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Oral Nutritional Supplementation in Picky Eating Children

Primary Purpose

Children - Malnutrition

Status
Completed
Phase
Phase 2
Locations
India
Study Type
Interventional
Intervention
Oral nutritional supplement (List No S691/Z0)
Oral nutritional supplement
Dietary Counselling
Sponsored by
Abbott Nutrition
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Children - Malnutrition

Eligibility Criteria

2 Years - 4 Years (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Child is > 24 months and ≤ 48 months of age at visit 1.
  2. Child of either gender (Male and Female).
  3. Child has a weight-for-height between 3rd - 15th percentiles according to current WHO Growth Charts at visit 1. (WHO Growth Chart 2007)
  4. Child is a picky eater, defined as meeting at least two of the following criteria. A child, who:

    • eats only a limited number of foods
    • is unwilling to try new foods
    • refuses to eat vegetables and/or foods from other food groups
    • shows strong food likes and dislikes
    • has behaviors that disrupt mealtime
  5. Child is a habitual milk drinker at least 1 glass (approximately 200mL) of milk daily.
  6. Child is able to consume foods and beverages orally.
  7. Child's Legal Guardian (LG) or parent(s) is willing to abstain from giving additional non-study nutritional supplements including vitamin/mineral supplements, micronutrient fortified beverages, oral nutritional supplements other than the study product during the study intervention period.
  8. Child's Legal Guardian (LG) or parent(s) has voluntarily signed and dated an informed consent form (ICF), approved by an Independent Ethics Committee/Institutional Review Board (IEC/IRB) prior to any participation in the study.
  9. Child's Legal Guardian (LG) or parent(s) is able and willing to follow study procedures and record data in parent diary and complete any forms or assessments needed throughout the study.
  10. Child's Legal Guardian (LG) or parent(s)is not planning to relocate during the study period

Exclusion Criteria:

  1. Child has been diagnosed with Lactose Intolerance & Galactosemia according to medical records or Legal Guardian (LG) /parent report.
  2. Child has been diagnosed or is known to be allergic or intolerant to any ingredient found in the study product according to medical records or Legal Guardian (LG)/parent report.
  3. Child has a current acute or chronic infection including respiratory infection, diarrhea, acute or chronic, Hepatitis B or C, HIV infection or tuberculosis according to medical records or Legal Guardian (LG)/parent report.
  4. Child has been diagnosed with presence of severe gastrointestinal disorders including celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis according to medical records or Legal Guardian (LG)/parent report.
  5. Child has been diagnosed with neoplastic, renal, hepatic or cardiovascular disease according to medical records or Legal Guardian (LG) /parent report.
  6. Child has been diagnosed with hormonal or metabolic disorders according to medical records or Legal Guardian (LG) /parent report.
  7. Child has been diagnosed with congenital disease or genetic disorders such as atrial or ventricular wall defects, or Down's syndrome according to medical records or Legal Guardian (LG) /parent report.
  8. Child has been diagnosed with infantile anorexia nervosa according to medical records or Legal Guardian (LG) /parent report.
  9. Child has been diagnosed with a developmental disability, including physical disorders such as cerebral palsy, or developmental delay according to medical records or Legal Guardian (LG) /parent report.
  10. Child has been diagnosed with disorders of hemoglobin structure, function or synthesis according to medical records or Legal Guardian (LG) /parent report.
  11. Child has a clinically significant nutritional deficiency requiring specific treatment with another nutritional supplement (other than the study product) as diagnosed by the investigator.
  12. Child has any other clinically significant medical condition, which in the investigator's opinion, makes him or her unsuitable for inclusion in the study.

Sites / Locations

  • Praveen Cardiac Centre
  • St. Theresa's Hospital
  • Sangini Hospital
  • JSS Medical College & Hospital
  • Jehangir Clinical Development Centre, Jehangir Hospital
  • Medipoint Hospitals
  • Noble Hospital
  • Sterling Multispeciality Hospital
  • Kanchi Kamakoti Child Trust Hospital
  • Ajanta Research Centre, Ajanta Hospital & IVF Centre
  • Institute of Child Health

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

No Intervention

Arm Label

Experimental Group 1:

Experimental Group 2

Control Group

Arm Description

Oral nutritional supplement (List No S691/Z0) and dietary counseling

Oral nutritional supplement (List No- P968/Z0) and dietary counseling.

Dietary Counselling only.

Outcomes

Primary Outcome Measures

Change in WHO weight-for-height percentile

Secondary Outcome Measures

Change in weight-for-height WHO z-score
Change in weight-for-age WHO z-score and percentile
Change in height-for-age WHO z-score and percentile
Change in BMI-for-age WHO z-score and percentile
Change in Mid Upper Arm Circumference-for-age WHO z-score and percentile
Average energy macronutrients (Carbohydrates, Fats, & Proteins) and micronutrients consumption via 24 hr dietary recall
Change in appetite score
Palatability scores for the oral nutritional supplements
Change in weight-for-height WHO z-score and percentile
Average energy macronutrients (Carbohydrates, Fats, & Proteins) and micronutrients consumption via 24 hr dietary recall

Full Information

First Posted
August 12, 2015
Last Updated
March 12, 2018
Sponsor
Abbott Nutrition
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1. Study Identification

Unique Protocol Identification Number
NCT02523027
Brief Title
Oral Nutritional Supplementation in Picky Eating Children
Official Title
Oral Nutritional Supplementation in Picky Eating Children
Study Type
Interventional

2. Study Status

Record Verification Date
March 2018
Overall Recruitment Status
Completed
Study Start Date
June 21, 2016 (Actual)
Primary Completion Date
February 17, 2017 (Actual)
Study Completion Date
August 2017 (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 study will investigate the effect of two oral nutritional supplements (ONS) along with dietary counseling vs dietary counseling alone on growth among picky eating children from India, aged > 24 months to ≤ 48 months over a period of 90 days.
Detailed Description
Study Objective: To investigate the effect of two oral nutritional supplements (ONS) along with dietary counseling vs dietary counseling alone on growth among picky eating children from India, aged > 24 months to ≤ 48 months over a period of 90 days. Number of Subjects / Length of Participation: Approximately 321 subjects (107 subjects per group) will be enrolled from estimated 8-10 study centers to obtain at least 255 evaluable subjects (85 subjects per group), assuming 20% attrition rate. Expected total duration for the study is approximately 12 months. Study Design : Prospective, randomized, double blinded study, with two parallel treatment groups and an open-labeled control group multicenter clinical study Eligible subjects will be randomized into three groups Experimental Group 1: Oral nutritional supplement and dietary counseling. (List No S691/Z0) Experimental Group 2: Oral nutritional supplement and dietary counseling. (List No- P968/Z0) Control Group: Dietary counseling.

6. Conditions and Keywords

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

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Phase 2, Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
321 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Experimental Group 1:
Arm Type
Experimental
Arm Description
Oral nutritional supplement (List No S691/Z0) and dietary counseling
Arm Title
Experimental Group 2
Arm Type
Experimental
Arm Description
Oral nutritional supplement (List No- P968/Z0) and dietary counseling.
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
Dietary Counselling only.
Intervention Type
Dietary Supplement
Intervention Name(s)
Oral nutritional supplement (List No S691/Z0)
Intervention Description
(List No S691/Z0)
Intervention Type
Dietary Supplement
Intervention Name(s)
Oral nutritional supplement
Intervention Description
(List No- P968/Z0)
Intervention Type
Other
Intervention Name(s)
Dietary Counselling
Intervention Description
Regular dietary counseling conducted by a trained hospital dietitian.
Primary Outcome Measure Information:
Title
Change in WHO weight-for-height percentile
Time Frame
Day 1 to Day 90
Secondary Outcome Measure Information:
Title
Change in weight-for-height WHO z-score
Time Frame
Day 1 to Day 90
Title
Change in weight-for-age WHO z-score and percentile
Time Frame
Day 1 to Day 90
Title
Change in height-for-age WHO z-score and percentile
Time Frame
Day 1 to Day 90
Title
Change in BMI-for-age WHO z-score and percentile
Time Frame
Day 1 to Day 90
Title
Change in Mid Upper Arm Circumference-for-age WHO z-score and percentile
Time Frame
Day 1 to Day 90
Title
Average energy macronutrients (Carbohydrates, Fats, & Proteins) and micronutrients consumption via 24 hr dietary recall
Time Frame
Days 1, 7, 30, 60 and 90
Title
Change in appetite score
Time Frame
Days 1, 7, 30, 60 and 90
Title
Palatability scores for the oral nutritional supplements
Time Frame
Days 7, 30, 60 and 90
Title
Change in weight-for-height WHO z-score and percentile
Time Frame
Day 1 to Day 90
Title
Average energy macronutrients (Carbohydrates, Fats, & Proteins) and micronutrients consumption via 24 hr dietary recall
Time Frame
Day 1, 7, 30, 60 and 90

10. Eligibility

Sex
All
Minimum Age & Unit of Time
2 Years
Maximum Age & Unit of Time
4 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Child is > 24 months and ≤ 48 months of age at visit 1. Child of either gender (Male and Female). Child has a weight-for-height between 3rd - 15th percentiles according to current WHO Growth Charts at visit 1. (WHO Growth Chart 2007) Child is a picky eater, defined as meeting at least two of the following criteria. A child, who: eats only a limited number of foods is unwilling to try new foods refuses to eat vegetables and/or foods from other food groups shows strong food likes and dislikes has behaviors that disrupt mealtime Child is a habitual milk drinker at least 1 glass (approximately 200mL) of milk daily. Child is able to consume foods and beverages orally. Child's Legal Guardian (LG) or parent(s) is willing to abstain from giving additional non-study nutritional supplements including vitamin/mineral supplements, micronutrient fortified beverages, oral nutritional supplements other than the study product during the study intervention period. Child's Legal Guardian (LG) or parent(s) has voluntarily signed and dated an informed consent form (ICF), approved by an Independent Ethics Committee/Institutional Review Board (IEC/IRB) prior to any participation in the study. Child's Legal Guardian (LG) or parent(s) 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 Legal Guardian (LG) or parent(s)is not planning to relocate during the study period Exclusion Criteria: Child has been diagnosed with Lactose Intolerance & Galactosemia according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed or is known to be allergic or intolerant to any ingredient found in the study product according to medical records or Legal Guardian (LG)/parent report. Child has a current acute or chronic infection including respiratory infection, diarrhea, acute or chronic, Hepatitis B or C, HIV infection or tuberculosis according to medical records or Legal Guardian (LG)/parent report. Child has been diagnosed with presence of severe gastrointestinal disorders including celiac disease, short bowel syndrome, pancreatic insufficiency, or cystic fibrosis according to medical records or Legal Guardian (LG)/parent report. Child has been diagnosed with neoplastic, renal, hepatic or cardiovascular disease according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed with hormonal or metabolic disorders according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed with congenital disease or genetic disorders such as atrial or ventricular wall defects, or Down's syndrome according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed with infantile anorexia nervosa according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed with a developmental disability, including physical disorders such as cerebral palsy, or developmental delay according to medical records or Legal Guardian (LG) /parent report. Child has been diagnosed with disorders of hemoglobin structure, function or synthesis according to medical records or Legal Guardian (LG) /parent report. Child has a clinically significant nutritional deficiency requiring specific treatment with another nutritional supplement (other than the study product) as diagnosed by the investigator. Child has 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
Irfan Shaikh, M.D.
Organizational Affiliation
Abbott Nutrition
Official's Role
Study Chair
Facility Information:
Facility Name
Praveen Cardiac Centre
City
Vijayawada
State/Province
Andhra Pradesh
ZIP/Postal Code
520002
Country
India
Facility Name
St. Theresa's Hospital
City
Hyderabad
State/Province
Erragadda, Sanath Nagar
ZIP/Postal Code
500018
Country
India
Facility Name
Sangini Hospital
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380006
Country
India
Facility Name
JSS Medical College & Hospital
City
Mysore
State/Province
Karnataka
ZIP/Postal Code
570004
Country
India
Facility Name
Jehangir Clinical Development Centre, Jehangir Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
Facility Name
Medipoint Hospitals
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411007
Country
India
Facility Name
Noble Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411013
Country
India
Facility Name
Sterling Multispeciality Hospital
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411044
Country
India
Facility Name
Kanchi Kamakoti Child Trust Hospital
City
Chennai
State/Province
Tamil Nadu
ZIP/Postal Code
600034
Country
India
Facility Name
Ajanta Research Centre, Ajanta Hospital & IVF Centre
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226005
Country
India
Facility Name
Institute of Child Health
City
Kolkata
State/Province
West Bengal
ZIP/Postal Code
700 017
Country
India

12. IPD Sharing Statement

Plan to Share IPD
No

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Oral Nutritional Supplementation in Picky Eating Children

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