A Trial of n-3 PUFA-Enriched Ready to Use Therapeutic Food for Childhood Severe Malnutrition

NCT ID: NCT01593969

Last Updated: 2014-08-18

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

PHASE2

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-05-31

Study Completion Date

2014-06-30

Brief Summary

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The investigators will perform a randomised controlled trial of the provision of food designed for rehabilitation of malnourished children that is supplemented with n-3 fatty acids compared to usual composition. The investigators want to see whether the provision of such a food normalises the deficiencies in essential fatty acids observed in severely malnourished children faster than standard composition.

Detailed Description

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Randomized controlled trial of n-3 Polyunsaturated Fatty Acid-Enriched Therapeutic Food for Severe Malnutrition.

Description of Study Design: Randomized Controlled Trial

Study Duration: 6 months (Trial); 12 months (All trial-related activities)

Description of Intervention: Provision of ready to use food (RUTF) enriched with flax seed oil, with or without fish oil, compared to conventional-composition RUTF. Interventional product will be given until nutritional recovery to a maximum of 12 weeks.

Design: Flax-enriched or standard RUTF allocation is randomised and double blind. Fish oil allocation is randomised within those receiving flax-enriched RUTF and is open label.

Location: Kilifi District, coastal Kenya.

Conditions

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Severe Acute Malnutrition

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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Standard RUTF

Standard RUTF given according to National Guidelines

Group Type ACTIVE_COMPARATOR

Standard RUTF

Intervention Type DIETARY_SUPPLEMENT

Standard formulation RUTF given according to National Guidelines

RUTF/Flax Oil

RUTF/Flax Oil is reformulated RUTF to increase n3 content

Group Type EXPERIMENTAL

RUTF/Flax Oil

Intervention Type DIETARY_SUPPLEMENT

Ready to Use Therapeutic Food

RUTF/Flax Oil plus additional Fish Oil

RUTF/Flax Oil plus additional Fish Oil is RUTF reformulated to increase n3. Fish oil to provide long chain n3

Group Type EXPERIMENTAL

RUTF/Flax Oil plus additional Fish Oil

Intervention Type DIETARY_SUPPLEMENT

Ready to Use Therapeutic Food

Interventions

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RUTF/Flax Oil

Ready to Use Therapeutic Food

Intervention Type DIETARY_SUPPLEMENT

RUTF/Flax Oil plus additional Fish Oil

Ready to Use Therapeutic Food

Intervention Type DIETARY_SUPPLEMENT

Standard RUTF

Standard formulation RUTF given according to National Guidelines

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Children aged 6 months to 5 years old
* Provision of informed consent
* Severe malnutrition (one or more of mid-upper arm circumference \<11.5cm, weight for height z score \<-3, or nutritional oedema)
* Stabilised and eligible to receive RUTF according to national guidelines

Exclusion Criteria

* Known HIV disease, tuberculosis or other chronic infection\*
* Known allergy or hypersensitivity to any of the product ingredients

* Chronic infections such as HIV and tuberculosis and their treatments are likely to cause alterations in lipid metabolism that may confound interpretation of this pilot trial. national guidelines recommend offering provider-initiated testing for HIV for all severely malnourished children, and referral for comprehensive care in the case of a positive test.
Minimum Eligible Age

6 Months

Maximum Eligible Age

5 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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KEMRI-Wellcome Trust Collaborative Research Program

OTHER

Sponsor Role collaborator

University of Oxford

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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James A Berkley, FRCPCH

Role: PRINCIPAL_INVESTIGATOR

KEMRI-Wellcome Trust Collaborative Research Program

Locations

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Kilifi District Hospital

Kilifi, Coast, Kenya

Site Status

Countries

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Kenya

References

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Jones KD, Ali R, Khasira MA, Odera D, West AL, Koster G, Akomo P, Talbert AW, Goss VM, Ngari M, Thitiri J, Ndoro S, Knight MA, Omollo K, Ndungu A, Mulongo MM, Bahwere P, Fegan G, Warner JO, Postle AD, Collins S, Calder PC, Berkley JA. Ready-to-use therapeutic food with elevated n-3 polyunsaturated fatty acid content, with or without fish oil, to treat severe acute malnutrition: a randomized controlled trial. BMC Med. 2015 Apr 23;13:93. doi: 10.1186/s12916-015-0315-6.

Reference Type DERIVED
PMID: 25902844 (View on PubMed)

Other Identifiers

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OPP1046183

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

SSC 2157

Identifier Type: -

Identifier Source: org_study_id

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