Milk And Growth In Children (MAGIC) Born Very Preterm: A Randomized Trial

NCT ID: NCT06420531

Last Updated: 2025-09-17

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

RECRUITING

Clinical Phase

NA

Total Enrollment

486 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-09-16

Study Completion Date

2030-08-30

Brief Summary

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The goal of this multi-center randomized, parallel group trial is to determine the effect of human milk diets ranging between 180 and 200 mL/kg/day on the body composition outcomes of moderately preterm infants born between 27 and 31 weeks of gestation.

Detailed Description

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Participants will be randomized once they reach 120 mL/kg/day. Clinicians will be able to increase feeds each day as they see fit, until the patient reaches the target goal of 140-160 mL/kg/day or 180-200 mL/kg/day. They will then maintain this volume until 34 weeks postmenstrual age. Researchers will compare these two targets to see if higher feeding volumes prevent faltering growth without causing adverse metabolic outcomes.

Participants will:

* Have a feeding volume of 180-200 mL/kg/day or a volume of 140-160 mL/kg/day until 34 weeks corrected age
* Have four body composition assessments with a bioelectrical impedance analyzer throughout study period
* Have four stool samples collected throughout study period
* Have four maternal breastmilk samples collected and analyzed throughout the study period
* Have one blood sample collected at 36 weeks corrected age
* Have the option to participate in a follow-up survey completed by parents at 2-3 years of age

Conditions

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Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Assignment
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Intervention: 180-200 mL/kg/day of human milk

Study participants randomized to the intervention group will receive 180-200 mL/kg/day of human milk for 34 weeks corrected age.

Group Type EXPERIMENTAL

Human milk

Intervention Type DIETARY_SUPPLEMENT

maternal breastmilk or donor breastmilk

Control:140-160 mL/kg/day of human milk

Study participants randomized to the control group will receive 140-160 mL/kg/day of human milk for 34 weeks corrected age.

Group Type PLACEBO_COMPARATOR

Human milk

Intervention Type DIETARY_SUPPLEMENT

maternal breastmilk or donor breastmilk

Interventions

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Human milk

maternal breastmilk or donor breastmilk

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Gestational age between 27 0/7 and 31 6/7 weeks
* Birthweight of 1500 grams or less
* Human milk feeding during the first 14 days after birth
* Full enteral feeding (120mL/kg/day or more) within the first 14 days after birth

Exclusion Criteria

* Necrotizing enterocolitis stage 2 or greater
* Spontaneous intestinal perforation
* Major congenital/chromosomal anomalies
* Terminal illness requiring limited or withheld support
* Intention to restrict fluid intake after the first 14 postnatal days due to the presence of a symptomatic patent ductus arteriosus (PDA)
* Any formula feeding within the first 14 days after birth
Minimum Eligible Age

6 Hours

Maximum Eligible Age

4 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Ariel A. Salas

Associate Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ariel A. Salas, MD, MSPH

Role: PRINCIPAL_INVESTIGATOR

UAB Hospital

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status RECRUITING

University of Mississippi Medical Center

Jackson, Mississippi, United States

Site Status NOT_YET_RECRUITING

University of Texas Southwestern Medical Center at Dallas

Dallas, Texas, United States

Site Status NOT_YET_RECRUITING

University of Texas Health Science Center at Houston

Houston, Texas, United States

Site Status NOT_YET_RECRUITING

Countries

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United States

Central Contacts

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Ariel A. Salas, MD, MSPH

Role: CONTACT

205-934-4680

Facility Contacts

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Ariel A. Salas, MD, MSPH

Role: primary

205-934-4680

Simon Karam, MD

Role: primary

601-815-3464

Eric Ortigoza, MD, MSCR

Role: primary

214-648-3903

Mar Romero-Lopez, MD, PhD

Role: primary

713-500-7283

Other Identifiers

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IRB-300013026

Identifier Type: -

Identifier Source: org_study_id

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