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Growth, Safety and Tolerance of a Hydrolyzed Protein Infant Formula (STORY)

Primary Purpose

Cow Milk Allergy

Status
Recruiting
Phase
Not Applicable
Locations
Poland
Study Type
Interventional
Intervention
Hydrolyzed protein infant formula
Sponsored by
Nutricia Research
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Cow Milk Allergy

Eligibility Criteria

0 Days - 8 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria: Infants <8 months of age. Infants with a clinical diagnosis of Cow's Milk Allergy (CMA) per local hospital practice, including any of the following criteria: Based on clinical examination with a careful history, parent-reported symptoms suggestive of CMA, and disappearance of the symptoms when cow's milk was eliminated from the diet for at least two weeks prior to study entry Based on clinical examination with a careful history, parent-reported symptoms suggestive of CMA, and disappearance of the symptoms while being breastfed with maternal cow's milk protein elimination diet for at least two weeks prior to study entry History of CoMiSS® score >10 indicating symptoms are likely cow's milk allergic prior to study entry History of positive result of an oral food challenge with cow's milk prior to study entry Presence of specific Immunoglobulin E (IgE) to cow's milk protein based on skin prick test (wheel size ≥3mm) or radio-allergosorbent-test (RAST) (>0.7 kilounit per liter (kU/L)) prior to or on the day of study entry. 3. Infants that are still on dairy-derived extensively hydrolysed formula, amino acid-based formula, hydrolysed rice protein formula, soy-based formula or being breastfed by mothers who are on cow's milk protein elimination diet at study entry. Parents / guardians confirm their intention not to administer any products containing cow's milk protein during the study. Expected to consume the specified age-dependent minimum amount of study product per day during the study. Expected to require a milk substitute for CMA management for at least 16 weeks. Written informed consent provided by parents / guardians, according to local law. Exclusion Criteria: Birth weight-for-age z-score <-2 Standard Deviation (SD) or >+2SD. Infants <37 weeks gestation requiring specific premature formula at the time of study entry. Infants with severe concurrent illness and/or have undergone gastrointestinal surgery such as bowel resection or stoma placement and/or with Down syndrome or other syndromes where functional gastrointestinal disorders are common. Infants that are more suitable to use Amino Acid Formula (AAF) as first-line formula, including but not limited to those with high risk of anaphylaxis (prior history of anaphylaxis and currently not using extensively Hydrolysed Formula (eHF)), faltering growth / failure to thrive, or severe forms of non-IgE-mediated CMA such as eosinophilic oesophagitis, enteropathies, or Food Protein-Induced Enterocolitis Syndrome (FPIES). Infants with diagnosis of rice allergy or known allergy to any of the ingredients in the study product. Investigator's uncertainty about the willingness or ability of the parents / guardians to comply with the protocol requirements. Participation in any other studies involving investigational or marketed products concomitantly or within two weeks prior to entry into the study.

Sites / Locations

  • Promed Medical CentreRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Hydrolyzed protein infant formula

Arm Description

All subjects will take the hydrolyzed protein infant formula

Outcomes

Primary Outcome Measures

Adequate growth
Proportion of subjects with growth classified as adequate (by interpreting WHO z-scores weight-for-age and weight-for-length)

Secondary Outcome Measures

Full Information

First Posted
October 27, 2022
Last Updated
May 16, 2023
Sponsor
Nutricia Research
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1. Study Identification

Unique Protocol Identification Number
NCT05618704
Brief Title
Growth, Safety and Tolerance of a Hydrolyzed Protein Infant Formula
Acronym
STORY
Official Title
A Single Arm, Open Label Intervention Study of a Hydrolyzed Protein Formula to Evaluate Growth, Safety and Tolerance in Infants With a Clinical Diagnosis of Cow's Milk Allergy
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
March 16, 2023 (Actual)
Primary Completion Date
March 2025 (Anticipated)
Study Completion Date
March 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Nutricia Research

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 single arm, open label, multicenter intervention trial to evaluate growth parameters, cow's milk related symptoms, gastrointestinal tolerance and safety in infants with cow's milk allergy receiving a hydrolyzed protein formula.
Detailed Description
The main purpose of this study is to demonstrate adequate growth over a 16-week intervention period in cow's milk allergic infants receiving a hydrolyzed protein formula.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cow Milk Allergy

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Model Description
single arm, open label, interventional, multi-centre study
Masking
None (Open Label)
Allocation
N/A
Enrollment
69 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Hydrolyzed protein infant formula
Arm Type
Experimental
Arm Description
All subjects will take the hydrolyzed protein infant formula
Intervention Type
Dietary Supplement
Intervention Name(s)
Hydrolyzed protein infant formula
Intervention Description
The subjects will take the formula for 16 weeks
Primary Outcome Measure Information:
Title
Adequate growth
Description
Proportion of subjects with growth classified as adequate (by interpreting WHO z-scores weight-for-age and weight-for-length)
Time Frame
16 weeks
Other Pre-specified Outcome Measures:
Title
Growth
Description
Weight, length, head circumference, BMI and corresponding World health Organization (WHO) z-scores
Time Frame
16 weeks
Title
Cow's milk related symptoms
Description
CoMiSS and parent completed diary
Time Frame
16 weeks
Title
Gastrointestinal tolerance
Description
Parent completed diary, incidence of gastrointestinal adverse effects. Tolerance will be evaluated on the basis of the number of gastrointestinal events including diarrhea, constipation, bloating, distension, nausea, vomiting, burping, flatulence and regurgitation and abdominal discomfort or pain reported for subjects during their participation in the study.
Time Frame
16 weeks
Title
Concentration of markers of mineral status in blood
Description
Zinc (Zn) Calcium (Ca) Phosphate (P) Ferritin (Fe) Magnesium (Mg)
Time Frame
16 weeks
Title
Study product intake (ml/day) and complementary foods/drinks (food diary)
Description
Parent completed diary
Time Frame
3 days prior to the last visit
Title
Study product appreciation
Description
Parent completed questionnaire (questions with scales e.g., strongly agree - strongly disagree)
Time Frame
16 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
0 Days
Maximum Age & Unit of Time
8 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Infants <8 months of age. Infants with a clinical diagnosis of Cow's Milk Allergy (CMA) per local hospital practice, including any of the following criteria: Based on clinical examination with a careful history, parent-reported symptoms suggestive of CMA, and disappearance of the symptoms when cow's milk was eliminated from the diet for at least two weeks prior to study entry Based on clinical examination with a careful history, parent-reported symptoms suggestive of CMA, and disappearance of the symptoms while being breastfed with maternal cow's milk protein elimination diet for at least two weeks prior to study entry History of CoMiSS® score >10 indicating symptoms are likely cow's milk allergic prior to study entry History of positive result of an oral food challenge with cow's milk prior to study entry Presence of specific Immunoglobulin E (IgE) to cow's milk protein based on skin prick test (wheel size ≥3mm) or radio-allergosorbent-test (RAST) (>0.7 kilounit per liter (kU/L)) prior to or on the day of study entry. 3. Infants that are still on dairy-derived extensively hydrolysed formula, amino acid-based formula, hydrolysed rice protein formula, soy-based formula or being breastfed by mothers who are on cow's milk protein elimination diet at study entry. Parents / guardians confirm their intention not to administer any products containing cow's milk protein during the study. Expected to consume the specified age-dependent minimum amount of study product per day during the study. Expected to require a milk substitute for CMA management for at least 16 weeks. Written informed consent provided by parents / guardians, according to local law. Exclusion Criteria: Birth weight-for-age z-score <-2 Standard Deviation (SD) or >+2SD. Infants <37 weeks gestation requiring specific premature formula at the time of study entry. Infants with severe concurrent illness and/or have undergone gastrointestinal surgery such as bowel resection or stoma placement and/or with Down syndrome or other syndromes where functional gastrointestinal disorders are common. Infants that are more suitable to use Amino Acid Formula (AAF) as first-line formula, including but not limited to those with high risk of anaphylaxis (prior history of anaphylaxis and currently not using extensively Hydrolysed Formula (eHF)), faltering growth / failure to thrive, or severe forms of non-IgE-mediated CMA such as eosinophilic oesophagitis, enteropathies, or Food Protein-Induced Enterocolitis Syndrome (FPIES). Infants with diagnosis of rice allergy or known allergy to any of the ingredients in the study product. Investigator's uncertainty about the willingness or ability of the parents / guardians to comply with the protocol requirements. Participation in any other studies involving investigational or marketed products concomitantly or within two weeks prior to entry into the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Danone Nutricia Research
Phone
+31 30 2095 000
Email
register.clinicalresearchnutricia@danone.com
Facility Information:
Facility Name
Promed Medical Centre
City
Kraków
Country
Poland
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

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Growth, Safety and Tolerance of a Hydrolyzed Protein Infant Formula

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