To study the efficacy of Gum Arabic as an anti-oxidant, anti-inflammatory and Fetal Hemoglobin-inducing agent among Sickle Cell Disease children. Half of participants will receive Gum Arabic and the other half will receive placebo
Polymerized hemoglobin is injurious to the red cell membrane, resulting in oxidative damage in sickle cell disease . Fetal hemoglobin is protective against sickling and its decrease is associated with vaso-occlusive crisis . Gum Arabic is soluble fibers with prebiotic properties. It increased the level of serum butyrate which is short chain fatty acid. The latter proved to serve as fetal hemoglobin inducing agent both in vivo and in vitro study. And also has strong anti-inflammatory properties. So our aim to test whether oral digestion of Gum Arabic will induce fetal hemoglobin among sickle cell pediatric patients
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
QUADRUPLE
Enrollment
100
Oral Digestion of Gum Arabic to be consumed early morning in daily basis for 12 weeks
Oral Digestion of Pectin to be consumed early morning in daily basis for 12 weeks
Military Hospital
Omdurman, Khartoum State, Sudan
RECRUITINGFetal hemoglobin level after 12 weeks
Measure increase from the baseline values
Time frame: 12 weeks
Total anti oxidant capacity
Measure increase from the baseline values
Time frame: 12 weeks
Anti inflammatory marker C reactive Protein
Measure decrease from the baseline values
Time frame: 12 weeks
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