Tolerance of Extensive Hydrolyzed Whey Protein Milk Among Infant With Mild to Moderate CMPA

NCT ID: NCT06204770

Last Updated: 2025-04-01

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

PHASE4

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-07-14

Study Completion Date

2024-01-31

Brief Summary

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The goal of this clinical trial is to evaluate the tolerance, safety and efficacy of Nutribaby Royal Pepti Junior (NR Pepti) among infants with mild to moderate Cow's Milk Protein Allergy (CMPA).

The main questions it aims to answer are:

1. Is NR Pepti tolerable among infants with mild to moderate CMPA?
2. Is NR Pepti safe and effective among infants with mild to moderate CMPA?

Participants will be asked to use NR Pepti as part their management of mild to moderate CMPA

Detailed Description

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This study will be carried out by a principal investigator and co-investigators, all of whom will collaborate with doctors from Indonesian Pediatric Society (IDAI) in the Jakarta, Bogor, Depok, Tangerang and Bekasi (Jabodetabek) area. The following is the flow of subject recruitment:

1. Investigators will make direct contact with their patients and also recruit subjects through referral from IDAI pediatricians in the Jabodetabek area who have potential eligible patients for this study.
2. The media to be used in the recruitment are leaflets which firstly will be reviewed by the Ethics Committee. The leaflet will summarize information regarding the study and the referral procedures.
3. If the pediatrician has a subject that meets the eligibility criteria, they may reach the Principal Investigator (PI) or Study Team.
4. The Study Team will arrange discussion between pediatricians and the study team. The investigators will then carry out a brief assessment on the subject's inclusion and exclusion criteria.
5. If declared feasible and IDAI's pediatricians agree to refer their subject(s), the study team will coordinate with the pediatricians about their status in the study, and will coordinate with the subject to assign them to one of the listed sites run by investigators.
6. After the subject is completely transferred to the study site, the investigator will perform an informed consent process and continue by assessing the subject's inclusion and exclusion criteria on site.
7. If the assessment passed, the study team can start to intervene on the subject according to the provisions of the protocol.
8. During the intervention period, the study team will be assisted by Study Coordinator (SC) in maintaining the availability of milk investigational products for the subjects.

Conditions

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Mild to Moderate Cows' Milk Protein Allergy

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Participants will be asked to use NR Pepti as part their management of mild to moderate Cow's milk protein allergy
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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groups of infants with CMPA

Administered treatment for 4 weeks during intervention period.

Group Type EXPERIMENTAL

extensive hydrolyzed protein formula

Intervention Type OTHER

NR Pepti is infant formula for special medical purposes based on extensive hydrolyzed whey protein for infants aged 0-12 months. This milk is intended for cow's milk protein allergy. This product is lactose free with medium chain triglycerides (MCT)

Interventions

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extensive hydrolyzed protein formula

NR Pepti is infant formula for special medical purposes based on extensive hydrolyzed whey protein for infants aged 0-12 months. This milk is intended for cow's milk protein allergy. This product is lactose free with medium chain triglycerides (MCT)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Pediatric patients (3-11 months) that are diagnosed with mild and moderate CMPA by HCPSs (Health Care Professional) having ≥ 1 symptoms such as:

* Gastrointestinal: Frequent regurgitation, Vomiting, Diarrhea, Constipation, Blood in stool without failure to thrive
* Dermatological: Atopic dermatitis, Swelling of lips or eyelids, Urticaria unrelated to acute infections, drug intake, or other causes
* Respiratory: Runny nose, Recurrent otitis media, Chronic cough, Broncho-constriction unrelated to infection
* General: Persistent distress, Colic (≥ 3 h/day wailing/irritable) over a period of \> 3 weeks CMPA patients who have another food allergy are still allowed to participate in this study.
2. Subjects consumed only formula or mixed feeding (breast milk and formula milk, with maximum two times of breastfeeding in a day). Subject consuming weaning or complementary food is still allowed.
3. Mothers with mix-fed children willing to eliminate consuming any cow's milk product during the mix-fed period to avoid allergy onset due to breast milk.
4. Subject willing to stop any other formula while participating in this study
5. Subject willing to adhere to the investigator's prescription for daily IP consumption during the study.
6. Every patient that has been diagnosed with symptom-based CMPA must also have a record of being treated by consultant's ≥ 2 times for the past 2 weeks before screening (the 2nd consultation could also be on the screening visit).
7. Every patient needs to have at least 1 diagnosis result to confirm symptom-based CMPA. (Previous diagnosis methods could be used if available. If previous result is not available, HCP will perform one of the method mention in the protocol, the chosen diagnosis method is given to the HCP to be determined).
8. At the screening visit, the patient's SBS score must be minimum 1.

Exclusion Criteria

1. Pediatric patients who have other immunologic disorders history.
2. Pediatric patients with congenital metabolic disorders, anatomic abnormalities, celiac disease, pancreatic insufficiency (cystic fibrosis), lactose intolerance, non-allergic gastro esophageal reflux disease, malignancy, and infection (Differential Diagnosis).
Minimum Eligible Age

3 Months

Maximum Eligible Age

11 Months

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Danone Specialized Nutrition Indonesia

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nia Kurniati, PhD

Role: PRINCIPAL_INVESTIGATOR

Pediatric Department, Faculty of Medicine, Universitas Indonesia

Locations

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Prof. Dr. dr. Zakiudin Munasir, Sp.A (K)'s private clinic

Tangerang, Banten, Indonesia

Site Status

Siloam Hospital Lippo Vilage

Tangerang, Banten, Indonesia

Site Status

dr. Martani Widjajanti Sukarlan, Sp.A (K)'s private clinic

Jakarta, DKI Jakarta, Indonesia

Site Status

RSUPN Dr. Cipto Mangunkusumo Kencana and Kiara

Jakarta, DKI Jakarta, Indonesia

Site Status

Hermina Hospital Depok

Depok, West Java, Indonesia

Site Status

Countries

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Indonesia

Other Identifiers

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180923

Identifier Type: -

Identifier Source: org_study_id

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