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Nutritional Supplementation in Children at Risk of Undernutrition

Primary Purpose

Malnutrition, Child

Status
Withdrawn
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Oral Nutritional Supplement (ONS)
Sponsored by
Abbott Nutrition
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Malnutrition, Child

Eligibility Criteria

1 Year - 5 Years (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Child is between 1 year 0 days to 5 years 364 days old at enrolment

Undernourished or at risk of undernutrition, defined as:

  • WHZ <- 1 and HAZ <-1 for children up to 4 years 364 days, according to the WHO Growth Standards; or
  • BMIAZ <-1 and HAZ <-1 for children 5 years 0 days and older, according to the WHO Growth Reference Standards

Child is not currently breastfed

Child's parent(s)/LG is willing to abstain from giving additional non-study Oral Nutritional Supplement (ONS) other than the study product during the study intervention period

Child is a singleton

Child's parent(s)/LG is able and willing to follow study procedures and record data in parent diary and complete any forms or assessments needed throughout the study

Child's parent(s)/LG is not planning to relocate during the study period

Child's parent(s)/LG has voluntarily signed and dated an Informed Consent Form (ICF), approved by an Independent Ethics Committee/Institutional Review Board (IEC/IRB) or other applicable privacy regulation authorization prior to any participation in the study

Exclusion Criteria:

Child participates in another study that has not been approved as a concomitant study

Child is known to have galactosemia, be allergic or intolerant to any ingredient found in the study product

Child had a history of preterm delivery, defined as a birth before 37 completed weeks of gestation as reported by parent(s)/LG

Child had birth weight < 2500 g or > 4000 g

Child whose either parent has BMI ≥ 27.5 kg/m2

Child has current acute or chronic infections including but not restricted to respiratory infections, diarrhea, acute and chronic Hepatitis B or C, HIV infection or tuberculosis

Child has been diagnosed with the following:

  • Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis
  • Neoplastic, renal, hepatic or cardiovascular, hormonal or metabolic disorders, congenital disease or genetic disorders such as atrial or ventricular wall defects, Down's syndrome, or thalassemia
  • Infantile anorexia nervosa, developmental disability, including physical disorders such as cerebral palsy, or developmental delay
  • Disorders of hemoglobin structure, function or synthesis

Clinically significant nutritional deficiency requiring specific treatment with another nutritional supplement (other than the study product)

Any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    Oral Nutritional Supplement (ONS) Group

    Arm Description

    Two servings per day in addition to dietary counseling

    Outcomes

    Primary Outcome Measures

    Height-for-age-Z-score
    Change in Height-for-age-Z-score

    Secondary Outcome Measures

    Weight
    Measured in Kg
    Height
    Measured in cm
    Mid-Upper-Arm Circumference (MUAC)
    Measured in cm
    Weight-for-Height Measurement Calculations
    Weight-for-height standard z scores and percentiles
    Weight-for-Age Measurement Calculations
    Weight-for-age standard z scores and percentiles
    BMI-for-Age Measurement Calculations
    BMI-for-age standard z scores and percentiles
    Height-for-Age Measurement Calculations
    Height-for-age standard z scores and percentiles
    MUAC-for-Age Measurement Calculations
    MUAC-for-age standard z scores and percentiles
    Dietary Intake
    Measured by 24-hour dietary recall
    Appetite
    Visual analog scale from 0 (Ate Very Little) to 10 (Ate Very Much) with high scores being favorable
    Physical Activity
    Visual analog scale from 0 (Not Active) to 10 (Very Active) with high scores being favorable

    Full Information

    First Posted
    June 15, 2022
    Last Updated
    February 27, 2023
    Sponsor
    Abbott Nutrition
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05437068
    Brief Title
    Nutritional Supplementation in Children at Risk of Undernutrition
    Official Title
    Effects of Oral Nutritional Supplementation in 12-71 Months Old Children at Risk of Undernutrition
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    February 2023
    Overall Recruitment Status
    Withdrawn
    Why Stopped
    Change in research focus
    Study Start Date
    November 11, 2022 (Actual)
    Primary Completion Date
    November 11, 2022 (Actual)
    Study Completion Date
    November 11, 2022 (Actual)

    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
    This is a prospective, multicenter, single-arm intervention study. The expected duration of study participation for each participant is approximately 120 days. The current study aims to investigate the effectiveness of an ONS formula in children at risk or with undernutrition in Thailand.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Malnutrition, Child

    7. Study Design

    Primary Purpose
    Other
    Study Phase
    Not Applicable
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    0 (Actual)

    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
    Intervention Type
    Other
    Intervention Name(s)
    Oral Nutritional Supplement (ONS)
    Intervention Description
    ONS plus dietary counseling
    Primary Outcome Measure Information:
    Title
    Height-for-age-Z-score
    Description
    Change in Height-for-age-Z-score
    Time Frame
    Baseline to 120 days
    Secondary Outcome Measure Information:
    Title
    Weight
    Description
    Measured in Kg
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Height
    Description
    Measured in cm
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Mid-Upper-Arm Circumference (MUAC)
    Description
    Measured in cm
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Weight-for-Height Measurement Calculations
    Description
    Weight-for-height standard z scores and percentiles
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Weight-for-Age Measurement Calculations
    Description
    Weight-for-age standard z scores and percentiles
    Time Frame
    Baseline to 30 days and 120 days
    Title
    BMI-for-Age Measurement Calculations
    Description
    BMI-for-age standard z scores and percentiles
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Height-for-Age Measurement Calculations
    Description
    Height-for-age standard z scores and percentiles
    Time Frame
    Baseline to 30 days and 120 days
    Title
    MUAC-for-Age Measurement Calculations
    Description
    MUAC-for-age standard z scores and percentiles
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Dietary Intake
    Description
    Measured by 24-hour dietary recall
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Appetite
    Description
    Visual analog scale from 0 (Ate Very Little) to 10 (Ate Very Much) with high scores being favorable
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Physical Activity
    Description
    Visual analog scale from 0 (Not Active) to 10 (Very Active) with high scores being favorable
    Time Frame
    Baseline to 30 days and120 days
    Other Pre-specified Outcome Measures:
    Title
    Parental Evaluation of Child's Healthy Growth
    Description
    Parent-reported satisfaction and assessment of child's healthy growth on 10-point visual analog scale, scored from 0 Very dissatisfied/Strongly disagree to 10 Very satisfied/Strongly agree, with higher scores being favorable
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Parental Assessment of Child's Sleep
    Description
    Parent-reported questionnaire of child's usual amount of sleep (hours and minutes), and number (number of times) and length (minutes) of awakenings per night
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Adverse Event
    Description
    Number of participants with reported adverse events
    Time Frame
    Baseline to 120 days
    Title
    Illness Questionnaire
    Description
    Parent reported number of sick episodes, sick days, healthcare visits and symptoms, with higher number reported being less favorable
    Time Frame
    Baseline to 120 days
    Title
    Mid Upper Arm Muscle Circumference (MUAMC) Calculation
    Description
    Changes in MUAMC calculations
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Arm Muscle Area (AMA) Calculation
    Description
    Changes in AMA calculations
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Arm Fat Area (AFA) Calculation
    Description
    Changes in AFA calculations
    Time Frame
    Baseline to 30 days and 120 days
    Title
    Arm Fat Index (AFI) Calculation
    Description
    Changes in AFI calculations
    Time Frame
    Baseline to 30 days and 120 days

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    1 Year
    Maximum Age & Unit of Time
    5 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Child is between 1 year 0 days to 5 years 364 days old at enrolment Undernourished or at risk of undernutrition, defined as: WHZ <- 1 and HAZ <-1 for children up to 4 years 364 days, according to the WHO Growth Standards; or BMIAZ <-1 and HAZ <-1 for children 5 years 0 days and older, according to the WHO Growth Reference Standards Child is not currently breastfed Child's parent(s)/LG is willing to abstain from giving additional non-study Oral Nutritional Supplement (ONS) other than the study product during the study intervention period Child is a singleton Child's parent(s)/LG is able and willing to follow study procedures and record data in parent diary and complete any forms or assessments needed throughout the study Child's parent(s)/LG is not planning to relocate during the study period Child's parent(s)/LG has voluntarily signed and dated an Informed Consent Form (ICF), approved by an Independent Ethics Committee/Institutional Review Board (IEC/IRB) or other applicable privacy regulation authorization prior to any participation in the study Exclusion Criteria: Child participates in another study that has not been approved as a concomitant study Child is known to have galactosemia, be allergic or intolerant to any ingredient found in the study product Child had a history of preterm delivery, defined as a birth before 37 completed weeks of gestation as reported by parent(s)/LG Child had birth weight < 2500 g or > 4000 g Child whose either parent has BMI ≥ 27.5 kg/m2 Child has current acute or chronic infections including but not restricted to respiratory infections, diarrhea, acute and chronic Hepatitis B or C, HIV infection or tuberculosis Child has been diagnosed with the following: Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis Neoplastic, renal, hepatic or cardiovascular, hormonal or metabolic disorders, congenital disease or genetic disorders such as atrial or ventricular wall defects, Down's syndrome, or thalassemia Infantile anorexia nervosa, developmental disability, including physical disorders such as cerebral palsy, or developmental delay Disorders of hemoglobin structure, function or synthesis Clinically significant nutritional deficiency requiring specific treatment with another nutritional supplement (other than the study product) Any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Yen Ling Mandy Ow, PhD
    Organizational Affiliation
    Abbott Nutrition
    Official's Role
    Study Chair

    12. IPD Sharing Statement

    Plan to Share IPD
    No

    Learn more about this trial

    Nutritional Supplementation in Children at Risk of Undernutrition

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