Effects of Oral Nutritional Supplementation in Children at Risk of Undernutrition
Primary Purpose
Undernutrition
Status
Completed
Phase
Not Applicable
Locations
Vietnam
Study Type
Interventional
Intervention
Oral Nutrition Supplement (ONS) Group
Control Group
Sponsored by
About this trial
This is an interventional other trial for Undernutrition
Eligibility Criteria
Inclusion Criteria:
- Children 24-60 months old
- Undernourished or at risk of undernutrition according to the WHO Growth Standards.
- Child's parent(s)/legal guardian (LG) is willing to abstain from giving additional non-study ONS other than the study product during the study intervention period.
- 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:
- Participant 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 is currently drinking an Abbott product(s).
- 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 continuous oral nutrition supplement (ONS) usage for at least 15 days in the past 1 month prior to screening. The standard ONS formula usually has an energy density of at least 1 kcal/mL, containing protein, carbohydrate and/or fat, as well as a wide range of micronutrients to supplement or use as the sole source of nutrition.
- 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 according to medical records or report by parent(s)/LG or the clinician's judgment:
- Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic (Exception: Intestinal parasites infection)
- 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) as diagnosed by the investigator.
- Any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study.
Sites / Locations
- National Institute of Nutrition
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Active Comparator
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
Change in weight-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
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
MUAMC Measurement Calculations
Mid-upper-arm-circumference-for-age standard z-scores and percentiles
Dietary Intake
Measured by 24-hour dietary recall
Appetite
Visual analog scale from Ate Very Little to Ate Very Much
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT05239208
Brief Title
Effects of Oral Nutritional Supplementation in Children at Risk of Undernutrition
Official Title
Effects of Oral Nutritional Supplementation With Dietary Counseling in 24-60 Months Old Children at Risk of Undernutrition
Study Type
Interventional
2. Study Status
Record Verification Date
February 2023
Overall Recruitment Status
Completed
Study Start Date
January 14, 2022 (Actual)
Primary Completion Date
December 18, 2022 (Actual)
Study Completion Date
December 18, 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 prospective, randomized, controlled study will evaluate the effects of oral nutritional supplementation plus dietary counseling versus dietary counseling alone in children at nutritional risk.
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
330 (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
Arm Title
Control Group
Arm Type
Active Comparator
Arm Description
Dietary counseling
Intervention Type
Other
Intervention Name(s)
Oral Nutrition Supplement (ONS) Group
Intervention Description
Oral nutritional supplement specifically designed for nutritionally-at risk children and dietary counseling
Intervention Type
Other
Intervention Name(s)
Control Group
Intervention Description
Dietary counseling
Primary Outcome Measure Information:
Title
Weight-for-Age Z-Score
Description
Change in weight-for-age z-score
Time Frame
Baseline to 120 Days
Secondary Outcome Measure Information:
Title
Weight
Description
Measured in Kg
Time Frame
Baseline to 240 Days
Title
Height
Description
Measured in cm
Time Frame
Baseline to 240 Days
Title
Mid-Upper-Arm Circumference (MUAC)
Description
Measured in cm
Time Frame
Baseline to 240 Days
Title
Weight-for-Height Measurement Calculations
Description
Weight-for-height standard z-scores and percentiles
Time Frame
Baseline to 240 Days
Title
BMI-for-Age Measurement Calculations
Description
BMI-for-age standard z-scores and percentiles
Time Frame
Baseline to 240 Days
Title
Height-for-Age Measurement Calculations
Description
Height-for-age standard z-scores and percentiles
Time Frame
Baseline to 240 Days
Title
MUAMC Measurement Calculations
Description
Mid-upper-arm-circumference-for-age standard z-scores and percentiles
Time Frame
Baseline to 240 Days
Title
Dietary Intake
Description
Measured by 24-hour dietary recall
Time Frame
Baseline to 240 Days
Title
Appetite
Description
Visual analog scale from Ate Very Little to Ate Very Much
Time Frame
Baseline to 240 Days
Other Pre-specified Outcome Measures:
Title
Body Composition
Description
Measured by duel-energy x-ray absorptiometry
Time Frame
Baseline to 240 Days
Title
Bone Quality
Description
Measured by duel-energy x-ray absorptiometry
Time Frame
Baseline to 240 Days
Title
Lower Leg Length
Description
Measured in cm
Time Frame
Baseline to 240 Days
Title
Adverse Event Reporting
Description
Parent reported adverse events
Time Frame
Baseline to 240 Days
Title
Healthcare Utilization
Description
Number of sick days, healthcare visits, missed days school, missed days work
Time Frame
Baseline to 240 Days
Title
Physical Activity
Description
Visual analog scale Not Active to Very Active
Time Frame
Baseline to 240 Days
Title
Child's Healthy Growth
Description
Parent completed assessment of child's growth
Time Frame
Baseline to 240 Days
Title
Product Palatability
Description
1, 5-point scale from Dislike it very much to Like to very much
Time Frame
Study Day 1 to Study Day 240
Title
Child's Sleep Assessment
Description
Parent reported sleep habits
Time Frame
Baseline to 240 Days
Title
Early Childhood Behavior Questionnaire
Description
6, 7-point Likert scale questions scored from Never to Always
Time Frame
Baseline to 240 Days
Title
Blood Biomarkers Amino Acid
Description
Blood chemistry analysis of amino acid biomarkers
Time Frame
Baseline to 240 Days
Title
Blood Biomarkers Bone
Description
Blood chemistry analysis of bone biomarkers
Time Frame
Baseline to 240 Days
Title
Hand Grip Strength
Description
Measured in kg
Time Frame
Baseline to 240 Days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
24 Months
Maximum Age & Unit of Time
60 Months
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Children 24-60 months old
Undernourished or at risk of undernutrition according to the WHO Growth Standards.
Child's parent(s)/legal guardian (LG) is willing to abstain from giving additional non-study ONS other than the study product during the study intervention period.
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:
Participant 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 is currently drinking an Abbott product(s).
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 continuous oral nutrition supplement (ONS) usage for at least 15 days in the past 1 month prior to screening. The standard ONS formula usually has an energy density of at least 1 kcal/mL, containing protein, carbohydrate and/or fat, as well as a wide range of micronutrients to supplement or use as the sole source of nutrition.
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 according to medical records or report by parent(s)/LG or the clinician's judgment:
Severe gastrointestinal disorders such as celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic (Exception: Intestinal parasites infection)
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) as diagnosed by the investigator.
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
Official's Role
Study Chair
Facility Information:
Facility Name
National Institute of Nutrition
City
Ha Noi
ZIP/Postal Code
11611
Country
Vietnam
12. IPD Sharing Statement
Plan to Share IPD
No
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Effects of Oral Nutritional Supplementation in Children at Risk of Undernutrition
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