Postnatal Choline Supplementation in Children With Prenatal Alcohol Exposure
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
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-
Minnesota
-
Minneapolis, Minnesota, United States, 55454
- University of Minnesota
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Available parent or legal guardian capable of participating in informed consent process
- Documented history of heavy prenatal alcohol exposure (self-report, social service records, or adoption records) or presence of facial dysmorphology characteristic of FASD or both
- Evidence of cognitive deficit in at least one neurocognitive domain
Exclusion Criteria:
- History of neurological condition (ex. epilepsy, cerebral palsy, traumatic brain injury)
- History of medical condition known to affect brain function
- History of other neurodevelopmental disorder (ex. autism, down syndrome)
- History of very low birthweight (<1500 grams)
- History of prenatal exposure to drugs other than alcohol, nicotine, and caffeine
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Choline Bitartrate
Choline Bitartrate supplementation
|
Choline bitartrate 500 mg.
daily, administered in fruit-flavored drink mix.
|
|
Placebo Comparator: Placebo
Placebo for choline bitartrate supplementation
|
Placebo for choline bitartrate, administered daily in fruit-flavored drink mix.
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Side Effects of Choline Bitartrate
Time Frame: Baseline, 6 months, & 9 months
|
Side effects of choline bitartrate will be monitored by the study physician and the P.I. with physical examinations and telephone contact.
|
Baseline, 6 months, & 9 months
|
|
Mullen Scales of Early Learning - Early Learning Composite
Time Frame: Baseline and 9 months
|
The Mullen Scales of Early Learning is a measure of global cognitive development and is a primary outcome measure.
The Early Learning Composite is the total score for this measure.
It is a scaled score with a mean of 100 and a standard deviation of 15 (higher scores indicate better global cognitive status; average range is 85-115; Impaired range is 70 or below; full range is typically 50 - 150, although minimum and maximum scores are dependent on age).
See the Mullen Scales reference manual for more psychometric details.
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Baseline and 9 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Elicited Imitation Task Memory
Time Frame: Baseline, 6 months, and 9 months
|
The Elicited Imitation (EI) paradigm (P.J. Bauer, 1989, Dev.
Psychology) was used to measure memory in the participants at baseline, 6 months, and 9 months.
The measures were items recalled after a delay (delayed items) and pairs of items recalled after a delay (delayed pairs).
The sample was split by age in the analysis (young vs. old) as reflected in the outcome data.
Outcome data measures included here are the slopes of the regression lines reflecting change over the three timepoints, controlling for immediate memory performance on the EI task.The slopes are given, as opposed to the raw scores, because these were the values used in the growth curve analyses.
Details of these analyses are included in Wozniak et al. (2015) AJCN, doi:10.3945/ajcn.114.099168.
NOTE that the means presented below represent the simple slopes that estimate the change in task performance (% of items correct) per 6-month unit of time.
To estimate change in task performance over 9 months, multiply by 1.5.
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Baseline, 6 months, and 9 months
|
|
Evoked Response Potentials Microvolts
Time Frame: Baseline, 6 months, and 9 months
|
Evoked response potentials were measured for the memory task.
Frontal positive slow-wave potential negative component amplitude data are included.
|
Baseline, 6 months, and 9 months
|
|
Evoked Response Potential - Negative Component Latency
Time Frame: Baseline, 6 months, and 9 months
|
Evoked Response Potential - negative component latency data are included.
|
Baseline, 6 months, and 9 months
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Jeffrey R Wozniak, Ph.D., University of Minnesota
- Principal Investigator: Michael Georgieff, M.D., University of Minnesota
Publications and helpful links
General Publications
- Smith SM, Virdee MS, Eckerle JK, Sandness KE, Georgieff MK, Boys CJ, Zeisel SH, Wozniak JR. Polymorphisms in SLC44A1 are associated with cognitive improvement in children diagnosed with fetal alcohol spectrum disorder: an exploratory study of oral choline supplementation. Am J Clin Nutr. 2021 Aug 2;114(2):617-627. doi: 10.1093/ajcn/nqab081.
- Wozniak JR, Fink BA, Fuglestad AJ, Eckerle JK, Boys CJ, Sandness KE, Radke JP, Miller NC, Lindgren C, Brearley AM, Zeisel SH, Georgieff MK. Four-year follow-up of a randomized controlled trial of choline for neurodevelopment in fetal alcohol spectrum disorder. J Neurodev Disord. 2020 Mar 12;12(1):9. doi: 10.1186/s11689-020-09312-7.
- Wozniak JR, Fuglestad AJ, Eckerle JK, Fink BA, Hoecker HL, Boys CJ, Radke JP, Kroupina MG, Miller NC, Brearley AM, Zeisel SH, Georgieff MK. Choline supplementation in children with fetal alcohol spectrum disorders: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2015 Nov;102(5):1113-25. doi: 10.3945/ajcn.114.099168. Epub 2015 Oct 7.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Mental Disorders
- Chemically-Induced Disorders
- Pathologic Processes
- Alcohol-Related Disorders
- Substance-Related Disorders
- Fetal Diseases
- Pregnancy Complications
- Alcohol-Induced Disorders
- Syndrome
- Disease
- Neurodevelopmental Disorders
- Fetal Alcohol Spectrum Disorders
- Molecular Mechanisms of Pharmacological Action
- Antimetabolites
- Gastrointestinal Agents
- Hypolipidemic Agents
- Lipid Regulating Agents
- Nootropic Agents
- Lipotropic Agents
- Choline
Other Study ID Numbers
Other Study ID Numbers
- 0910M73517
- R21AA019580 (U.S. NIH Grant/Contract)
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