MalnutritionNCT00944281
Optimal Amount of Zinc to Include in a Lipid-based Nutrient Supplement (LNS)
A study testing LNS-Zn5, LNS-Zn10 and LNS-Zn0 in people with Malnutrition, run by University of California, Davis at 1 site in Burkina Faso.
Trial summary
To assess zinc-related biochemical and functional responses among young Burkinabe children with a presumed high risk of zinc deficiency who receive micronutrient products containing different amounts of zinc, provided with or between meals. Read more about this study
- Who is it for?
- Ages 9 to 9 monthsHealthy volunteers can take part
- Conditions the study is for
- Malnutrition
- What is being tested?
- LNS-Zn5, LNS-Zn10 and LNS-Zn0
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 3,220 participants
- Where
- 1 siteBurkina Faso
- Study dates
- May 2010to Dec 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 9 to 9 months
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- 9.0 to 9.9 mo of age
Who cannot join
- severe anemia
- severely malnourished
- presence of bipedal oedema
- severe illness
- congenital abnormalities
- chronic medical condition
Show all 9Show fewer
- known HIV infection of mother or infant
- history of peanut allergy
- history of anaphylaxis or serious allergic reaction to any substance
Trial locations and contacts
1 site in 1 country.
Burkina Faso1 site
Institut de Recherche en Sciences de la Sante
Bobo-Dioulasso
About this study
Official title: A Randomized, Double-blind, Controlled Trial in Rural Burkina Faso to Determine the Optimal Amount of Zinc to Include in a Lipid-based Nutrient Supplement (LNS). Part of the iLiNS Study
To assess zinc-related biochemical and functional responses among young Burkinabe children with a presumed high risk of zinc deficiency who receive micronutrient products containing different amounts of zinc, provided with or between meals.
Read the detailed description
Young healthy children will be identified by periodic consensus in the study area. 3200 infants meeting a set of eligibility criteria will be randomly assigned to receive lipid-based nutrient supplements (LNS) with different amounts of zinc and a placebo or zinc supplement from 9 to 18 months of age. The families will receive the respective supplement at weekly intervals and the participants undergo a morbidity evaluation weekly, anthropometric evaluation at 9, 12, 15 and 18 months and laboratory analyses at enrollment and at 18 months of age. Growth outcomes will be analyzed during the two-year follow up at 24, 30, 36 and 42 months of age.
- Conditions
- Malnutrition
- Being tested
- LNS-Zn5, LNS-Zn10, LNS-Zn0, Suppl-Zn5
- Keywords
- point-of-use fortification, zinc supplement, lipid-based nutrient supplement, zinc deficiency, micronutrient deficiency, anemia
- Medical subject headings
- Malnutrition, Anemia
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
LNS-Zn5Dietary supplement
Also called Nutriset
Daily consumption of 20 g LNS containing 5 mg of zinc and daily placebo supplement
LNS-Zn10Dietary supplement
Also called Nutriset
Daily consumption of 20 g LNS containing 10 mg of zinc and daily placebo supplement
LNS-Zn0Dietary supplement
Also called Nutriset
20 g of LNS containing 0 mg of zinc and a daily placebo supplement
Suppl-Zn5Dietary supplement
Also called Nutriset
Daily 5 mg zinc supplement ant consumption of 20 g LNS containing 0 mg of zinc
| Study group | Role | What they receive |
|---|---|---|
| LNS-Zn5 | Experimental | Daily intake of 20 g LNS containing 5 mg of zinc and a daily placebo supplement Receives: Dietary Supplement: LNS-Zn5 |
| LNS-Zn10 | Experimental | Daily intake of 20 g LNS containing 10 mg of zinc and a daily placebo supplement Receives: Dietary Supplement: LNS-Zn10 |
| LNS-Zn0 | Placebo comparator | Daily intake of 20 g LNS containing 0 mg of zinc and a daily placebo supplement Receives: Dietary Supplement: LNS-Zn0 |
| Suppl-Zn5 | Experimental | Daily intake of zinc supplement containing 5 mg of zinc and 20 g LNS containing 0 mg of zinc Receives: Dietary Supplement: Suppl-Zn5 |
| Delayed intervention group | No intervention | Standard care from age 8 to 18 months. Daily consumption of LNS from age 18 to 28 months. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in length and length-for-age Z-score
Measured: 9 to 18 mo of age
Change in weight and weight-for-age Z-score
Measured: 9 to 18 mo of age
Incidence of diarrhea and laboratory-confirmed malaria infection
Measured: 9 to 18 mo of age
Change in plasma zinc concentration
Measured: 9 to 18 mo of age
Change in body composition
Measured: 9 to 18 mo of age
Secondary outcomes (4)
Change in head circumference and mid-upper arm circumference
Measured: 9 to 18 mo of age
Change in stunting, underweight, and wasting
Measured: 9 to 18 mo of age
Change in hemoglobin, iron, vitamin A and iodine status
Measured: 9 to 18 mo of age
Incidence of acute lower respiratory infection (ALRI)
Measured: 9 to 18 mo of age
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jul 2009 (estimated)
- Study startMay 2010
- Primary completionDec 2014
- Study completionDec 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (9)Papers the sponsor has linked to this study.
- Other trials for MalnutritionStudies of the same condition, open and under way.
- More trials run by University of California, DavisThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 3,220 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of California, Davis
- Sponsor type
- University, hospital or other
- Collaborators
- Université Polytechnique de Bobo-Dioulasso
- Responsible party
- Sponsor
- Investigators
- Kathryn Dewey, PhD, Study director, University of California, DavisKenneth H Brown, MD, Principal investigator, University of California, Davis
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00944281
- Sponsor's protocol ID
- 236850
- Other IDs
- iLiNS-Zinc
- Status last verified
- Jul 2018
- First submitted
- 21 Jul 2009
- Last updated
- 13 Jul 2018
- Results posted
- No
- Data monitoring committee
- No
Publications
Hess SY, Abbeddou S, Jimenez EY, Some JW, Vosti SA, Ouedraogo ZP, Guissou RM, Ouedraogo JB, Brown KH. Small-quantity lipid-based nutrient supplements, regardless of their zinc content, increase growth and reduce the prevalence of stunting and wasting in young burkinabe children: a cluster-randomized trial. PLoS One. 2015 Mar 27;10(3):e0122242. doi: 10.1371/journal.pone.0122242. eCollection 2015.
PubMed 25816354Some JW, Abbeddou S, Yakes Jimenez E, Hess SY, Ouedraogo ZP, Guissou RM, Vosti SA, Ouedraogo JB, Brown KH. Effect of zinc added to a daily small-quantity lipid-based nutrient supplement on diarrhoea, malaria, fever and respiratory infections in young children in rural Burkina Faso: a cluster-randomised trial. BMJ Open. 2015 Sep 11;5(9):e007828. doi: 10.1136/bmjopen-2015-007828.
PubMed 26362661Hess SY, Abbeddou S, Yakes Jimenez E, Ouedraogo JB, Brown KH. Iodine status of young Burkinabe children receiving small-quantity lipid-based nutrient supplements and iodised salt: a cluster-randomised trial. Br J Nutr. 2015 Dec 14;114(11):1829-37. doi: 10.1017/S0007114515003554. Epub 2015 Sep 28.
PubMed 26411504Abbeddou S, Yakes Jimenez E, Some JW, Ouedraogo JB, Brown KH, Hess SY. Small-quantity lipid-based nutrient supplements containing different amounts of zinc along with diarrhea and malaria treatment increase iron and vitamin A status and reduce anemia prevalence, but do not affect zinc status in young Burkinabe children: a cluster-randomized trial. BMC Pediatr. 2017 Feb 2;17(1):46. doi: 10.1186/s12887-016-0765-9.
PubMed 28152989Hess SY, Peerson JM, Becquey E, Abbeddou S, Ouedraogo CT, Some JW, Yakes Jimenez E, Ouedraogo JB, Vosti SA, Rouamba N, Brown KH. Differing growth responses to nutritional supplements in neighboring health districts of Burkina Faso are likely due to benefits of small-quantity lipid-based nutrient supplements (LNS). PLoS One. 2017 Aug 3;12(8):e0181770. doi: 10.1371/journal.pone.0181770. eCollection 2017.
PubMed 28771493Abbeddou S, Hess SY, Yakes Jimenez E, Some JW, Vosti SA, Guissou RM, Ouedraogo JB, Brown KH. Comparison of methods to assess adherence to small-quantity lipid-based nutrient supplements (SQ-LNS) and dispersible tablets among young Burkinabe children participating in a community-based intervention trial. Matern Child Nutr. 2015 Dec;11 Suppl 4(Suppl 4):90-104. doi: 10.1111/mcn.12162.
PubMed 25521188Abbeddou S, Jimenez EY, Hess SY, Some JW, Ouedraogo JB, Brown KH. Small-quantity lipid-based nutrient supplements, with or without added zinc, do not cause excessive fat deposition in Burkinabe children: results from a cluster-randomized community trial. Eur J Nutr. 2022 Dec;61(8):4107-4120. doi: 10.1007/s00394-022-02936-6. Epub 2022 Jul 13.
PubMed 35829783Prado EL, Abbeddou S, Adu-Afarwuah S, Arimond M, Ashorn P, Ashorn U, Brown KH, Hess SY, Lartey A, Maleta K, Ocansey E, Ouedraogo JB, Phuka J, Some JW, Vosti SA, Yakes Jimenez E, Dewey KG. Linear Growth and Child Development in Burkina Faso, Ghana, and Malawi. Pediatrics. 2016 Aug;138(2):e20154698. doi: 10.1542/peds.2015-4698.
PubMed 27474016Prado EL, Abbeddou S, Yakes Jimenez E, Some JW, Ouedraogo ZP, Vosti SA, Dewey KG, Brown KH, Hess SY, Ouedraogo JB. Lipid-Based Nutrient Supplements Plus Malaria and Diarrhea Treatment Increase Infant Development Scores in a Cluster-Randomized Trial in Burkina Faso. J Nutr. 2015 Apr 1;146(4):814-822. doi: 10.3945/jn.115.225524.
PubMed 26962193
Study at a glance
From the registry record, last updated by the sponsor on 13 Jul 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Randomized, Double-blind, Controlled Trial in Rural Burkina Faso to Determine the Optimal Amount of Zinc to Include in a Lipid-based Nutrient Supplement (LNS). Part of the iLiNS Study
- ClinicalTrials.gov ID
- NCT00944281
- Acronym / sponsor ID
- 236850
- Conditions
- Malnutrition
- Keywords
- point-of-use fortification, zinc supplement, lipid-based nutrient supplement, zinc deficiency, micronutrient deficiency, anemia
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 3,220 participants (actual)
- Lead sponsor
- University of California, DavisUniversity, hospital or other
- Collaborators
- Université Polytechnique de Bobo-Dioulasso
- Study start
- May 2010
- Primary completion
- Dec 2014 (actual)
- Study completion
- Dec 2014 (actual)
- First posted
- 23 Jul 2009 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
To assess zinc-related biochemical and functional responses among young Burkinabe children with a presumed high risk of zinc deficiency who receive micronutrient products containing different amounts of zinc, provided with or between meals.
Detailed description
Young healthy children will be identified by periodic consensus in the study area. 3200 infants meeting a set of eligibility criteria will be randomly assigned to receive lipid-based nutrient supplements (LNS) with different amounts of zinc and a placebo or zinc supplement from 9 to 18 months of age. The families will receive the respective supplement at weekly intervals and the participants undergo a morbidity evaluation weekly, anthropometric evaluation at 9, 12, 15 and 18 months and laboratory analyses at enrollment and at 18 months of age. Growth outcomes will be analyzed during the two-year follow up at 24, 30, 36 and 42 months of age.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 5
| Arm | Type | Receives |
|---|---|---|
| LNS-Zn5 | Experimental | Dietary Supplement: LNS-Zn5Daily intake of 20 g LNS containing 5 mg of zinc and a daily placebo supplement |
| LNS-Zn10 | Experimental | Dietary Supplement: LNS-Zn10Daily intake of 20 g LNS containing 10 mg of zinc and a daily placebo supplement |
| LNS-Zn0 | Placebo comparator | Dietary Supplement: LNS-Zn0Daily intake of 20 g LNS containing 0 mg of zinc and a daily placebo supplement |
| Suppl-Zn5 | Experimental | Dietary Supplement: Suppl-Zn5Daily intake of zinc supplement containing 5 mg of zinc and 20 g LNS containing 0 mg of zinc |
| Delayed intervention group | No intervention | –Standard care from age 8 to 18 months. Daily consumption of LNS from age 18 to 28 months. |
Who may qualify
- Ages
- 9 to 9 months
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- 9.0 to 9.9 mo of age
Key exclusion criteria (9 listed)
- severe anemia
- severely malnourished
- presence of bipedal oedema
- severe illness
- congenital abnormalities
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| LNS-Zn5Also: NutrisetDaily consumption of 20 g LNS containing 5 mg of zinc and daily placebo supplement | Dietary supplement | LNS-Zn5 |
| LNS-Zn10Also: NutrisetDaily consumption of 20 g LNS containing 10 mg of zinc and daily placebo supplement | Dietary supplement | LNS-Zn10 |
| LNS-Zn0Also: Nutriset20 g of LNS containing 0 mg of zinc and a daily placebo supplement | Dietary supplement | LNS-Zn0 |
| Suppl-Zn5Also: NutrisetDaily 5 mg zinc supplement ant consumption of 20 g LNS containing 0 mg of zinc | Dietary supplement | Suppl-Zn5 |
Primary outcome
Change in length and length-for-age Z-score
Time frame: 9 to 18 mo of age
Change in weight and weight-for-age Z-score
Time frame: 9 to 18 mo of age
Incidence of diarrhea and laboratory-confirmed malaria infection
Time frame: 9 to 18 mo of age
Change in plasma zinc concentration
Time frame: 9 to 18 mo of age
Change in body composition
Time frame: 9 to 18 mo of age
4 secondary outcomes
Change in head circumference and mid-upper arm circumference
Time frame: 9 to 18 mo of age
Change in stunting, underweight, and wasting
Time frame: 9 to 18 mo of age
Change in hemoglobin, iron, vitamin A and iodine status
Time frame: 9 to 18 mo of age
Incidence of acute lower respiratory infection (ALRI)
Time frame: 9 to 18 mo of age
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Jul 2018.
- Results publication: PubMed 25816354Hess SY, Abbeddou S, Jimenez EY, Some JW, Vosti SA, Ouedraogo ZP, Guissou RM, Ouedraogo JB, Brown KH. Small-quantity lipid-based nutrient supplements, regardless of their zinc content, increase growth and reduce the prevalence of stunting and wasting in young burkinabe children: a cluster-randomized trial. PLoS One. 2015 Mar 27;10(3):e0122242. doi: 10.1371/journal.pone.0122242. eCollection 2015.
- Results publication: PubMed 26362661Some JW, Abbeddou S, Yakes Jimenez E, Hess SY, Ouedraogo ZP, Guissou RM, Vosti SA, Ouedraogo JB, Brown KH. Effect of zinc added to a daily small-quantity lipid-based nutrient supplement on diarrhoea, malaria, fever and respiratory infections in young children in rural Burkina Faso: a cluster-randomised trial. BMJ Open. 2015 Sep 11;5(9):e007828. doi: 10.1136/bmjopen-2015-007828.
- Results publication: PubMed 26411504Hess SY, Abbeddou S, Yakes Jimenez E, Ouedraogo JB, Brown KH. Iodine status of young Burkinabe children receiving small-quantity lipid-based nutrient supplements and iodised salt: a cluster-randomised trial. Br J Nutr. 2015 Dec 14;114(11):1829-37. doi: 10.1017/S0007114515003554. Epub 2015 Sep 28.
- Results publication: PubMed 28152989Abbeddou S, Yakes Jimenez E, Some JW, Ouedraogo JB, Brown KH, Hess SY. Small-quantity lipid-based nutrient supplements containing different amounts of zinc along with diarrhea and malaria treatment increase iron and vitamin A status and reduce anemia prevalence, but do not affect zinc status in young Burkinabe children: a cluster-randomized trial. BMC Pediatr. 2017 Feb 2;17(1):46. doi: 10.1186/s12887-016-0765-9.
- Results publication: PubMed 28771493Hess SY, Peerson JM, Becquey E, Abbeddou S, Ouedraogo CT, Some JW, Yakes Jimenez E, Ouedraogo JB, Vosti SA, Rouamba N, Brown KH. Differing growth responses to nutritional supplements in neighboring health districts of Burkina Faso are likely due to benefits of small-quantity lipid-based nutrient supplements (LNS). PLoS One. 2017 Aug 3;12(8):e0181770. doi: 10.1371/journal.pone.0181770. eCollection 2017.
- Results publication: PubMed 25521188Abbeddou S, Hess SY, Yakes Jimenez E, Some JW, Vosti SA, Guissou RM, Ouedraogo JB, Brown KH. Comparison of methods to assess adherence to small-quantity lipid-based nutrient supplements (SQ-LNS) and dispersible tablets among young Burkinabe children participating in a community-based intervention trial. Matern Child Nutr. 2015 Dec;11 Suppl 4(Suppl 4):90-104. doi: 10.1111/mcn.12162.
- Derived from this study: PubMed 35829783Abbeddou S, Jimenez EY, Hess SY, Some JW, Ouedraogo JB, Brown KH. Small-quantity lipid-based nutrient supplements, with or without added zinc, do not cause excessive fat deposition in Burkinabe children: results from a cluster-randomized community trial. Eur J Nutr. 2022 Dec;61(8):4107-4120. doi: 10.1007/s00394-022-02936-6. Epub 2022 Jul 13.
- Derived from this study: PubMed 27474016Prado EL, Abbeddou S, Adu-Afarwuah S, Arimond M, Ashorn P, Ashorn U, Brown KH, Hess SY, Lartey A, Maleta K, Ocansey E, Ouedraogo JB, Phuka J, Some JW, Vosti SA, Yakes Jimenez E, Dewey KG. Linear Growth and Child Development in Burkina Faso, Ghana, and Malawi. Pediatrics. 2016 Aug;138(2):e20154698. doi: 10.1542/peds.2015-4698.
- Derived from this study: PubMed 26962193Prado EL, Abbeddou S, Yakes Jimenez E, Some JW, Ouedraogo ZP, Vosti SA, Dewey KG, Brown KH, Hess SY, Ouedraogo JB. Lipid-Based Nutrient Supplements Plus Malaria and Diarrhea Treatment Increase Infant Development Scores in a Cluster-Randomized Trial in Burkina Faso. J Nutr. 2015 Apr 1;146(4):814-822. doi: 10.3945/jn.115.225524.
- PLoS ONE: Small-quantity lipid-based nutrient supplements...Link provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Kathryn Dewey, PhD study director
University of California, Davis
Kenneth H Brown, MD principal investigator
University of California, Davis
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing LNS-Zn5, LNS-Zn10 and LNS-Zn0 in people with Malnutrition, run by University of California, Davis at 1 site in Burkina Faso.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 13 Jul 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Burkina Faso. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Change in length and length-for-age Z-score (time frame: 9 to 18 mo of age). The study lists 5 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT00944281, which also lists 9 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 13 Jul 2018.