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NCT Number: NCT07315282

The Effect of Oral Iron Supplements on Insulin and Glucose Metabolism in Overweight and Obese Women

The study will be a randomized, double-blind, 17-day metabolic intervention trial including 14 days of high-dose or low-dose iron supplementation. A total of 70 overweight or obese (OW/OB) women will be enrolled. Participants will be individually randomized into either the high-iron or low-iron group.

Women in the low-iron group will receive 15 mg of iron as ferrous fumarate daily for 14 days, while women in the high-iron group will receive 195 mg of iron as ferrous sulfate daily for 14 days.

The study consists of three visits in total. On Day 0, a fasting blood sample will be collected and an OGTT will be performed, with additional blood samples collected at 1 hour and 2 hours post-OGTT. The OGTT will be repeated on Day 14, after 14 days of oral iron supplementation, and again on Day 17, four days after oral iron supplementation has been stopped

Recruiting

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Key information

Age range

18 year–45 year

Sex eligibility

Female

Study type

Interventional

Phase

Not applicable

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • BMI ≥ 27.5 kg/m2
  • serum ferritin <30 μg/L
  • hemoglobin ≥ 11 g/dl
  • fasting blood glucose < 5.6 mmol/L

Exclusion criteria

  • intravenous or high dose oral iron in the preceding 2 months
  • medical disorders are known to affect iron absorption or metabolism, or T2DM
  • cigarette smoking
  • recent blood transfusion or major blood loss

Treatment and study plan

195 mg iron daily

Dietary Supplement

3 x 65 mg iron as ferrous sulfate

15 mg iron daily

Dietary Supplement

3 x 5 mg iron as ferrous sulfate

Primary outcomes

  1. Blood glucose increase during OGTT Day 0

    Time frame: Day 0

    Blood glucose increase during OGTT before the intake of oral iron for 14 days

  2. Blood glucose increase during OGTT Day 14

    Time frame: Day 14

    Blood glucose increase during OGTT after the intake of oral iron for 14 days

Secondary outcomes

  1. Insulin increase during OGTT Day 0

    Time frame: Day 0

    Insulin increase during OGTT before the intake of oral iron for 14 days

  2. Insulin increase during OGTT Day 14

    Time frame: Day 14

    Insulin increase during OGTT after the intake of oral iron for 14 days

  3. Serum Hepcidin Day 0

    Time frame: Day 0

    Serum Hepcidin measured before the intake of oral iron

  4. Serum Hepcidin D14

    Time frame: Day 14

    Serum Hepcidin measured after the intake of oral iron

  5. Serum Ferritin Day 0

    Time frame: Day 0

    Serum Ferritin measured before the intake of oral iron

  6. Serum Ferritin Day 14

    Time frame: Day 14

    Serum Ferritin measured after the intake of oral iron

  7. Soluble Transferrin Receptor (sTfR) Day 0

    Time frame: Day 0

    sTfR measured before the intake of oral iron

  8. Soluble Transferrin Receptor (sTfR) Day 14

    Time frame: Day 14

    sTfR measured after the intake of oral iron

  9. Hemoglobin Day 0

    Time frame: Day 0

    Hemoglobin measured before the intake of oral iron

  10. Hemoglobin Day 14

    Time frame: Day 14

    Hemoglobin measured after the intake of oral iron

  11. C-reactive protein (CRP) Day 0

    Time frame: Day 0

    CRP measured before the intake of oral iron

  12. C-reactive protein (CRP) Day 14

    Time frame: Day 14

    CRP measured after the intake of oral iron

  13. Alpha-1-acid glycoprotein (AGP) Day 0

    Time frame: Day 0

    AGP measured before the intake of oral iron

  14. Alpha-1-acid glycoprotein (AGP) Day 14

    Time frame: Day 14

    AGP measured after the intake of oral iron

  15. Serum Iron Day 0

    Time frame: Day 0

    Serum Iron measured before the intake of oral iron

  16. Serum Iron Day 14

    Time frame: Day 14

    Serum Iron measured after the intake of oral iron

  17. Total Iron Binding Capacity (TIBC) Day 0

    Time frame: Day 0

    TIBC measured before the intake of oral iron

  18. Total Iron Binding Capacity (TIBC) Day 14

    Time frame: Day 14

    TIBC measured after the intake of oral iron

  19. Transferrin Saturation (TSAT) Day 0

    Time frame: Day 0

    TSAT measured before the intake of oral iron

  20. Transferrin Saturation (TSAT) Day 14

    Time frame: Day 14

    TSAT measured after the intake of oral iron

  21. Transferrin Saturation (TSAT) Day 17

    Time frame: Day 17

    TSAT measured at endpoint

  22. Total Iron Binding Capacity (TIBC) Day 17

    Time frame: Day 17

    TIBC measured at endpoint

  23. Serum Iron Day 17

    Time frame: Day 17

    Serum Iron measured at endpoint

  24. Serum Hepcidin Day 17

    Time frame: Day 17

    Serum Hepcidin measured at endpoint

  25. Insulin increase during OGTT Day 17

    Time frame: Day 17

    Insulin increase during OGTT at Endpoint

  26. Blood glucose increase during OGTT Day 17

    Time frame: Day 17

    Blood glucose increase during OGTT at Endpoint

  27. Fasting blood glucose Day 0

    Time frame: Day 0

    Fasting blood glucose before iron intake

  28. Fasting blood glucose Day 14

    Time frame: Day 14

    Fasting blood glucose after iron intake

  29. Fasting blood glucose Day 17

    Time frame: Day 17

    Fasting blood glucose at Endpoint

  30. Fasting insulin Day 0

    Time frame: Day 0

    Fasting insulin before iron intake

  31. Fasting insulin Day 14

    Time frame: Day 14

    Fasting insulin after iron intake

  32. Fasting insulin Day 17

    Time frame: Day 17

    Fasting insulin at Endpoint

  33. Blood glucose profile measured over the 14 days

    Time frame: Day 0 - Day 14

    blood glucose profile measured by wearable FreeStyle Libre Sensor

Study contacts

Contact information is provided by the study sponsor or research team.

Omar Obeid

CONTACT

[email protected]

+961 1 350 000

Sponsors and collaborators

Lead sponsor

Nicole Stoffel

Other

Collaborators

  • American University of Beirut Medical Center

Registry information

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jan 2, 2026
Registry last updated
Jan 2, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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