The Impact of Legumes vs Corn-soy Flour on Environmental Enteric Dysfunction in Rural Malawian Children 1-3 Year Olds

NCT ID: NCT02472301

Last Updated: 2017-05-11

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

337 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-08-31

Study Completion Date

2016-12-31

Brief Summary

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To determine if 12 months of legume-based complementary foods is effective in reducing or reversing EED and linear growth faltering in a cohort of Malawian children, aged 12-35 months to see if these improvements are correlated with specific changes in the enteric microbiome.

Detailed Description

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Conditions

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Environmental Enteropathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Cowpeas

Cowpea supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Group Type EXPERIMENTAL

cowpeas complementary food

Intervention Type DIETARY_SUPPLEMENT

cowpeas supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Common bean

Common bean supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Group Type EXPERIMENTAL

common bean complementary food

Intervention Type DIETARY_SUPPLEMENT

common bean supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Corn Soy Flour

Corn flour with 10% soy supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Group Type ACTIVE_COMPARATOR

corn-soy flour

Intervention Type DIETARY_SUPPLEMENT

Corn-soy flour supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Interventions

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cowpeas complementary food

cowpeas supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Intervention Type DIETARY_SUPPLEMENT

corn-soy flour

Corn-soy flour supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Intervention Type DIETARY_SUPPLEMENT

common bean complementary food

common bean supplementary food that will be approximately 15% of the calculated total daily intake. Children will receive the food for 12 months.

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* children residing in catchment area of Limela, Machinga District and N tenda (Chikwawa District), Malawi
* aged 12-35 months
* youngest eligible child in each household

Exclusion Criteria

* Demonstrating evidence of severe acute malnutrition, WHZ \< or = -3, presence of bi-pedal pitting edema
* Apparent need for acute medical treatment for an illness or injury
* Caregiver refusal to participate and return for 3, 6 and 12 month follow-ups
Minimum Eligible Age

12 Months

Maximum Eligible Age

35 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Washington University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Mark Manary, MD

Role: PRINCIPAL_INVESTIGATOR

Washington University School of Medince

Locations

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Blantyre, , Malawi

Site Status

Countries

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Malawi

References

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Kaimila Y, Pitman RT, Divala O, Hendrixson DT, Stephenson KB, Agapova S, Trehan I, Maleta K, Manary MJ. Development of Acute Malnutrition Despite Nutritional Supplementation in Malawi. J Pediatr Gastroenterol Nutr. 2019 May;68(5):734-737. doi: 10.1097/MPG.0000000000002241.

Reference Type DERIVED
PMID: 31022095 (View on PubMed)

Borresen EC, Zhang L, Trehan I, Nealon NJ, Maleta KM, Manary MJ, Ryan EP. The Nutrient and Metabolite Profile of 3 Complementary Legume Foods with Potential to Improve Gut Health in Rural Malawian Children. Curr Dev Nutr. 2017 Sep 21;1(10):e001610. doi: 10.3945/cdn.117.001610. eCollection 2017 Oct.

Reference Type DERIVED
PMID: 29955682 (View on PubMed)

Agapova SE, Stephenson KB, Divala O, Kaimila Y, Maleta KM, Thakwalakwa C, Ordiz MI, Trehan I, Manary MJ. Additional Common Bean in the Diet of Malawian Children Does Not Affect Linear Growth, but Reduces Intestinal Permeability. J Nutr. 2018 Feb 1;148(2):267-274. doi: 10.1093/jn/nxx013.

Reference Type DERIVED
PMID: 29490090 (View on PubMed)

Trehan I, Benzoni NS, Wang AZ, Bollinger LB, Ngoma TN, Chimimba UK, Stephenson KB, Agapova SE, Maleta KM, Manary MJ. Common beans and cowpeas as complementary foods to reduce environmental enteric dysfunction and stunting in Malawian children: study protocol for two randomized controlled trials. Trials. 2015 Nov 14;16:520. doi: 10.1186/s13063-015-1027-0.

Reference Type DERIVED
PMID: 26578308 (View on PubMed)

Other Identifiers

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LG2

Identifier Type: -

Identifier Source: org_study_id

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