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Efficacy of Newborn Vitamin A Supplementation Versus Placebo in Improving Child Survival (NeoVitA Trial)

Information source: Society for Applied Studies
ClinicalTrials.gov processed this data on August 20, 2015
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Neonatal Vitamin A Supplementation

Intervention: Vitamin A (Drug)

Phase: N/A

Status: Completed

Sponsored by: Society for Applied Studies

Official(s) and/or principal investigator(s):
Nita Bhandari, MD, PhD, Principal Investigator, Affiliation: Society for Applied Studies
Sunita Taneja, MD, PhD, Principal Investigator, Affiliation: Society for Applied Studies
Sarmila Mazumder, MD, PhD, Principal Investigator, Affiliation: Society for Applied Studies


The study is a large randomized controlled trial to assess the efficacy and safety of neonatal vitamin A supplementation administered to neonates once orally either on the day of birth or in the next 2 days in improving infant survival in the first 6 months of life.

Clinical Details

Official title: Efficacy of Neonatal Vitamin A Supplementation in Improving Child Survival in Haryana, India: Generation of Evidence Necessary for Informing Global Policy

Study design: Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Primary Purpose: Prevention

Primary outcome: Risk of death

Secondary outcome:

Risk of death

Risk of death

Risk of hospital admission

Bulging fontanelle, vomiting, irritability, fever, diarrhea, inability to suck or feed, convulsions or any other conditions that caused parents to be concerned

Vitamin A status in a subgroup of newborns and caregivers in the intervention and placebo groups

Detailed description: The study is an individually randomized trial conducted in two districts in the state of Haryana. Community informants report births to the enrolment team. At enrolment, the team explains the study to the family and in those willing, written consent is obtained from the parents of the infant. The infant is given the dose of vitamin A/placebo and a form containing baseline socioeconomic characteristics and information on feeding practices of the infant and mother is filled. After enrollment, each infant is visited by the enrollment team at hospital or home 1 day and 3 days after supplementation to document any illnesses in the baby. Newborns with illnesses are referred/escorted to the nearest health facility for management. Enrolled infants are visited when aged 29 days, 3, 6 and 12 months to document vital status and hospitalizations since the last visit. Information on feeding practices, immunization, maternal intake of vitamin A rich foods and supplements, and intake of any supplement containing vitamin A by the infant is recorded at these visits. Subgroup analyses includes the effect of vitamin A supplementation in LBW and non LBW infants, male and female infants, immunized and unimmunized infants, infants of families in the poorest and richest quintiles and by vitamin A intake of mothers. For all deaths, verbal autopsy interviews are conducted. Blood specimens are obtained in a subsample of infants at 2 weeks and 3 months of age and in a subsample of mothers at 3 months of age. Quality control activities include independent and supervised checks and are conducted for a subsample by a separate team. A DSMB has been constituted for the study. All deaths occurring within 72 hours of supplementation will be reported to the SAS ERC and to the WHO Coordinating Unit. At the recent DSMB meeting in February 2012, the DSMB recommended an increase in sample size to 45,000 instead of the earlier estimate of 40,200 because of somewhat lower than expected mortality rates. This increase in sample size is expected to preserve the specified power of 0. 85 and the corresponding level of precision anticipated at the design stage. Similar trials are being funded by the World Health Organization (Geneva) in Ghana and Tanzania.


Minimum age: N/A. Maximum age: 72 Hours. Gender(s): Both.


Inclusion Criteria:

- Consent to participate

- All births in the study area that are contacted by enrolment team within the eligible

age window Exclusion Criteria:

- Unable to feed on offering feeds, as reported by the mother

- Mother does not intend to stay in the study area for at least 6 months

Locations and Contacts

Society for Applied Studies, New Delhi, Delhi 110016, India
Additional Information

Related publications:

NEOVITA Study Author Group, Bahl R, Bhandari N, Dube B, Edmond K, Fawzi W, Fontaine O, Kaur J, Kirkwood BR, Martines J, Masanja H, Mazumder S, Msham S, Newton S, Oleary M, Ruben J, Shannon C, Smith E, Taneja S, Yoshida S. Efficacy of early neonatal vitamin A supplementation in reducing mortality during infancy in Ghana, India and Tanzania: study protocol for a randomized controlled trial. Trials. 2012 Feb 23;13:22. doi: 10.1186/1745-6215-13-22.

Starting date: June 2010
Last updated: May 29, 2015

Page last updated: August 20, 2015

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