Safety and Efficacy of an Infant Formula Supplemented With Galacto-oligosaccharides (GOS)

NCT ID: NCT00486148

Last Updated: 2015-03-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

360 participants

Study Classification

INTERVENTIONAL

Study Start Date

2006-02-28

Study Completion Date

2013-06-30

Brief Summary

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The purpose of this study is to determine the safety and efficacy of an infant formula supplemented with a "prebiotic" component (GOS) in improving the gut microflora balance, mimicking that of breast-fed infants.

Detailed Description

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Oligosaccharides are one of the major breast milk components. They are not digested and reach the colon where they're used by selected groups of microflora positive bacteria, specifically bifidobacteria and lactobacilli.

Therefore, oligosaccharides have prebiotic effects accountable for health benefits in infants.

Over the last years the supplementation of infant formulae has been studied to mimic breast milk prebiotic functions enhancing gut microflora growth similar to that of breast fed infants.

However further scientific data are necessary to support the efficacy of the supplementation of oligosaccharide in infant formulae.

Conditions

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Nutritional Safety

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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group "S"

Breast milk

Group Type NO_INTERVENTION

No interventions assigned to this group

group "A"

Control Infant formula

Group Type NO_INTERVENTION

No interventions assigned to this group

group "B"

Infant formula supplemented with 0.4 g/100 ml of oligosaccharides

Group Type EXPERIMENTAL

Infant formula (with GOS)

Intervention Type OTHER

Infant formula supplemented with 0.4 g/100 ml of galacto-oligosaccharides

Interventions

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Infant formula (with GOS)

Infant formula supplemented with 0.4 g/100 ml of galacto-oligosaccharides

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Healthy infants of both sexes, born at term with natural labor or cesarean birth
2. Single birth
3. Infant born between 37th - 42th gestation week (included)
4. Infant with birth weight ≥ 2500 g
5. APGAR score after 5 minutes of life \> 7
6. Infant born from parents of Caucasian race
7. Exclusive breast feeding or formula feeding within 15 days from birth.
8. Consensus form signed by both parents or by the legal tutor properly informed of the study.
9. Parents able to understand the protocol requirements and to fill out the infants Diary.

Exclusion Criteria

1. Infant with inborn malformation and with hereditary and/or chronic and/or inborn diseases requiring hospital care superior to 7 days.
2. Diseases jeopardizing intrauterine growth.
3. Infant born from mother suffering from dismetabolic and/or chronic diseases.
4. Unknown father
5. Infant with parents who might not report at hospital controls or not follow the protocol.
6. Infant already enrolled or selected for another clinical trial.
Minimum Eligible Age

1 Day

Maximum Eligible Age

15 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Heinz Italia SpA

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Carlo Agostoni, Prof

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliera San Paolo

Gian Vincenzo Zuccotti, Prof

Role: PRINCIPAL_INVESTIGATOR

Azienda Ospedaliera "Luigi Sacco"

Giacomo Biasucci, Dr

Role: PRINCIPAL_INVESTIGATOR

Ospedale Civile "G. da Saliceto"

Fabio Alberto Podestà, Dr

Role: PRINCIPAL_INVESTIGATOR

Ospedale San Carlo Borromeo

Amilcare Rottoli, Dr

Role: PRINCIPAL_INVESTIGATOR

"Casa Pia Ospitaliera Uboldo" - Ospedale "Santa Maria delle Stelle"

Cino Galluzzo, Dr

Role: PRINCIPAL_INVESTIGATOR

Ospedale "Sacra Famiglia del Fatebenefratelli"

Locations

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"Casa Pia Ospitaliera Uboldo" Unità Operativa di Pediatria e Neonatologia

Cernusco Sul Naviglio (Milan), , Italy

Site Status

Ospedale "Sacra Famiglia del Fatebenefratelli" Unità Operativa di Pediatria e Neonatologia

Erba (Como), , Italy

Site Status

Ospedale "Santa Maria delle Stelle" Unità Operativa di Pediatria e Neonatologia

Melzo (MI), , Italy

Site Status

Azienda ospedaliera "San Paolo", Dipartimento di Pediatria

Milan, , Italy

Site Status

Ospedale "San Carlo Borromeo" Unità Operativa di Pediatria

Milan, , Italy

Site Status

Azienda Ospedaliera "Luigi Sacco" Unità Operativa di Pediatria

Milan, , Italy

Site Status

Ospedale Civile "G. da Saliceto" Unità Operativa di Pediatria

Piacenza, , Italy

Site Status

Countries

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Italy

References

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Schmelzle H, Wirth S, Skopnik H, Radke M, Knol J, Bockler HM, Bronstrup A, Wells J, Fusch C. Randomized double-blind study of the nutritional efficacy and bifidogenicity of a new infant formula containing partially hydrolyzed protein, a high beta-palmitic acid level, and nondigestible oligosaccharides. J Pediatr Gastroenterol Nutr. 2003 Mar;36(3):343-51. doi: 10.1097/00005176-200303000-00008.

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Orrhage K, Nord CE. Factors controlling the bacterial colonization of the intestine in breastfed infants. Acta Paediatr Suppl. 1999 Aug;88(430):47-57. doi: 10.1111/j.1651-2227.1999.tb01300.x.

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Benno Y, Sawada K, Mitsuoka T. The intestinal microflora of infants: composition of fecal flora in breast-fed and bottle-fed infants. Microbiol Immunol. 1984;28(9):975-86. doi: 10.1111/j.1348-0421.1984.tb00754.x.

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Lundequist B, Nord CE, Winberg J. The composition of the faecal microflora in breastfed and bottle fed infants from birth to eight weeks. Acta Paediatr Scand. 1985 Jan;74(1):45-51. doi: 10.1111/j.1651-2227.1985.tb10919.x.

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Heine W, Mohr C, Wutzke KD. Host-microflora correlations in infant nutrition. Prog Food Nutr Sci. 1992;16(2):181-97.

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Kunz C, Rodriguez-Palmero M, Koletzko B, Jensen R. Nutritional and biochemical properties of human milk, Part I: General aspects, proteins, and carbohydrates. Clin Perinatol. 1999 Jun;26(2):307-33.

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Kunz C, Rudloff S, Baier W, Klein N, Strobel S. Oligosaccharides in human milk: structural, functional, and metabolic aspects. Annu Rev Nutr. 2000;20:699-722. doi: 10.1146/annurev.nutr.20.1.699.

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Engfer MB, Stahl B, Finke B, Sawatzki G, Daniel H. Human milk oligosaccharides are resistant to enzymatic hydrolysis in the upper gastrointestinal tract. Am J Clin Nutr. 2000 Jun;71(6):1589-96. doi: 10.1093/ajcn/71.6.1589.

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Erney RM, Malone WT, Skelding MB, Marcon AA, Kleman-Leyer KM, O'Ryan ML, Ruiz-Palacios G, Hilty MD, Pickering LK, Prieto PA. Variability of human milk neutral oligosaccharides in a diverse population. J Pediatr Gastroenterol Nutr. 2000 Feb;30(2):181-92. doi: 10.1097/00005176-200002000-00016.

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Giovannini M, Riva E, Banderali G, Scaglioni S, Veehof SH, Sala M, Radaelli G, Agostoni C. Feeding practices of infants through the first year of life in Italy. Acta Paediatr. 2004 Apr;93(4):492-7. doi: 10.1080/08035250410025591.

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Howie PW, Forsyth JS, Ogston SA, Clark A, Florey CD. Protective effect of breast feeding against infection. BMJ. 1990 Jan 6;300(6716):11-6. doi: 10.1136/bmj.300.6716.11.

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Other Identifiers

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PLA-1-GOS-05

Identifier Type: -

Identifier Source: org_study_id

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