Dietary Protein in the Very-low-birth-weight Infant

NCT ID: NCT01208493

Last Updated: 2015-03-26

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

TERMINATED

Clinical Phase

NA

Total Enrollment

70 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2012-04-30

Brief Summary

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In this randomized study The investigators aim to compare the growth of very-low-birth-weight (VLBW) infants fed either a high protein or a standard protein preterm infant formula.

Babies will be fed the assigned formula between the time they achieve full enteral feeds and hospital discharge, for a minimum of 3 weeks. The weight gain (g/d) will be measured and compared between groups. Feeding tolerance, protein-energy status and body composition between the study groups will also be analysed.

After discharge, babies will be fed a post-discharge preterm infant formula (PDF) between hospital discharge and 3 m corrected age.

Detailed Description

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Conditions

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Prematurity

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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high protein preterm infant formula

preterm infant formula with high protein levels

Group Type EXPERIMENTAL

preterm infant formula with high protein levels

Intervention Type OTHER

minimum 3 weeks feeding until hospital discharge

control preterm formula

Group Type ACTIVE_COMPARATOR

preterm standard infant formula

Intervention Type OTHER

minimum 3 weeks feeding until hospital discharge

Interventions

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preterm infant formula with high protein levels

minimum 3 weeks feeding until hospital discharge

Intervention Type OTHER

preterm standard infant formula

minimum 3 weeks feeding until hospital discharge

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Gestational age \<32 w, determined by maternal dates, fetal ultrasound, Dubowitz/Ballard examination or a combination thereof
* Birth weight ≤1500 g
* Tolerating an enteral intake of ≥100 ml/kg/d for ≥ 24 h
* Subject is anticipated to receive the study formula for ≥ 3 consecutive weeks after FEF have been achieved
* In infants fed human milk, formula is anticipated to provide 50% or more of total energy intake, calculated on a weekly basis and based on the assumption that human milk has an energy density of 67 kcal/dl
* Written informed consent has been obtained from the legal representative

Exclusion Criteria

* Cardiac failure requiring fluid restriction with diuretic therapy for ≥ 3 consecutive days
* Peri-/intra-ventricular haemorrhage (grade 3-4) determined using cranial ultrasonography
* Renal disease: by symptoms (oliguria, anuria, proteinuria, hematuria) associated with an increased BUN and creatinine
* Sepsis: defined by symptoms requiring antibiotic therapy and confirmed by a positive blood culture
* Necrotizing Enterocolitis: defined by feeding intolerance associated with positive x-ray findings (pneumatosis intestinalis - Bell Stage 2; air in the biliary tract or free air in the peritoneum - Bell Stage 3)
* Hepatic dysfunction: defined by jaundice (direct bilirubin \>1.0 mg/dl) which is associated with one or more abnormal liver function tests (AST, ALT or GGT)
* Lung disease, severe enough to require steroid therapy.
* Small size for gestational age (SGA) - body weight ≤ 5th percentile for that gestational age.
* Participation in another clinical trial that may affect outcomes of this study
Minimum Eligible Age

1 Day

Maximum Eligible Age

10 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Société des Produits Nestlé (SPN)

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Richard J Cooke, MD

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatrics St Louis University

Locations

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Department of Pediatrics St Louis University

St Louis, Missouri, United States

Site Status

Service Universitaire de Néonatologie CHR de la Citadelle

Liège, , Belgium

Site Status

Service de néonatologie Hôpital de la Croix Rousse

Lyon, , France

Site Status

Department of Child Health Royal Victoria Infirmary

Newcastle upon Tyne, , United Kingdom

Site Status

Countries

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United States Belgium France United Kingdom

Other Identifiers

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04.26.INF

Identifier Type: -

Identifier Source: org_study_id

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