Effectiveness of Nutritional Supplementation in Preventing Malnutrition in Children With Infection

NCT ID: NCT01154803

Last Updated: 2013-10-16

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

2213 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2013-02-28

Brief Summary

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The purpose of this study is to determine whether 14 days nutritional supplementation with Ready to use therapeutic Food (RUTF) or micronutrients alone to children having an infection will prevent malnutrition and reduce the frequency of morbidity.

Detailed Description

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Anorexia due to infection might lead to weight loss. In many settings total recovery is problematic what might result in a permanent lower weight. A short period high quality food supplementation could improve weight gain after an infection.

A complete high quality food will be tested, but also micronutrients alone as there is no information on what children with an infection exactly need as a supplement.

Children aged 6-59 months presenting with diarrhoea, malaria or lower respiratory tract infection (LRTI) are provided for 2 weeks with

* RUTF supplement (Plumpynut®) of 500 kcal/day
* Multi-micronutrient powder (MNP)
* Placebo to MNP

The followup period is 6 months. Anthropometric indicators and morbidity are assessed monthly. Participants are invited to attend the study clinic if any signs of disease are noticed.

Conditions

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Malnutrition Malaria Lower Respiratory Tract Infection Diarrhoea

Keywords

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Supplementation RUTF Micronutrients Plumpynut Mixme sprinkles convalescence weight morbidity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Ready to Use Therapeutic Food (RUTF)

500 kcal /day for 2 weeks

Group Type EXPERIMENTAL

Ready to Use Therapeutic Food (RUTF)

Intervention Type DIETARY_SUPPLEMENT

1 sachet/day, 500 kcal and multi micronutrients (fortified high quality food(RUTF),for 2 weeks after an illness (malaria, diarrhoea, pneumonia)

Micronutrient Powder (MNP)

2 x 1 g sachets micronutrients /day for 2 weeks

Group Type EXPERIMENTAL

Micronutrient Powder (MNP)

Intervention Type DIETARY_SUPPLEMENT

2 sachets / day for 14 days after an illness (diarrheoea, malaria, pneumonia)

no supplement

no supplementation

Group Type NO_INTERVENTION

No interventions assigned to this group

Interventions

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Ready to Use Therapeutic Food (RUTF)

1 sachet/day, 500 kcal and multi micronutrients (fortified high quality food(RUTF),for 2 weeks after an illness (malaria, diarrhoea, pneumonia)

Intervention Type DIETARY_SUPPLEMENT

Micronutrient Powder (MNP)

2 sachets / day for 14 days after an illness (diarrheoea, malaria, pneumonia)

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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RUTF: Nutriset MNP: DSM

Eligibility Criteria

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Inclusion Criteria

* 6 to 59 months of age
* Not malnourished or moderately acutely malnourished children
* Diagnosis of malaria and/or diarrhoea and/or LRTI
* Intending to remain in area for the duration of the 6 month follow-up
* Living within approximately 60 minutes walking distance from the clinic
* Informed consent from a guardian\*

Exclusion Criteria

* Child is exclusively breastfeeding
* Child is severely malnourished
* Presence of 'General Danger Signs'
* Presence of severe disease (including severe malaria, severe LRTI, severe diarrhoea)
* Needing hospitalisation for any reason
* Known history of allergy to the nutritional supplementation
* Having a sibling enrolled in the study\*
Minimum Eligible Age

6 Months

Maximum Eligible Age

59 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Medecins Sans Frontieres, Netherlands

OTHER

Sponsor Role lead

Responsible Party

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Saskia van der Kam

Ir

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Saskia Kam van der, Ir

Role: PRINCIPAL_INVESTIGATOR

Medecins Sans Frontieres Amsterdam

Locations

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Goronyo health clinic outpatient department

Goronyo, Sokoto State, Nigeria

Site Status

Countries

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Nigeria

References

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van der Kam S, Salse-Ubach N, Roll S, Swarthout T, Gayton-Toyoshima S, Jiya NM, Matsumoto A, Shanks L. Effect of Short-Term Supplementation with Ready-to-Use Therapeutic Food or Micronutrients for Children after Illness for Prevention of Malnutrition: A Randomised Controlled Trial in Nigeria. PLoS Med. 2016 Feb 9;13(2):e1001952. doi: 10.1371/journal.pmed.1001952. eCollection 2016 Feb.

Reference Type DERIVED
PMID: 26859559 (View on PubMed)

Other Identifiers

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MSF-nutcon02

Identifier Type: -

Identifier Source: org_study_id