodevelopment of children using the Bayley Scale of Infant Development (III)
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Assessment method [1]
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Timepoint [1]
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At 24months of age
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Secondary outcome [1]
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Pregnancy outcomes via case note audit. Information on birth weight, length, head circumference and gestational age and need for intensive care of the child will be collected. Information on pregnancy-related morbidities such as stillbirth, preterm birth and pre-eclampsia, mode of delivery, maternal weight gain will also be collected.
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Assessment method [1]
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Timepoint [1]
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At birth
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Secondary outcome [2]
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Generl health & wellbeing of mothers using validated questionnaires: SF-36 & Depression, Anxiety and Stress Scale (DASS)
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Assessment method [2]
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Timepoint [2]
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At 36weeks gestation and at 6weeks post delivery.
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Eligibility
Key inclusion criteria
pregnant women <20weeks Gestation; Not taking dietary supplements containing Iodine; Free from thyroid disease; No known fetal abnormality. Able to give informed consent.
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Minimum age
No limit
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
>/=20weeks gestation. taking dietary supplements containing Iodine.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Pregnant women will be approached at their first antental clinic visit at the participating centres. Eligible women who consented to take part in the study will be randomly allocated to the intervention (iodine) or placebo group. The randomisation will be done through central allocation by computer from a customised built Management Information System (MIS).
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Stratify allocation by centre, parity (0 vs >=1) and gestational age (<14 vs >=14 weeks).
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
multicentre double blinded randomised controlled trial
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Stopped early
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Data analysis
Data analysis is complete
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Reason for early stopping/withdrawal
Other reasons/comments
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Other reasons
The NHMRC withdrew its support for a trial as a placebo controlled trial was viewed as inconsistent with its recommendation for iodine supplementation
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Date of first participant enrolment
Anticipated
24/05/2010
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Actual
1/06/2010
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Date of last participant enrolment
Anticipated
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Actual
29/10/2010
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Date of last data collection
Anticipated
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Actual
28/02/2013
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Sample size
Target
1084
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Accrual to date
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Final
59
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Recruitment in Australia
Recruitment state(s)
SA
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Recruitment postcode(s) [1]
2883
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5006
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Recruitment postcode(s) [2]
2884
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5042
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Recruitment outside Australia
Country [1]
2614
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New Zealand
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State/province [1]
2614
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9054
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Country [2]
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New Zealand
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State/province [2]
2615
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8011
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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National Health & Medical Research Council
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Address [1]
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Level 1, 16 Marcus Clarke Street,
Canberra ACT 2601
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Country [1]
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Australia
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Primary sponsor type
Hospital
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Name
Children, Youth & Women's Health Service (CYWHS)
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Address
72 King William Road,
North Adelaide, SA 5006
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Country
Australia
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Secondary sponsor category [1]
256182
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Hospital
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Name [1]
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Southern Adelaide Health Service
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Address [1]
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Flinders Medical Centre,
Flinders Drive,
Bedford Park, SA 5042
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Country [1]
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Australia
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Other collaborator category [1]
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University
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Name [1]
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Otago University
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Address [1]
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Union Place West
Dunedin, 9054
PO Box 56
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Country [1]
1243
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New Zealand
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Other collaborator category [2]
1244
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Hospital
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Name [2]
1244
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Royal North Shore Hospital Sydney
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Address [2]
1244
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Reserve Road
ST LEONARDS NSW 2065
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Country [2]
1244
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Australia
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Other collaborator category [3]
1245
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Hospital
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Name [3]
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Women's Hospital Melbourne
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Address [3]
1245
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Locked Bag 300
Grattan St & Flemington Rd
Parkville VIC 3052
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Country [3]
1245
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Australia
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Other collaborator category [4]
1246
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Hospital
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Name [4]
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christchurch women's hospital
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Address [4]
1246
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2 Riccarton Ave
Christchurch 8011
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Country [4]
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New Zealand
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
258917
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Children Youth & Women's Health Service Human Research Ethics Committee
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Ethics committee address [1]
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72 King William Street North Adelaide SA 5006
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Ethics committee country [1]
258917
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Australia
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Date submitted for ethics approval [1]
258917
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Approval date [1]
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15/03/2010
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Ethics approval number [1]
258917
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12/12/2230
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Summary
Brief summary
Severe iodine deficiency during pregnancy is a known cause of cretinism and mental retardation. There is now growing recognition that milder iodine deficiency may also be related to cognitive deficits. Mild iodine deficiency has been consistently found in all studies of pregnant women living in Australia and New Zealand. The Australian and New Zealand governments have recently mandated the use of iodised salt in breads as a strategy to combat iodine deficiency in the general population. However, this strategy may not sufficiently increase iodine intakes to meet the requirements of pregnant women, and Food Standard Australia and New Zealand has recommended that these women take a daily dietary supplement containing 150 ug/day of iodine. However, no studies have examined the effect of iodine supplementation in pregnancy on clinical outcomes of mothers or babies in regions with mild iodine deficiency. The aims of this study are to assess the effect of maternal iodine supplementation during pregnancy at levels designed to meet the recommended dietary intake on neurodevelopment of children at 2 years of age (primary outcome), and pregnancy outcomes and general health and wellbeing of mothers. Eligible pregnant women will be randomly assigned to take either a iodine supplement (150ug/d) or placebo dairly from enrolement to the end of pregnancy. Neurodevelopment of children will be assessed using Bayley Scale of Infant and Toddler Development and maternal general health and mental function will be assessed using validated questionnaires.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Prof Maria Makrides
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Address
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SAHMRI,
PO Box 11060
Adelaide, SA 5001
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Country
31124
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Australia
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Phone
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+61 8 8128 4416
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Fax
31124
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Email
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[email protected]
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Contact person for public queries
Name
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Dr Jo Zhou
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Address
14371
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Women's & Children's Health Research Institute (WCHRI)
Level 7 Rieger Building
Women's & Children's Hospital
72 King William Road
North Adelaide SA 5006
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Country
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Australia
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Phone
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+61 8 8303 4111
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Fax
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+61 8 8303 7135
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr. Jo Zhou
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Address
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University of Adelaide
Waite Campus
Adelaide SA 5005
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Country
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Australia
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Phone
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+61 8 8303 4111
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Fax
5299
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+61 8 8303-7135
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Email
5299
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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