Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial

Background Liposomal iron, a novel oral formulation of ferric pyrophosphate that demonstrates improved gastrointestinal absorption and bioavailability with fewer side effects than conventional iron, represents a significant advancement in the treatment of iron-deficiency anemia (IDA). Purpose To con...

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Main Authors: Wael A. Bahbah, Yasmin A.H.S. Younis, Hanan Salama Elbelouny, Asmaa A. Mahmoud
Format: Article
Language:English
Published: The Korean Pediatric Society 2025-08-01
Series:Clinical and Experimental Pediatrics
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Online Access:http://www.e-cep.org/upload/pdf/cep-2025-00262.pdf
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author Wael A. Bahbah
Yasmin A.H.S. Younis
Hanan Salama Elbelouny
Asmaa A. Mahmoud
author_facet Wael A. Bahbah
Yasmin A.H.S. Younis
Hanan Salama Elbelouny
Asmaa A. Mahmoud
author_sort Wael A. Bahbah
collection DOAJ
description Background Liposomal iron, a novel oral formulation of ferric pyrophosphate that demonstrates improved gastrointestinal absorption and bioavailability with fewer side effects than conventional iron, represents a significant advancement in the treatment of iron-deficiency anemia (IDA). Purpose To conduct an in-depth comparative study of liposomal SunActive and conventional iron supplements (iron polymaltose complex) for treating IDA in children aged 2–12 years Methods This prospective randomized controlled trial included 192 children who visited the outpatient clinic of the Pediatric Department at Menoufia University Hospital and were diagnosed with IDA. The patients were divided into group 1, 96 pediatric patients receiving oral liposomal SunActive iron; and group 2, 96 pediatric patients treated with conventional oral iron (iron polymaltose complex). Results After 1 month of oral iron therapy, group 1 exhibited higher hemoglobin, hematocrit, serum ferritin, and serum iron levels and greater transferrin saturation than group 2. After 6 months of oral iron therapy, hemoglobin level (P<0.001), iron profile (P<0.001), and growth-related anthropometric measurements were higher in group 1 versus group 2 (P<0.001for z score for weight). Conclusion Iron supplements effectively improve anthropometric measurements, complete blood count parameters, and iron profiles. However, orally administered liposomal SunActive iron exhibits better effects, reduced drug refusal rates, and improved compliance rates, thereby benefiting children's growth.
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spelling doaj-art-d9231a47dd4a47ecb39b722ebcdc15c02025-08-20T03:39:04ZengThe Korean Pediatric SocietyClinical and Experimental Pediatrics2713-41482025-08-0168860861510.3345/cep.2025.0026220125555828Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trialWael A. Bahbah0Yasmin A.H.S. Younis1Hanan Salama Elbelouny2Asmaa A. Mahmoud3 Department of Pediatrics, Faculty of Medicine - Menoufia University, Shebin El-Kom, Egypt Department of Clinical Pathology, Faculty of Medicine – Menoufia University, Shebin El-Kom, Egypt Egyptian Ministry of Health, Cairo, Egypt Department of Pediatrics, Faculty of Medicine - Menoufia University, Shebin El-Kom, EgyptBackground Liposomal iron, a novel oral formulation of ferric pyrophosphate that demonstrates improved gastrointestinal absorption and bioavailability with fewer side effects than conventional iron, represents a significant advancement in the treatment of iron-deficiency anemia (IDA). Purpose To conduct an in-depth comparative study of liposomal SunActive and conventional iron supplements (iron polymaltose complex) for treating IDA in children aged 2–12 years Methods This prospective randomized controlled trial included 192 children who visited the outpatient clinic of the Pediatric Department at Menoufia University Hospital and were diagnosed with IDA. The patients were divided into group 1, 96 pediatric patients receiving oral liposomal SunActive iron; and group 2, 96 pediatric patients treated with conventional oral iron (iron polymaltose complex). Results After 1 month of oral iron therapy, group 1 exhibited higher hemoglobin, hematocrit, serum ferritin, and serum iron levels and greater transferrin saturation than group 2. After 6 months of oral iron therapy, hemoglobin level (P<0.001), iron profile (P<0.001), and growth-related anthropometric measurements were higher in group 1 versus group 2 (P<0.001for z score for weight). Conclusion Iron supplements effectively improve anthropometric measurements, complete blood count parameters, and iron profiles. However, orally administered liposomal SunActive iron exhibits better effects, reduced drug refusal rates, and improved compliance rates, thereby benefiting children's growth.http://www.e-cep.org/upload/pdf/cep-2025-00262.pdfliposomal sunactive ironconventional ironiron-deficiency anemia
spellingShingle Wael A. Bahbah
Yasmin A.H.S. Younis
Hanan Salama Elbelouny
Asmaa A. Mahmoud
Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
Clinical and Experimental Pediatrics
liposomal sunactive iron
conventional iron
iron-deficiency anemia
title Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
title_full Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
title_fullStr Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
title_full_unstemmed Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
title_short Liposomal SunActive versus conventional iron for treatment of iron-deficiency anemia in children aged 2–12 years: a prospective randomized controlled trial
title_sort liposomal sunactive versus conventional iron for treatment of iron deficiency anemia in children aged 2 12 years a prospective randomized controlled trial
topic liposomal sunactive iron
conventional iron
iron-deficiency anemia
url http://www.e-cep.org/upload/pdf/cep-2025-00262.pdf
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