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Stunted GrowthNCT06676215

Amino Acid Supplementation in Children with Stunting

A study testing IAA mix supplement and Complementary food comprised of rice and legumes in people with Stunted Growth, run by Food and Nutrition Research Institute, Philippines at 1 site in Philippines.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The goal of this intervention study is to determine the effects of indispensable amino acid (IAA) supplementation on children of either sex, aged 18 to 36 months. The main questions it aims to answer are: Does IAA supplementation affect biomarkers of Environmental Enteric Dysfunction (EED), through the Dual Sugar… Read more about this study

Who is it for?
Ages 18 to 36 months
Conditions the study is for
Stunted Growth
What is being tested?
IAA mix supplement and Complementary food comprised of rice and legumes
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 sitePhilippines
Study dates
1 Feb 2025to Dec 2025
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 18 to 36 months
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • 18 to 36 months old (of either sex)
  • Stunted (LAZ of less than -2)
  • Parent, caregiver or guardian able and willing to give written, informed consent

Who cannot join

  • Wasted (WHZ of less than -2)
  • Overweight (WHZ of more than 2)
  • Have had diarrhea (by self-report) in the preceding month
  • Sibling or twin of another participating study child (2 children of different families in the same household are both eligible)
  • Have taken antibiotics in the preceding month
  • Have food allergies/intolerance
  • Had a serious illness within the last three (3) months or have any underlying condition which in the opinion of the pediatrician would put the subject at undue risk of failing study completion or would interfere with analysis of study results

Trial locations and contacts

1 site in 1 country.

Amster Fei P. Baquiran, BS Chemistry contact

+632 8837 8113 ext. 341

afpbaquiran@gmail.com

Carl Vincent D. Cabanilla, BS Chemistry contact

+632 8837 8113 ext. 307

cvdcabanilla@gmail.com

Philippines1 site
  • Department of Science and Technology - Food and Nutrition Research Institute

    City of Taguig, National Capital Region, 1631

    Michael E. Serafico, PhD Chemistry, +632 8837 8113 ext. 329, michaelserafico@gmail.com

    Amster Fei P. Baquiran, BS Chemistry

Other trials in Philippines

About this study

Official title: Efficacy of Amino Acid Supplementation on Gut Function and Nutritional Status in FIlipino Children Below Three Years Old

The goal of this intervention study is to determine the effects of indispensable amino acid (IAA) supplementation on children of either sex, aged 18 to 36 months. The main questions it aims to answer are:

  • Does IAA supplementation affect biomarkers of Environmental Enteric Dysfunction (EED), through the Dual Sugar Lactulose/Rhamnose (L/R) test, plasma intestinal fatty acid binding protein, plasma lipopolysaccharide binding protein, fecal myeloperoxidase, fecal neopterin, and gut microbiota?
  • Does IAA supplementation impact amino acid digestion, as assessed by a dual-stable isotope tracer?
  • What is the weight gain and the changes in length-for-Age z-scores (LAZ) and body composition?
Read more

The researchers will compare the effects of consumption of standard complementary food with added IAA against a control group that has no added IAA through the assessment of the various biomarkers.

Participants will:

  • answer questions regarding personal, demographic, anthropometric, and food intake information.
  • provide biological samples, including breath, urine, stool, blood, and saliva.
  • consume solutions or meals that contain sugars and/or stable isotope tracers.
  • visit the FNRI and receive house visits by study staff.
  • consume complementary food with or without supplement daily for 28 days.
Read the detailed description

Protocol treatment will start within two weeks of enrollment to the study. Following the baseline study assessments, each participant will receive the standard complementary foods (in the control group) or standard complementary foods supplemented with IAAs (histidine, isoleucine, leucine, lysine, methionine, phenylalanine, threonine, tryptophan, and valine) (in the intervention group).

Standard complementary foods will be comprised of ingredients mainly of rice and legumes. Standard complementary foods are foods that meet the dietary needs of children 6-36 months of age.

At least three observed (controlled) feeding sessions per week will be conducted over the 4 weeks of the study to confirm that the entire supplement was consumed or confirm intake. The observed feeding will take place at the child's home or at the barangay center. Uptake on non-observed days will be based on the caregiver's report. On each intervention monitoring day, a questionnaire will also be administered to assess child morbidity that day and on the day prior. A pediatrician or an alternate medical practitioner will also be invited during the data collection where in stable isotopes will be administered. The duties and responsibilities of the physician include: medical assessment of the participant, assistance in the collection of blood samples, assessment of adverse events (if any), and provision of first aid (if needed).

In the absence of treatment delays due to adverse events, the intervention will continue for 1 month or until one of the following criteria apply:

  • Child is not able to tolerate the supplement (throws up)
  • Severe acute malnutrition (SAM)
  • Inter-current illness that prevents further administration of treatment
  • Unacceptable adverse event(s)
  • Study participant voluntarily withdraws from treatment OR
  • Other general or specific changes in the study participant's condition render the study participant unacceptable for further treatment in the judgment of the investigator.

For each participant, tests to be conducted at study enrolment will be spread over three days. At the end of the study, endline tests will be spread over 2 days. Baseline visits for breath, blood, urine, and fecal collection should be conducted within -3 days prior to study treatment (day 3) while endline visits should be conducted within +7 days of study treatment (day 31). The intervention will be provided in coded sachets, distributed as per convenient for local custom to best ensure compliance with a minimum of three supervised feeds per week to ensure supplement is consumed at least periodically by the child and also to assess compliance.

Conditions
Stunted Growth
Being tested
IAA mix supplement, Complementary food comprised of rice and legumes
Keywords
Amino Acid Supplementation, Gut Function, Nutritional Interventions, Stunting, Children Below 3 Years Old
Medical subject headings
Growth Disorders

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • IAA mix supplementDietary supplement

    The intervention is a daily IAA dose that provides x1.5 the estimated average requirement (EAR) for a healthy child. This IAA dose will be mixed to the complementary food and will be taken once daily for 4 weeks (28 days) by the child in the intervention group.

  • Complementary food comprised of rice and legumesOther

    Each study child will receive standard complementary food which he/she will take once daily for 4 weeks (28 days)

Study groups in NCT06676215
Study groupRoleWhat they receive
Intervention ArmExperimentalcomplementary food supplemented with indispensable amino acid (IAA) mix
Receives: Dietary Supplement: IAA mix supplement; Other: Complementary food comprised of rice and legumes
Control GroupExperimentalcomplementary food without IAA mix
Receives: Other: Complementary food comprised of rice and legumes

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change from Baseline in the Gut Permeability as Assessed by the Lactulose/Rhamnose (L/R) Test at 28 days

    Measured: Baseline and end of intervention at 28 days

Secondary outcomes (6)
  1. Change from Baseline in Protein Absorption as Assessed by the Dual Stable Isotope Tracer (DSIT) Technique at 28 days

    Measured: Baseline and end of intervention at 28 days

  2. Change from Baseline in Gut Digestive Capacity Measured by the 13C-Sucrose Breath Test (SBT) at 28 days

    Measured: Baseline and end of intervention at 28 days

  3. Change from Baseline in Gut Function Based on Plasma LPS-Binding Protein (LPSBP) Concentration at 28 days

    Measured: Baseline and end of intervention at 28 days

  4. Change from Baseline in Gut Function Based on Intestinal Fatty Acid Binding Protein (iFABP) Concentration at 28 days

    Measured: Baseline and end of intervention at 28 days

  5. Change from Baseline in Gut Inflammation Based on Fecal Myeloperoxidase Concentration at 28 days

    Measured: Baseline and end of intervention at 28 days

  6. Change from Baseline in Gut Inflammation Based on Fecal Neopterin Concentration at 28 days

    Measured: Baseline and end of intervention at 28 days

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2024
  2. Study start1 Feb 2025 (estimated)
  3. Primary completionSep 2025 (estimated)
  4. Study completionDec 2025 (estimated)

Resources

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
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06676215
Sponsor's protocol ID
FIERC-2023-004
Status last verified
Oct 2024
First submitted
4 Oct 2024
Last updated
6 Nov 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Abtahi S, Sailer A, Roland JT, Haest X, Chanez-Paredes SD, Ahmad K, Sadiq K, Iqbal NT, Ali SA, Turner JR. Intestinal Epithelial Digestive, Transport, and Barrier Protein Expression Is Increased in Environmental Enteric Dysfunction. Lab Invest. 2023 Apr;103(4):100036. doi: 10.1016/j.labinv.2022.100036. Epub 2023 Jan 10.

    PubMed 36870290
  • Antiporta DA, Ambikapathi R, Bose A, Maciel B, Mahopo TC, Patil C, Turab A, Olortegui MP, Islam M, Bauck A, McCormick B, Caulfield LE; MAL-ED Network Investigators. Micronutrient intake and the probability of nutrient adequacy among children 9-24 months of age: results from the MAL-ED birth cohort study. Public Health Nutr. 2021 Jun;24(9):2592-2602. doi: 10.1017/S1368980020000877. Epub 2020 Jul 2.

    PubMed 32611463
  • Arnold BF, Null C, Luby SP, Unicomb L, Stewart CP, Dewey KG, Ahmed T, Ashraf S, Christensen G, Clasen T, Dentz HN, Fernald LC, Haque R, Hubbard AE, Kariger P, Leontsini E, Lin A, Njenga SM, Pickering AJ, Ram PK, Tofail F, Winch PJ, Colford JM Jr. Cluster-randomised controlled trials of individual and combined water, sanitation, hygiene and nutritional interventions in rural Bangladesh and Kenya: the WASH Benefits study design and rationale. BMJ Open. 2013 Aug 30;3(8):e003476. doi: 10.1136/bmjopen-2013-003476.

    PubMed 23996605
  • Arsenault JE, Brown KH. Effects of protein or amino-acid supplementation on the physical growth of young children in low-income countries. Nutr Rev. 2017 Sep 1;75(9):699-717. doi: 10.1093/nutrit/nux027.

    PubMed 28938793
  • Budge S, Parker AH, Hutchings PT, Garbutt C. Environmental enteric dysfunction and child stunting. Nutr Rev. 2019 Apr 1;77(4):240-253. doi: 10.1093/nutrit/nuy068.

    PubMed 30753710
  • Capanzana MV, Aguila DV, Gironella GMP, Montecillo KV. Nutritional status of children ages 0-5 and 5-10 years old in households headed by fisherfolks in the Philippines. Arch Public Health. 2018 Apr 16;76:24. doi: 10.1186/s13690-018-0267-3. eCollection 2018.

    PubMed 29686867
  • Denno DM, VanBuskirk K, Nelson ZC, Musser CA, Hay Burgess DC, Tarr PI. Use of the lactulose to mannitol ratio to evaluate childhood environmental enteric dysfunction: a systematic review. Clin Infect Dis. 2014 Nov 1;59 Suppl 4:S213-9. doi: 10.1093/cid/ciu541.

    PubMed 25305289
  • Devi S, Varkey A, Sheshshayee MS, Preston T, Kurpad AV. Measurement of protein digestibility in humans by a dual-tracer method. Am J Clin Nutr. 2018 Jun 1;107(6):984-991. doi: 10.1093/ajcn/nqy062.

    PubMed 29771297
  • Dewey KG, Brown KH. Update on technical issues concerning complementary feeding of young children in developing countries and implications for intervention programs. Food Nutr Bull. 2003 Mar;24(1):5-28. doi: 10.1177/156482650302400102.

    PubMed 12664525
  • Elango R. Tolerable Upper Intake Level for Individual Amino Acids in Humans: A Narrative Review of Recent Clinical Studies. Adv Nutr. 2023 Jul;14(4):885-894. doi: 10.1016/j.advnut.2023.04.004. Epub 2023 Apr 14.

    PubMed 37062432
  • Fahim SM, Das S, Sanin KI, Gazi MA, Mahfuz M, Islam MM, Ahmed T. Association of Fecal Markers of Environmental Enteric Dysfunction with Zinc and Iron Status among Children at First Two Years of Life in Bangladesh. Am J Trop Med Hyg. 2018 Aug;99(2):489-494. doi: 10.4269/ajtmh.17-0985. Epub 2018 Jun 7.

    PubMed 29893201
  • Faubion WA, Camilleri M, Murray JA, Kelly P, Amadi B, Kosek MN, Enders F, Larson J, Grover M, Boe G, Dyer R, Singh R. Improving the detection of environmental enteric dysfunction: a lactulose, rhamnose assay of intestinal permeability in children aged under 5 years exposed to poor sanitation and hygiene. BMJ Glob Health. 2016 Jul 4;1(1):e000066. doi: 10.1136/bmjgh-2016-000066. eCollection 2016.

    PubMed 28588929
  • Ghosh S, Suri D, Uauy R. Assessment of protein adequacy in developing countries: quality matters. Br J Nutr. 2012 Aug;108 Suppl 2:S77-87. doi: 10.1017/S0007114512002577.

    PubMed 23107551
  • Gibson RS, Ferguson EL, Lehrfeld J. Complementary foods for infant feeding in developing countries: their nutrient adequacy and improvement. Eur J Clin Nutr. 1998 Oct;52(10):764-70. doi: 10.1038/sj.ejcn.1600645.

    PubMed 9805226
  • Goron A, Moinard C. Amino acids and sport: a true love story? Amino Acids. 2018 Aug;50(8):969-980. doi: 10.1007/s00726-018-2591-x. Epub 2018 May 31.

    PubMed 29855718

Questions about this trial

What is this clinical trial studying?

A study testing IAA mix supplement and Complementary food comprised of rice and legumes in people with Stunted Growth, run by Food and Nutrition Research Institute, Philippines 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 3 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 6 Nov 2024. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Amster Fei P. Baquiran, BS Chemistry (+632 8837 8113 ext. 341, afpbaquiran@gmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change from Baseline in the Gut Permeability as Assessed by the Lactulose/Rhamnose (L/R) Test at 28 days (time frame: Baseline and end of intervention at 28 days). 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 NCT06676215, which also lists 53 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 6 Nov 2024.

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