Last reviewed · How we verify

NCT03750968: L-ZIP

Lutein & Zeaxanthin in Pregnancy - Carotenoid Supplementation During Pregnancy: Ocular and Systemic Effects

Completed Phase 2 Results posted Last updated 11 July 2023
What this trial tests

Phase 2 trial testing Carotenoid Group in Nutrient Deficiency in 47 participants. Completed in 31 January 2022.

Timeline
26 September 2019
Primary endpoint
31 January 2022
31 January 2022

Quick facts

Lead sponsorPaul S. Bernstein
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingtriple
Primary purposeprevention
Enrollment47
Start date26 September 2019
Primary completion31 January 2022
Estimated completion31 January 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Paul S. Bernstein — full company profile →

Who can join

18 and older, female only, with Nutrient Deficiency or Pregnancy Related. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Change in Maternal Macular Carotenoid Levels From Enrollment to Birth of Infant Primary · up to 13 weeks gestation to birth

measured in units of macular pigment optical volume (MPOV). Details regarding methods and criteria used to assess this outcome measure and interpret the values are in the published protocol available at https://doi.org/10.1186/s13063-021-05244-2

GroupValue95% CI
Carotenoid Group12244± 688
Control Group7343± 470
Change in Maternal Serum Carotenoid Levels From Enrollment to Birth of Infant Primary · up to 13 weeks gestation to birth

We are reporting only lutein + zeaxanthin concentrations. Unit of measurement is in nanograms per milliliter (ng/ml). Details regarding methods and criteria used to assess this outcome measure and interpret the values are in the published protocol available at https://doi.org/10.1186/s13063-021-05244-2

GroupValue95% CI
Carotenoid Group1030.2± 86.8
Control Group252.0± 33.4
Change in Maternal Skin Carotenoid Levels From Enrollment to Birth of Infant Primary · up to 13 weeks gestation to birth

Maternal skin carotenoid levels are measured in Raman units.

GroupValue95% CI
Carotenoid Group55419± 2421
Control Group38475± 1932
Infant Macular Carotenoid Levels as Determined by Macular Pigment Optical Density Secondary · Birth

Comparison of macular carotenoid levels of infants whose mothers received prenatal supplements without carotenoids to those mothers who received prenatal supplements with carotenoids. Details regarding methods and criteria used to assess this outcome measure and interpret the values are in the published protocol available at https://doi.org/10.1186/s13063-021-05244-2

GroupValue95% CI
Carotenoid Group0.05± 0.01
Control Group0.04± 0.01
Infant Serum Carotenoid Levels as Determined With High Performance Liquid Chromatography Secondary · Birth

Comparison of carotenoid levels of infants whose mothers received prenatal supplements without carotenoids to those mothers who received prenatal supplements with carotenoids. We are reporting only lutein + zeaxanthin concentrations. Unit of measurement is nanogram per milliliter (ng/ml). Details regarding methods and criteria used to assess this outcome measure and interpret the values are in the published protocol available at https://doi.org/10.1186/s13063-021-05244-2

GroupValue95% CI
Carotenoid Group270.5± 29.1
Control Group54.5± 6.6
Infant Skin Carotenoid Levels as Determined With Resonance Raman Spectroscopy Secondary · Birth

Comparison of carotenoid levels of infants whose mothers received prenatal supplements without carotenoids to those mothers who received prenatal supplements with carotenoids. Infant skin carotenoid levels are measured in Raman units. Details regarding methods and criteria used to assess this outcome measure and interpret the values are in the published protocol available at https://doi.org/10.1186/s13063-021-05244-2

GroupValue95% CI
Carotenoid Group31656± 1279
Control Group23011± 869

Adverse events — posted to ClinicalTrials.gov

Time frame: 8 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Carotenoid Group
Serious: 2/24 (8%)
Deaths: 0/24
Control Group
Serious: 0/23 (0%)
Deaths: 0/23

Serious adverse events (2 terms)

ReactionSystemCarotenoid GroupControl Group
Down syndromeCongenital, familial and genetic disorders
Multiple congenital abnormalitiesCongenital, familial and genetic disorders
Other adverse events (13 terms — click to expand)

ReactionSystemCarotenoid GroupControl Group
Gestational diabetesPregnancy, puerperium and perinatal conditions
Pre-eclampsiaPregnancy, puerperium and perinatal conditions
COVID-19Infections and infestations
Gestational hypertensionPregnancy, puerperium and perinatal conditions
AnemiaPregnancy, puerperium and perinatal conditions
Exacerbated acnePregnancy, puerperium and perinatal conditions
ItchingSkin and subcutaneous tissue disorders
Torn placenta at deliveryPregnancy, puerperium and perinatal conditions
CholestasisHepatobiliary disorders
Sinus infectionRespiratory, thoracic and mediastinal disorders
Worsening depressionPsychiatric disorders
Nose lacerationInjury, poisoning and procedural complications
Preterm deliveryPregnancy, puerperium and perinatal conditions

Most-reported serious reactions: Down syndrome, Multiple congenital abnormalities.

Data from ClinicalTrials.gov NCT03750968 adverse events section.

Sponsor's own description

This study is designed to test the hypotheses that (1) the third trimester of pregnancy is a period of maternal systemic and ocular carotenoid depletion; (2) prenatal supplementation with 10 milligrams of lutein and 2 milligrams of zeaxanthin will have significant effects on ocular and systemic biomarkers of maternal and infant carotenoid status relative to a matched, standard-of-care prenatal supplement without added lutein and zeaxanthin; and (3) newborn infants with the highest systemic and ocular carotenoid status will have more mature foveal structure. Mothers will be enrolled in the study during their first trimester, and will take the study carotenoid or control supplements for 6 to 8 months. The final study outcome measurements of mothers and infants will be completed within two weeks of the baby's birth.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. The macular carotenoids: A biochemical overview.
    Arunkumar R, Gorusupudi A, Bernstein PS. · · 2020 · cited 73× · PMID 31931175 · DOI 10.1016/j.bbalip.2020.158617
  2. The emerging roles of the macular pigment carotenoids throughout the lifespan and in prenatal supplementation.
    Bernstein PS, Arunkumar R. · · 2021 · cited 22× · PMID 32709621 · DOI 10.1194/jlr.tr120000956
  3. The Lutein and Zeaxanthin in Pregnancy (L-ZIP) study-carotenoid supplementation during pregnancy: ocular and systemic effects-study protocol for a randomized controlled trial.
    Addo EK, Gorusupudi A, Allman S, Bernstein PS. · · 2021 · cited 16× · PMID 33888136 · DOI 10.1186/s13063-021-05244-2
  4. Prenatal Carotenoid Supplementation With Lutein or Zeaxanthin Ameliorates Oxygen-Induced Retinopathy (OIR) in Bco2-/- Macular Pigment Mice.
    Arunkumar R, Li B, Addo EK, Hartnett ME, et al · · 2023 · cited 14× · PMID 37036416 · DOI 10.1167/iovs.64.4.9
  5. Systemic Effects of Prenatal Carotenoid Supplementation in the Mother and her Child: The Lutein and Zeaxanthin in Pregnancy (L-ZIP) Randomized Trial -Report Number 1.
    Addo EK, Allman SJ, Arunkumar R, Gorka JE, et al · · 2023 · cited 3× · PMID 37247819 · DOI 10.1016/j.tjnut.2023.05.024
  6. Ocular Effects of Prenatal Carotenoid Supplementation in the Mother and Her Child: The Lutein and Zeaxanthin in Pregnancy (L-ZIP) Randomized Trial - Report Number 2.
    Addo EK, Gorka JE, Allman SJ, Harrison DY, et al · · 2024 · cited 1× · PMID 39071916 · DOI 10.1016/j.xops.2024.100537
  7. Excluding pregnancy-associated deep vein thrombosis with whole-leg ultrasound.
    Parks AL, Fazili M, Aston V, Porter TF, et al · · 2023 · cited 1× · PMID 37840688 · DOI 10.1016/j.rpth.2023.102202
  8. Retinal Carotenoid Supplementation Increases HDL Cholesterol in Humans and Mice.
    Li B, Addo EK, Chang FY, Guo S, et al · · 2025 · PMID 41598179 · DOI 10.3390/life16010023

Verify or expand the search:

Other trials of Carotenoid Group

Trials testing the same drug.

Other recruiting trials for Nutrient Deficiency

Currently open trials in the same condition.

Other Paul S. Bernstein trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03750968.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing