Effect of Infant Formula With Bovine Lactoferrin and Low Iron Concentration on Infant Health and Immune Function

NCT ID: NCT02103205

Last Updated: 2024-05-16

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

252 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-06-30

Study Completion Date

2024-05-31

Brief Summary

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Breast milk is the gold standard of early infant nutrition and breastfed infants have advantages in several short and long term outcomes compared to those formula-fed.

The first aim of this study is to evaluate the effect of adding bovine lactoferrin to infant formula. The general hypothesis is that bovine lactoferrin reduces some of the previously observed differences between formula-fed and breast-fed infants with regard to health and development. The main outcome studied is the effect on immune function. The second aim is to study the effects of lower iron concentration in infant formula and to test the hypothesis that iron can be lowered without negative effects on health and development. The main outcome studied here is iron status. Other outcomes in this trial are microbiota composition, metabolomics, growth, body composition and cognitive development.

To test the lactoferrin hypothesis, formula-fed infants will be recruited and fed a low iron (2 mg/L) control formula, or the same formula supplemented with bovine lactoferrin. To test the iron hypothesis, a third group will be fed the same formula (no lactoferrin) with higher iron concentration (8 mg/L). Group allocation for all formula-fed infants will be double-blind randomized. Additionally, breast-fed infants will be recruited and used as a reference group (gold standard).

Detailed Description

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Conditions

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Health of Formula-fed Children Infant Infections in Formula-fed Children Iron Status of Formula-fed Children

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Low iron, with lactoferrin

Low iron, with lactoferrin

Group Type ACTIVE_COMPARATOR

Formula with low iron concentration (2 mg/L) supplemented with bovine lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Low iron, no lactoferrin

Low iron, no lactoferrin

Group Type ACTIVE_COMPARATOR

Formula with low iron concentration (2mg/L) without lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Normal iron, no lactoferrin

Normal iron, no lactoferrin

Group Type PLACEBO_COMPARATOR

Formula with normal iron concentration (8 mg/L) without lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Interventions

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Formula with low iron concentration (2 mg/L) supplemented with bovine lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Formula with low iron concentration (2mg/L) without lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Formula with normal iron concentration (8 mg/L) without lactoferrin

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

Formula-fed healthy infants at 6 +/- 2 weeks of age with:

* birth weight 2500-4500 g
* gestational age at birth ≥ 37 completed weeks
* no chronic disease or neonatal diagnoses believed to affect any outcome
* no given blood transfusions or iron supplements

Exclusion Criteria

\-
Minimum Eligible Age

4 Weeks

Maximum Eligible Age

8 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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University of California

OTHER

Sponsor Role collaborator

Mead Johnson Nutrition

INDUSTRY

Sponsor Role collaborator

Umeå University

OTHER

Sponsor Role lead

Responsible Party

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Staffan Berglund

MD, PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Staffan K Berglund, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Umeå University

Olle Hernell, Professor

Role: PRINCIPAL_INVESTIGATOR

Umeå University

Bo Lönnerdal, Professor

Role: PRINCIPAL_INVESTIGATOR

University of California

Carolyn Slupsky, PhD

Role: PRINCIPAL_INVESTIGATOR

University of California

Locations

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Umeå University, Department of Clinical Sciences

Umeå, , Sweden

Site Status

Countries

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Sweden

References

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Bjormsjo M, Hernell O, Lonnerdal B, Berglund SK. Immunological Effects of Adding Bovine Lactoferrin and Reducing Iron in Infant Formula: A Randomized Controlled Trial. J Pediatr Gastroenterol Nutr. 2022 Mar 1;74(3):e65-e72. doi: 10.1097/MPG.0000000000003367.

Reference Type DERIVED
PMID: 34908015 (View on PubMed)

Other Identifiers

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LIME2014

Identifier Type: -

Identifier Source: org_study_id

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