Infant DevelopmentNCT04483453
Effect of Nutritional Intervention on Metabolic Response in Infants
A study testing EXPL feeding regimen and CTRL feeding regimen in people with Infant Development and Glucose, High Blood, run by Société des Produits Nestlé (SPN) at 1 site in Philippines.
Trial summary
The purpose of this study is to determine the glucose response of complementary feeding regimens consisting of two different follow-up formulas (FUFs) and infant cereals (ICs). Read more about this study
- Who is it for?
- Ages 24 to 26 weeksHealthy volunteers can take part
- Conditions the study is for
- Infant Development, Glucose, High Blood
- What is being tested?
- EXPL feeding regimen and CTRL feeding regimen
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 102 participants
- Where
- 1 sitePhilippines
- Study dates
- 31 Jul 2020to 9 Jun 2021
- 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 24 to 26 weeks
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Written informed consent has been obtained from both parent / liable parent or legally acceptable representative (LAR), if applicable
- Healthy infant who was singleton, full-term gestational birth (≥ 37 completed weeks of gestation) with a birth weight of ≥ 2.5 kg and ≤ 4.5 kg
- Infant is no longer breastfeeding or receiving breast milk, has not yet started FUF, and is developmentally ready to begin complementary feeding
- Infant's parent(s)/guardian is of legal age of consent, must understand the informed consent form and other study documents, and is willing and able to fulfill the requirements of the study protocol.
- At screening visit (visit 0), infant is 24 - 26 weeks (5½ - 6 months) old
- Weight-for-height value >-2 standard deviations from the WHO Child Growth Standards median
Who cannot join
- Chronic infectious, metabolic, or other disease including any condition that in the opinion of the investigator may impact feeding, growth or adherence to study procedures
- Major congenital or chromosomal abnormality known to affect growth (e.g., congenital heart disease, cystic fibrosis)
- Known or suspected cows' milk protein intolerance / allergy, or lactose intolerance, gluten sensitivity or severe food allergies that impact diet
- Born to mothers with gestational diabetes or type 1 diabetes
- Major medical/surgical event requiring prolonged hospitalization during the first 6 months
- Receiving or having received insulin, growth hormone or any other medication known to affect glucose or carbohydrate metabolism or pre- or probiotics known to affect fecal microbiota prior to enrollment
- Subjects or subjects' parent(s) or legal representative who are not willing and not able to comply with scheduled visits and the requirements of the study protocol
- Currently participating or having participated in another clinical trial within 4 weeks prior to trial start
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of Nutritional Intervention on Metabolic Response in Infants: A Single-Blind, Randomized, Controlled Trial
The purpose of this study is to determine the glucose response of complementary feeding regimens consisting of two different follow-up formulas (FUFs) and infant cereals (ICs).
Read the detailed description
This is a prospective, randomized, single-blind, controlled, 2-arm parallel group trial in infants aged 6 months (26 weeks) at enrollment, who are no longer breastfed, and who are ready but have not yet started complementary feeding. They will be fed one of two different isocaloric feeding regimens (Experimental [EXPL] or Control [CTRL]) consisting of different follow-up formulas (FUFs) and infant cereals (ICs). The main purpose of this study is to determine the glucose response of these two different complementary feeding regimens. All enrolled infants will participate in the trial for approximately 6 months.
- Conditions
- Infant Development, Glucose, High Blood
- Being tested
- EXPL feeding regimen, CTRL feeding regimen
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
EXPL feeding regimenOther
EXPL FUF (lower protein and 100% lactose) + EXPL IC (whole grains and legumes)
CTRL feeding regimenOther
CTRL FUF (standard protein content and carbohydrate profile) + CTRL IC (refined grains)
| Study group | Role | What they receive |
|---|---|---|
| EXPL feeding regimen | Experimental | Lower protein / lower estimated glycemic index regimen Receives: Other: EXPL feeding regimen |
| CTRL feeding regimen | Active comparator | Standard protein / standard glycemic index regimen Receives: Other: CTRL feeding regimen |
What is being measured
The primary outcome is the main question the study is designed to answer.
Glucose peak
Average of the glucose peaks measured by a continuous glucose monitor
Measured: Study days 85-92
Secondary outcomes (19)
Glycemic response
Incremental area under the blood glucose response curve
Measured: Study days 85-92
Glucose response variability
Mean amplitude of glycemic excursions, standard deviation, J-index
Measured: Study days 85-92
Skinfold thickness
Subscapular and triceps skinfold thicknesses
Measured: age 6 months, 9 months, and 12 months
Weight
Weight (g)
Measured: age 6 months, 9 months, and 12 months
Length
Length (cm)
Measured: age 6 months, 9 months, and 12 months
Head circumference
Head circumference (cm)
Measured: age 6 months, 9 months, and 12 months
Body mass index (BMI)
Weight and height will be combined to report BMI in kg/m^2
Measured: age 6 months, 9 months, and 12 months
Weight-for-age z-score
Weight-for-age z-score based on World Health Organization (WHO) growth charts
Measured: age 6 months, 9 months, and 12 months
Weight-for-length z-score
Weight-for-length z-score based on WHO growth charts
Measured: age 6 months, 9 months, and 12 months
Length-for-age z-score
Length-for-age z-score based on WHO growth charts
Measured: age 6 months, 9 months, and 12 months
Head circumference-for-age z-score
Head circumference-for-age z-score based on WHO growth charts
Measured: age 6 months, 9 months, and 12 months
BMI-for-age z-score
BMI-for-age z-score based on WHO growth charts
Measured: age 6 months, 9 months, and 12 months
Insulin secretion
Urinary C-peptide:creatinine ratio
Measured: age 6 months, 9 months, and 12 months
Dietary intake
Total energy, carbohydrate and protein intake calculated from food recalls / diaries
Measured: age 6 months, 9 months, and 12 months
Stool microbiota composition
Fecal microbiota composition assessed using next generation sequencing
Measured: age 6 months, 7.5 months, 9 months, and 12 months
Stool pH
Stool pH
Measured: age 6 months, 7.5 months, 9 months, and 12 months
Stool microbiota metabolism
Stool organic acids
Measured: age 6 months, 7.5 months, 9 months, and 12 months
Gastrointestinal (GI) tolerance
GI tolerance assessed using the Infant Gastrointestinal Symptom Questionnaire (IGSQ). IGSQ scores range from 13 to 65, with lower scores indicating lower GI symptom burden.
Measured: age 6 months, 9 months, and 12 months
Health-related quality of life
Health-related quality of life using the Infant and Toddler Quality of Life Questionnaire Short Form (ITQOL-SF47). ITQOL-SF47 scores range from 0 to 100, with higher scores indicating a more favorable health-related quality of life.
Measured: age 6 months, 9 months, and 12 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted23 Jul 2020
- Study start31 Jul 2020
- Primary completion29 Apr 2021
- Study completion9 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Infant DevelopmentStudies of the same condition, open and under way.
- More trials run by Société des Produits Nestlé (SPN)The 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
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Investigator
- Enrolment
- 102 participants (actual)
Sponsor and investigators
- Lead sponsor
- Société des Produits Nestlé (SPN)
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04483453
- Sponsor's protocol ID
- 18.17.INF
- Status last verified
- Oct 2021
- First submitted
- 6 Jul 2020
- Last updated
- 5 Oct 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 5 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Nutritional Intervention on Metabolic Response in Infants: A Single-Blind, Randomized, Controlled Trial
- ClinicalTrials.gov ID
- NCT04483453
- Acronym / sponsor ID
- 18.17.INF
- Conditions
- Infant Development, Glucose, High Blood
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 102 participants (actual)
- Lead sponsor
- Société des Produits Nestlé (SPN)Industry (pharma, biotech, devices)
- Study start
- 31 Jul 2020 (actual)
- Primary completion
- 29 Apr 2021 (actual)
- Study completion
- 9 Jun 2021 (actual)
- First posted
- 23 Jul 2020 (actual)
- 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.
The purpose of this study is to determine the glucose response of complementary feeding regimens consisting of two different follow-up formulas (FUFs) and infant cereals (ICs).
Detailed description
This is a prospective, randomized, single-blind, controlled, 2-arm parallel group trial in infants aged 6 months (26 weeks) at enrollment, who are no longer breastfed, and who are ready but have not yet started complementary feeding. They will be fed one of two different isocaloric feeding regimens (Experimental [EXPL] or Control [CTRL]) consisting of different follow-up formulas (FUFs) and infant cereals (ICs). The main purpose of this study is to determine the glucose response of these two different complementary feeding regimens. All enrolled infants will participate in the trial for approximately 6 months.
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (investigator)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| EXPL feeding regimen | Experimental | Other: EXPL feeding regimenLower protein / lower estimated glycemic index regimen |
| CTRL feeding regimen | Active comparator | Other: CTRL feeding regimenStandard protein / standard glycemic index regimen |
Who may qualify
- Ages
- 24 to 26 weeks
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (6 listed)
- Written informed consent has been obtained from both parent / liable parent or legally acceptable representative (LAR), if applicable
- Healthy infant who was singleton, full-term gestational birth (≥ 37 completed weeks of gestation) with a birth weight of ≥ 2.5 kg and ≤ 4.5 kg
- Infant is no longer breastfeeding or receiving breast milk, has not yet started FUF, and is developmentally ready to begin complementary feeding
- Infant's parent(s)/guardian is of legal age of consent, must understand the informed consent form and other study documents, and is willing and able to fulfill the requirements of the study protocol.
- At screening visit (visit 0), infant is 24 - 26 weeks (5½ - 6 months) old
Key exclusion criteria (8 listed)
- Chronic infectious, metabolic, or other disease including any condition that in the opinion of the investigator may impact feeding, growth or adherence to study procedures
- Major congenital or chromosomal abnormality known to affect growth (e.g., congenital heart disease, cystic fibrosis)
- Known or suspected cows' milk protein intolerance / allergy, or lactose intolerance, gluten sensitivity or severe food allergies that impact diet
- Born to mothers with gestational diabetes or type 1 diabetes
- Major medical/surgical event requiring prolonged hospitalization during the first 6 months
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 |
|---|---|---|
| EXPL feeding regimenEXPL FUF (lower protein and 100% lactose) + EXPL IC (whole grains and legumes) | Other | EXPL feeding regimen |
| CTRL feeding regimenCTRL FUF (standard protein content and carbohydrate profile) + CTRL IC (refined grains) | Other | CTRL feeding regimen |
Primary outcome
Glucose peak
Time frame: Study days 85-92
Average of the glucose peaks measured by a continuous glucose monitor
19 secondary outcomes
Glycemic response
Time frame: Study days 85-92
Glucose response variability
Time frame: Study days 85-92
Skinfold thickness
Time frame: age 6 months, 9 months, and 12 months
Weight
Time frame: age 6 months, 9 months, and 12 months
Length
Time frame: age 6 months, 9 months, and 12 months
Head circumference
Time frame: age 6 months, 9 months, and 12 months
Body mass index (BMI)
Time frame: age 6 months, 9 months, and 12 months
Weight-for-age z-score
Time frame: age 6 months, 9 months, and 12 months
Weight-for-length z-score
Time frame: age 6 months, 9 months, and 12 months
Length-for-age z-score
Time frame: age 6 months, 9 months, and 12 months
Head circumference-for-age z-score
Time frame: age 6 months, 9 months, and 12 months
BMI-for-age z-score
Time frame: age 6 months, 9 months, and 12 months
Insulin secretion
Time frame: age 6 months, 9 months, and 12 months
Dietary intake
Time frame: age 6 months, 9 months, and 12 months
Stool microbiota composition
Time frame: age 6 months, 7.5 months, 9 months, and 12 months
Stool pH
Time frame: age 6 months, 7.5 months, 9 months, and 12 months
Stool microbiota metabolism
Time frame: age 6 months, 7.5 months, 9 months, and 12 months
Gastrointestinal (GI) tolerance
Time frame: age 6 months, 9 months, and 12 months
Health-related quality of life
Time frame: age 6 months, 9 months, and 12 months
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 5 Oct 2021.
- Individual participant dataSharing planned: Undecided
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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.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing EXPL feeding regimen and CTRL feeding regimen in people with Infant Development and Glucose, High Blood, run by Société des Produits Nestlé (SPN) at 1 site in Philippines.
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 6 inclusion and 8 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 5 Oct 2021. 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 Philippines. 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?
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?
Glucose peak (time frame: Study days 85-92). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 5 Oct 2021.