Oral Nutritional Supplementation in Children at Risk of Undernutrition
Primary Purpose
Undernutrition
Status
Recruiting
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Oral Nutritional Supplement
Dietary counseling
Sponsored by
About this trial
This is an interventional other trial for Undernutrition
Eligibility Criteria
Inclusion Criteria:
- Child is 36 months - 107 months of age.
- Child is undernourished as determined by BMI for age z-score or Mid-upper-arm circumference z-score
- Child's caregiver has voluntarily signed and dated an informed consent form (ICF), approved by an IRB, and provided Health Insurance Portability and Accountability Act (HIPAA) or other applicable privacy regulation authorization prior to any participation in the study.
- Child's caregiver is willing to abstain from providing non-study oral nutrition supplements during the study period duration.
- Child's caregiver is able and willing to follow study procedures and record data in parent diaries and complete any forms or assessments needed during the study.
- Child is willing to consume the study product for the duration of the study, if randomized to intervention group
Exclusion Criteria:
- Child has a height-for-age z-score ≥ 1.
- Child is currently drinking an oral nutritional supplement (ONS) on a regular basis (≥ 15 days in the past month)
- Child is participating in another study that has not been approved as a concomitant study by AN.
Child has been diagnosed with the following:
- Galactosemia, or an allergy or intolerance to any ingredient found in the study product
- Acute or chronic infections including but not restricted to respiratory infections, diarrhea, Hepatitis B or C, HIV infection or tuberculosis
- Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis
- Neoplastic, renal, hepatic or cardiovascular, hormonal or metabolic disorders, Down's syndrome or significant, uncorrected cardiac anomalies that may impact growth
- Infantile anorexia nervosa, developmental disability, including physical disorders such as cerebral palsy, or a developmental delay that is considered too severe for participation
- Disorders of hemoglobin structure, function or synthesis
- Clinically significant nutritional deficiency requiring specialty nutritional therapy
- Any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study.
Sites / Locations
- HealthStar Research GlenwoodRecruiting
- HealthStar Research, LLCRecruiting
- L.A. Universal Research Center, Inc.Recruiting
- Kissimmee Clinical ResearchRecruiting
- Dade Research Center, LLCRecruiting
- D&H National Research CentersRecruiting
- Suncoast Research, Assoc., LLCRecruiting
- Velocity Clinical ResearchRecruiting
- Southern Clinical ResearchRecruiting
- Alivation Research (Primary Care)
- Javara Inc. 3380Recruiting
- Tribe Clinical Research LLC.Recruiting
- Javara, Inc. 3377Recruiting
- Invesclinic US LLCRecruiting
- Gulf Bank Medical Center
- Chrysalis Clinical Research
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Other
Arm Label
Oral Nutritional Supplement (ONS) Group
Control Group
Arm Description
Two servings per day in addition to dietary counseling
dietary counseling
Outcomes
Primary Outcome Measures
Weight-for-age z-score (WAZ)
Change in weight-for-age z-score
Secondary Outcome Measures
Anthropometric Measurement Calculations
Standard z-scores and percentiles including weight-for-age, height-for-age, weight-for-height, BMI-for-age and mid-upper-arm-circumference-for-age
Mid-upper-arm circumference (MUAC)
Measured in cm
Weight
Measured in Kg
Height
Measured in cm
Dietary Diversity
Measured by 24-hour dietary recall
Appetite
Visual analog scale from Ate Very Little to Ate A Lot
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05161000
Brief Title
Oral Nutritional Supplementation in Children at Risk of Undernutrition
Official Title
Effects of Oral Nutritional Supplementation With Dietary Counseling in Children at Risk of Undernutrition
Study Type
Interventional
2. Study Status
Record Verification Date
April 2023
Overall Recruitment Status
Recruiting
Study Start Date
April 18, 2022 (Actual)
Primary Completion Date
February 2024 (Anticipated)
Study Completion Date
February 2024 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Abbott Nutrition
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The objective of this randomized, controlled trial is to evaluate the effects of consuming a pediatric oral nutritional supplement (ONS) plus dietary counseling for 120 days on anthropometric growth, strength, and nutritional status, compared with dietary counseling alone in undernourished children in the United States.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Undernutrition
7. Study Design
Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
200 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Oral Nutritional Supplement (ONS) Group
Arm Type
Experimental
Arm Description
Two servings per day in addition to dietary counseling
Arm Title
Control Group
Arm Type
Other
Arm Description
dietary counseling
Intervention Type
Other
Intervention Name(s)
Oral Nutritional Supplement
Intervention Description
ONS plus dietary counseling
Intervention Type
Other
Intervention Name(s)
Dietary counseling
Intervention Description
dietary counseling
Primary Outcome Measure Information:
Title
Weight-for-age z-score (WAZ)
Description
Change in weight-for-age z-score
Time Frame
baseline to 120 days
Secondary Outcome Measure Information:
Title
Anthropometric Measurement Calculations
Description
Standard z-scores and percentiles including weight-for-age, height-for-age, weight-for-height, BMI-for-age and mid-upper-arm-circumference-for-age
Time Frame
baseline to 120 days
Title
Mid-upper-arm circumference (MUAC)
Description
Measured in cm
Time Frame
baseline to 120 days
Title
Weight
Description
Measured in Kg
Time Frame
baseline to 120 days
Title
Height
Description
Measured in cm
Time Frame
baseline to 120 days
Title
Dietary Diversity
Description
Measured by 24-hour dietary recall
Time Frame
baseline to 120 days
Title
Appetite
Description
Visual analog scale from Ate Very Little to Ate A Lot
Time Frame
baseline to 120 days
Other Pre-specified Outcome Measures:
Title
Hand Grip Strength
Description
Measured in kg
Time Frame
baseline to 120 days
Title
Nutrition Biomarkers
Description
Blood chemistry analysis of vitamin A, vitamin B12, vitamin D, vitamin E, folate, and vitamin K
Time Frame
baseline to 120 days
Title
Adverse Event Reporting
Description
Standard adverse event reporting
Time Frame
baseline to 120 days
Title
Health Care Utilization
Description
Number of unscheduled visits or missed school days (child) or work days (parent)
Time Frame
baseline to 120 days
Title
Sleep Data
Description
Average daily number of hours
Time Frame
baseline to 120 days
Title
Activity Data
Description
Average daily number of minutes
Time Frame
baseline to 120 days
Title
Physical Activity
Description
Visual analog scale from Not Active to Very Active
Time Frame
baseline to 120 days
Title
Parental Stress Scale
Description
18 questions scaled from Strongly disagree to Strongly Agree
Time Frame
baseline to 120 days
Title
Child Eating Behavior Questionnaire
Description
35 questions 5-Point Likert Scale from Never to Always
Time Frame
baseline to 120 days
Title
Caregiver Opinion Questionnaire
Description
3 Parent reported questions related to child's nutrition
Time Frame
baseline to 120 days
Title
Children's Sleep Habit Questionnaire
Description
7 Parent reported questions related to child's sleep habits
Time Frame
baseline to 120 days
Title
Triceps Skinfold
Description
Measured in mm
Time Frame
baseline to 120 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
36 Months
Maximum Age & Unit of Time
107 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Child is 36 months - 107 months of age.
Child is undernourished as determined by BMI for age z-score or Mid-upper-arm circumference z-score
Child's caregiver has voluntarily signed and dated an informed consent form (ICF), approved by an IRB, and provided Health Insurance Portability and Accountability Act (HIPAA) or other applicable privacy regulation authorization prior to any participation in the study.
Child's caregiver is willing to abstain from providing non-study oral nutrition supplements during the study period duration.
Child's caregiver is able and willing to follow study procedures and record data in parent diaries and complete any forms or assessments needed during the study.
Child is willing to consume the study product for the duration of the study, if randomized to intervention group
Exclusion Criteria:
Child has a height-for-age z-score ≥ 0.
Child is currently drinking an oral nutritional supplement (ONS) on a regular basis (≥ 15 days in the past month)
Child is participating in another study that has not been approved as a concomitant study by AN.
Child has been diagnosed with the following:
Galactosemia, or an allergy or intolerance to any ingredient found in the study product
Acute or chronic infections including but not restricted to respiratory infections, diarrhea, Hepatitis B or C, HIV infection or tuberculosis
Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis
Neoplastic, renal, hepatic or cardiovascular, hormonal or metabolic disorders, Down's syndrome or significant, uncorrected cardiac anomalies that may impact growth
Infantile anorexia nervosa, developmental disability, including physical disorders such as cerebral palsy, or a developmental delay that is considered too severe for participation
Disorders of hemoglobin structure, function or synthesis
Clinically significant nutritional deficiency requiring specialty nutritional therapy
Any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kristen DeLuca, MS, RDN, LDN
Phone
614-624-5455
Email
kristen.deluca@abbott.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jennifer Williams, MPH
Organizational Affiliation
Abbott Nutrition
Official's Role
Study Chair
Facility Information:
Facility Name
HealthStar Research Glenwood
City
Glenwood
State/Province
Arkansas
ZIP/Postal Code
71943
Country
United States
Individual Site Status
Recruiting
Facility Name
HealthStar Research, LLC
City
Hot Springs
State/Province
Arkansas
ZIP/Postal Code
71913
Country
United States
Individual Site Status
Recruiting
Facility Name
L.A. Universal Research Center, Inc.
City
Los Angeles
State/Province
California
ZIP/Postal Code
90057
Country
United States
Individual Site Status
Recruiting
Facility Name
Kissimmee Clinical Research
City
Kissimmee
State/Province
Florida
ZIP/Postal Code
34743
Country
United States
Individual Site Status
Recruiting
Facility Name
Dade Research Center, LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33126
Country
United States
Individual Site Status
Recruiting
Facility Name
D&H National Research Centers
City
Miami
State/Province
Florida
ZIP/Postal Code
33155
Country
United States
Individual Site Status
Recruiting
Facility Name
Suncoast Research, Assoc., LLC
City
Miami
State/Province
Florida
ZIP/Postal Code
33173
Country
United States
Individual Site Status
Recruiting
Facility Name
Velocity Clinical Research
City
Covington
State/Province
Louisiana
ZIP/Postal Code
70433
Country
United States
Individual Site Status
Recruiting
Facility Name
Southern Clinical Research
City
Zachary
State/Province
Louisiana
ZIP/Postal Code
70791
Country
United States
Individual Site Status
Recruiting
Facility Name
Alivation Research (Primary Care)
City
Lincoln
State/Province
Nebraska
ZIP/Postal Code
68526
Country
United States
Individual Site Status
Active, not recruiting
Facility Name
Javara Inc. 3380
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27103
Country
United States
Individual Site Status
Recruiting
Facility Name
Tribe Clinical Research LLC.
City
Greenville
State/Province
South Carolina
ZIP/Postal Code
29607
Country
United States
Individual Site Status
Recruiting
Facility Name
Javara, Inc. 3377
City
Dallas
State/Province
Texas
ZIP/Postal Code
75230
Country
United States
Individual Site Status
Recruiting
Facility Name
Invesclinic US LLC
City
Edinburg
State/Province
Texas
ZIP/Postal Code
78539
Country
United States
Individual Site Status
Recruiting
Facility Name
Gulf Bank Medical Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77037
Country
United States
Individual Site Status
Withdrawn
Facility Name
Chrysalis Clinical Research
City
Saint George
State/Province
Utah
ZIP/Postal Code
84790
Country
United States
Individual Site Status
Withdrawn
12. IPD Sharing Statement
Plan to Share IPD
No
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Oral Nutritional Supplementation in Children at Risk of Undernutrition
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