DevelopmentGRONCT01700205
Effect of Infant Formula on Energy Balance
A study testing Type of Formula in people with Development, run by Monell Chemical Senses Center at 1 site in United States.
Trial summary
The overarching goal of the research we propose here is to conduct a randomized clinical trial to specify the physiologic and behavioral mechanisms by which infant-formula composition affects all aspects of energy balance and growth during the first years of life. Read more about this study
- Who is it for?
- Ages 1 week to 3 weeksHealthy volunteers can take part
- Conditions the study is for
- Development
- What is being tested?
- Type of Formula
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 113 participants
- Where
- 1 siteUnited States
- Study dates
- 2 Nov 2012to 21 Sep 2016
- Phase
- Interventional
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
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 1 week to 3 weeks
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- A healthy, term (≥37 and ≤42 week gestation at birth), singleton infant.
- Birth weight between 2500 - 4500 grams.
- At the time of enrollment, infant must be ≤14 days old (Date of birth=day 0).
- Mother must be 18 years or older.
- Infant must be consuming a standard cow's milk protein infant formula and have been receiving a standard cow's milk protein infant formula for at least the past 2 days prior to enrollment.
Who cannot join
- Mother had gestational diabetes during pregnancy
- Infant has condition requiring infant feedings other than feeding cow milk formula from a bottle.
- Infant has major congenital malformations (i.e. cleft palate, hemangiomas, extremity malformation).
- Infant has suspected or documented systemic or congenital infections (e.g., human immunodeficiency virus, cytomegalovirus).
- Infant has evidence of significant cardiac, respiratory, endocrinologic, hematologic, gastrointestinal, or other systemic diseases. For example, infant must not be receiving insulin or growth hormone.
- Dyad be the relative (son, daughter, niece, nephew, cousin, aunt, uncle, sibling) of ancillary personnel connected with the study.
Trial locations and contacts
1 site in 1 country.
United States1 site
Monell Chemical Senses Center
Philadelphia, Pennsylvania, 19104
About this study
Official title: Impact of Diet Composition on Energy Balance and Satiety During Infancy
The overarching goal of the research we propose here is to conduct a randomized clinical trial to specify the physiologic and behavioral mechanisms by which infant-formula composition affects all aspects of energy balance and growth during the first years of life.
Read the detailed description
This is a randomized clinical trial of infants whose parents decided to formula feed them; mother-infant dyads will be randomized when infant is 2 weeks of age to one of 2 groups. The groups will differ in the composition of the formula fed to the infant during the first year of life.
- Conditions
- Development
- Being tested
- Type of Formula
- Keywords
- Formula Feeding, Mother, Moms, Infants, Babies, Baby, growth, energy balance
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Type of FormulaOther
Also called cow milk formula (CMF), protein hydrolysate formula (EHF)
infant formula
| Study group | Role | What they receive |
|---|---|---|
| Type of Formula: CMF | Active comparator | Infants are randomized to feed standard cow milk formula during first year of life Receives: Other: Type of Formula |
| Type of Formula: EHF | Experimental | Infants are randomized to feed extensively hydrolyzed infant formula during first year of life Receives: Other: Type of Formula |
What is being measured
The primary outcome is the main question the study is designed to answer.
Growth, Weight for Length (WLZ) Z Scores
At each visit, infants were weighed and measured to monitor normal growth. These anthropometric data were converted to weight-for-length (WLZ) Zscores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Measured: 0.5 to 12.5 months with followup visit at 18.5 mos
Growth, Weight for Age (WAZ) Z Score
At each visit, infants were weighed to monitor normal growth. These anthropometric data were converted to Weight for age Z (WAZ) Z scores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Measured: 0.5 to 12.5 months with followup visit at 18.5 mos
Growth: Length for Age (LAZ) Z Scores
At each visit, infants were measured to monitor normal growth. These anthropometric data were converted to Length for age Z (LAZ) Z scores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Measured: 0.5 to 12.5 months with followup visit at 18.5 mos
Energy Balance: Energy Intake From Infant Formula and Other Sources
Energy intake (kcal/day) of infant formula and other sources was determined by three-day weighed bottle intake and records of the infants' intake of any liquid or food other than formula during the three days
Measured: 0.75, 3.5, 12.5 mos
Energy Balance: Sleeping Energy Expenditure (SEE)
Postprandial SEE (kcal/day), a proxy for resting energy expenditure in infant, was measured for a minimum of 30 min by open-circuit, indirect calorimetry using a metabolic cart with canopy hood, in a quiet, thermal-neutral room.
Measured: 0.75, 3.5, 12.5 mos
Energy Balance: Total Energy Expenditure (TEE)
TEE (kcal/day) was measured over 7 days at each of the three time points (0.75, 3.5 and12.5 mos) using the doubly labeled water method
Measured: 0.75, 3.5, 12.5 mos
Energy Balance: Energy Loss in Stools
Stool EL (kcal/day) was determined from 3-day stool collection by bomb calorimetry at each timepoint
Measured: 0.75, 3.5, 12.5 mos
Secondary outcomes (1)
Feeding Behaviors, Maternal Perceptions
Maternal perception of infant feeding behavior, using standardized questionnaires (Infant feeding style questionnaire; IFSQ); values ranged from 1 to 5; higher scores reflect more of that feeding style. Only baseline data reported herein.
Measured: 0.5 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 Oct 2012 (estimated)
- Study start2 Nov 2012
- Primary completion17 Mar 2016
- Study completion21 Sep 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (8)Papers the sponsor has linked to this study.
- Other trials for DevelopmentStudies of the same condition, open and under way.
- 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Between- and within-subject longitudinal trial
- Masking
- Triple blind
- Who is masked
- Participant, Care provider, Outcomes assessor
- Enrolment
- 113 participants (actual)
Sponsor and investigators
- Lead sponsor
- Monell Chemical Senses Center
- Sponsor type
- University, hospital or other
- Collaborators
- University of Delaware, Children's Hospital of Philadelphia, University of Wisconsin, Madison
- Responsible party
- Principal investigator, Julie A. Mennella, PhD, Monell Chemical Senses Center
- Investigators
- Julie A Mennella, PhD, Principal investigator, Monell Chemical Senses CenterJillian Trabulsi, PhD, Principal investigator, University of Delaware
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01700205
- Sponsor's protocol ID
- HD072307
- Acronym
- GRO
- Status last verified
- Nov 2019
- First submitted
- 2 Oct 2012
- Last updated
- 22 Nov 2019
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: Energy balance measures at 0.75, 3.5 and 12.5 months of age
Publications
Mennella JA, Ventura AK, Beauchamp GK. Differential growth patterns among healthy infants fed protein hydrolysate or cow-milk formulas. Pediatrics. 2011 Jan;127(1):110-8. doi: 10.1542/peds.2010-1675. Epub 2010 Dec 27.
PubMed 21187303Mennella JA, Beauchamp GK. Developmental changes in the acceptance of protein hydrolysate formula. J Dev Behav Pediatr. 1996 Dec;17(6):386-91. doi: 10.1097/00004703-199612000-00003.
PubMed 8960567Mennella JA, Lukasewycz LD, Castor SM, Beauchamp GK. The timing and duration of a sensitive period in human flavor learning: a randomized trial. Am J Clin Nutr. 2011 May;93(5):1019-24. doi: 10.3945/ajcn.110.003541. Epub 2011 Feb 10.
PubMed 21310829Mennella JA, Inamdar L, Pressman N, Schall JI, Papas MA, Schoeller D, Stallings VA, Trabulsi JC. Type of infant formula increases early weight gain and impacts energy balance: a randomized controlled trial. Am J Clin Nutr. 2018 Nov 1;108(5):1015-1025. doi: 10.1093/ajcn/nqy188.
PubMed 30295700Mennella JA, Papas MA, Reiter AR, Stallings VA, Trabulsi JC. Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. Pediatr Obes. 2019 Jun;14(6):e12503. doi: 10.1111/ijpo.12503. Epub 2019 Jan 10.
PubMed 30629845Decker JE, Mennella JA, Brewer BC, Robson SM, Millen AE, Delahanty MT, Smethers AD, Trabulsi JC. Association Between Diet Patterns of Human Infants and Growth Differs Across Randomized Formula Groups in the First 18.5 Months. J Nutr. 2025 Dec;155(12):4390-4400. doi: 10.1016/j.tjnut.2025.10.007. Epub 2025 Oct 11.
PubMed 41082983Mennella JA, Smethers AD, Delahanty MT, Stallings VA, Trabulsi JC. Glutamic Acid Intake by Formula-Fed Infants: Are Acceptable Daily Intakes Feasible? Res Sq [Preprint]. 2023 May 17:rs.3.rs-2907953. doi: 10.21203/rs.3.rs-2907953/v1.
PubMed 37292800Mennella JA, Reiter A, Brewer B, Pohlig RT, Stallings VA, Trabulsi JC. Early Weight Gain Forecasts Accelerated Eruption of Deciduous Teeth and Later Overweight Status during the First Year. J Pediatr. 2020 Oct;225:174-181.e2. doi: 10.1016/j.jpeds.2020.06.019. Epub 2020 Jun 15.
PubMed 32553836
Study at a glance
From the registry record, last updated by the sponsor on 22 Nov 2019. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Impact of Diet Composition on Energy Balance and Satiety During Infancy
- ClinicalTrials.gov ID
- NCT01700205
- Acronym / sponsor ID
- GRO / HD072307
- Conditions
- Development
- Keywords
- Formula Feeding, Mother, Moms, Infants, Babies, Baby, growth, energy balance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 113 participants (actual)
- Lead sponsor
- Monell Chemical Senses CenterUniversity, hospital or other
- Collaborators
- University of Delaware, Children's Hospital of Philadelphia, University of Wisconsin, Madison
- Study start
- 2 Nov 2012 (actual)
- Primary completion
- 17 Mar 2016 (actual)
- Study completion
- 21 Sep 2016 (actual)
- First posted
- 4 Oct 2012 (estimated)
- Results
- Posted 16 Sep 2019
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The overarching goal of the research we propose here is to conduct a randomized clinical trial to specify the physiologic and behavioral mechanisms by which infant-formula composition affects all aspects of energy balance and growth during the first years of life.
Detailed description
This is a randomized clinical trial of infants whose parents decided to formula feed them; mother-infant dyads will be randomized when infant is 2 weeks of age to one of 2 groups. The groups will differ in the composition of the formula fed to the infant during the first year of life.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Triple blind (participant, care provider, outcomes assessor)
- Number of arms
- 2
- Model description
- Between- and within-subject longitudinal trial
| Arm | Type | Receives |
|---|---|---|
| Type of Formula: CMF | Active comparator | Other: Type of FormulaInfants are randomized to feed standard cow milk formula during first year of life |
| Type of Formula: EHF | Experimental | Other: Type of FormulaInfants are randomized to feed extensively hydrolyzed infant formula during first year of life |
Who may qualify
- Ages
- 1 week to 3 weeks
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- A healthy, term (≥37 and ≤42 week gestation at birth), singleton infant.
- Birth weight between 2500 - 4500 grams.
- At the time of enrollment, infant must be ≤14 days old (Date of birth=day 0).
- Mother must be 18 years or older.
- Infant must be consuming a standard cow's milk protein infant formula and have been receiving a standard cow's milk protein infant formula for at least the past 2 days prior to enrollment.
Key exclusion criteria (6 listed)
- Mother had gestational diabetes during pregnancy
- Infant has condition requiring infant feedings other than feeding cow milk formula from a bottle.
- Infant has major congenital malformations (i.e. cleft palate, hemangiomas, extremity malformation).
- Infant has suspected or documented systemic or congenital infections (e.g., human immunodeficiency virus, cytomegalovirus).
- Infant has evidence of significant cardiac, respiratory, endocrinologic, hematologic, gastrointestinal, or other systemic diseases. For example, infant must not be receiving insulin or growth hormone.
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 |
|---|---|---|
| Type of FormulaAlso: cow milk formula (CMF), protein hydrolysate formula (EHF)infant formula | Other | Type of Formula: CMF, Type of Formula: EHF |
Primary outcome
Growth, Weight for Length (WLZ) Z Scores
Time frame: 0.5 to 12.5 months with followup visit at 18.5 mos
At each visit, infants were weighed and measured to monitor normal growth. These anthropometric data were converted to weight-for-length (WLZ) Zscores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Growth, Weight for Age (WAZ) Z Score
Time frame: 0.5 to 12.5 months with followup visit at 18.5 mos
At each visit, infants were weighed to monitor normal growth. These anthropometric data were converted to Weight for age Z (WAZ) Z scores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Growth: Length for Age (LAZ) Z Scores
Time frame: 0.5 to 12.5 months with followup visit at 18.5 mos
At each visit, infants were measured to monitor normal growth. These anthropometric data were converted to Length for age Z (LAZ) Z scores using World Health Organization (WHO) growth standards. The Z-score expresses the anthropometric value as a number of standard deviations or Z-scores below or above the reference mean value. Normal range for Z score is -2.0 (minimum) to 2.0 (maximum).
Energy Balance: Energy Intake From Infant Formula and Other Sources
Time frame: 0.75, 3.5, 12.5 mos
Energy intake (kcal/day) of infant formula and other sources was determined by three-day weighed bottle intake and records of the infants' intake of any liquid or food other than formula during the three days
Energy Balance: Sleeping Energy Expenditure (SEE)
Time frame: 0.75, 3.5, 12.5 mos
Postprandial SEE (kcal/day), a proxy for resting energy expenditure in infant, was measured for a minimum of 30 min by open-circuit, indirect calorimetry using a metabolic cart with canopy hood, in a quiet, thermal-neutral room.
Energy Balance: Total Energy Expenditure (TEE)
Time frame: 0.75, 3.5, 12.5 mos
TEE (kcal/day) was measured over 7 days at each of the three time points (0.75, 3.5 and12.5 mos) using the doubly labeled water method
Energy Balance: Energy Loss in Stools
Time frame: 0.75, 3.5, 12.5 mos
Stool EL (kcal/day) was determined from 3-day stool collection by bomb calorimetry at each timepoint
1 secondary outcome
Feeding Behaviors, Maternal Perceptions
Time frame: 0.5 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 22 Nov 2019.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Background: PubMed 21187303Mennella JA, Ventura AK, Beauchamp GK. Differential growth patterns among healthy infants fed protein hydrolysate or cow-milk formulas. Pediatrics. 2011 Jan;127(1):110-8. doi: 10.1542/peds.2010-1675. Epub 2010 Dec 27.
- Background: PubMed 8960567Mennella JA, Beauchamp GK. Developmental changes in the acceptance of protein hydrolysate formula. J Dev Behav Pediatr. 1996 Dec;17(6):386-91. doi: 10.1097/00004703-199612000-00003.
- Background: PubMed 21310829Mennella JA, Lukasewycz LD, Castor SM, Beauchamp GK. The timing and duration of a sensitive period in human flavor learning: a randomized trial. Am J Clin Nutr. 2011 May;93(5):1019-24. doi: 10.3945/ajcn.110.003541. Epub 2011 Feb 10.
- Results publication: PubMed 30295700Mennella JA, Inamdar L, Pressman N, Schall JI, Papas MA, Schoeller D, Stallings VA, Trabulsi JC. Type of infant formula increases early weight gain and impacts energy balance: a randomized controlled trial. Am J Clin Nutr. 2018 Nov 1;108(5):1015-1025. doi: 10.1093/ajcn/nqy188.
- Results publication: PubMed 30629845Mennella JA, Papas MA, Reiter AR, Stallings VA, Trabulsi JC. Early rapid weight gain among formula-fed infants: Impact of formula type and maternal feeding styles. Pediatr Obes. 2019 Jun;14(6):e12503. doi: 10.1111/ijpo.12503. Epub 2019 Jan 10.
- Derived from this study: PubMed 41082983Decker JE, Mennella JA, Brewer BC, Robson SM, Millen AE, Delahanty MT, Smethers AD, Trabulsi JC. Association Between Diet Patterns of Human Infants and Growth Differs Across Randomized Formula Groups in the First 18.5 Months. J Nutr. 2025 Dec;155(12):4390-4400. doi: 10.1016/j.tjnut.2025.10.007. Epub 2025 Oct 11.
- Derived from this study: PubMed 37292800Mennella JA, Smethers AD, Delahanty MT, Stallings VA, Trabulsi JC. Glutamic Acid Intake by Formula-Fed Infants: Are Acceptable Daily Intakes Feasible? Res Sq [Preprint]. 2023 May 17:rs.3.rs-2907953. doi: 10.21203/rs.3.rs-2907953/v1.
- Derived from this study: PubMed 32553836Mennella JA, Reiter A, Brewer B, Pohlig RT, Stallings VA, Trabulsi JC. Early Weight Gain Forecasts Accelerated Eruption of Deciduous Teeth and Later Overweight Status during the First Year. J Pediatr. 2020 Oct;225:174-181.e2. doi: 10.1016/j.jpeds.2020.06.019. Epub 2020 Jun 15.
- Individual participant dataSharing planned: No. Energy balance measures at 0.75, 3.5 and 12.5 months of age
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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.
Julie A Mennella, PhD principal investigator
Monell Chemical Senses Center
Jillian Trabulsi, PhD principal investigator
University of Delaware
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Type of Formula in people with Development, run by Monell Chemical Senses Center at 1 site in United States.
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 5 inclusion and 6 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 22 Nov 2019. 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 United States. 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. 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?
Yes. Results are posted in the registry (first posted 16 Sep 2019). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
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?
Growth, Weight for Length (WLZ) Z Scores (time frame: 0.5 to 12.5 months with followup visit at 18.5 mos). The study lists 7 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 NCT01700205, which also lists 8 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 22 Nov 2019.