Goat Infant Formula Feeding and Eczema (the GIraFFE Study) (GIraFFE)
Effects of Infant Feeding With Goat Milk Formula or Cow Milk Formula on Atopic Dermatitis
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Contact
Study Contact
- Name: Sophie Gallier, PhD
- Phone Number: +64 7 848 9252
- Email: sophie.gallier@dgc.co.nz
Study Locations
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Munich, Germany
- Dr. von Hauner Children's Hospital, LMU University Hospital Munich
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Olsztyn, Poland
- Wojewodzki Specjalistyczny Szpital Dzieciecy
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Poznan, Poland
- Karol Jonscher's University Hospital
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Rzeszów, Poland
- Medical College of Rzeszow University
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Warsaw, Poland
- Children's Memorial Health Institute
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Almería, Spain
- Unit of Pediatric Gastroenterology and Nutrition, Torrecardenas University Hospital
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Granada, Spain
- EURISTIKOS Excellence Centre for Paediatric Research, University of Granada
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Madrid, Spain
- Department of Neonatology, Hospital Universitario La Paz
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Reus, Spain
- Hospital Universitari Sant Joan de Reus
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Tarragona, Spain
- Hospital Universitari Joan XXIII de Tarragona
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Valencia, Spain
- INCLIVA Health Research Institute
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Zaragoza, Spain
- Hospital Clinico Universitario Lozano Blesa, Instituto de investigacion Sanitaria de Aragon
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Having obtained written informed consent (signed and dated) of the child's parent(s)/caregiver(s), indicating that the child's parent(s)/caregiver(s) has/have been informed of all pertinent aspects of the study
- Born full term (≥37 weeks +0 days and ≤ 41 weeks +6 days of gestation)
- Age at enrolment < 3 months of age (<90 days)
- Birth weight ≥2.5 kg and ≤4.5 kg
- Born from a singleton pregnancy
- Child's parent(s)/caregiver(s) is/are of legal age of consent
- The child's parent(s)/caregiver(s) have sufficient local language skills to understand the study information, the informed consent, and to comply with the study procedure
- The child's parent(s)/caregiver(s) is/are willing and deemed able to fulfil the requirements of the study protocol and procedures
- Mother has expressed the intention to partially (in combination with breastfeeding) or fully formula-feed
Exclusion Criteria:
- Diagnosed disorder considered to interfere with nutrition, growth or development of the immune system
- Participation of the child in any other interventional trial or participation of the mother in any intervention trial with child follow-up
- Infant has a doctor's diagnosis of atopic dermatitis or a severe widespread skin condition prior to randomization that would make the detection or assessment of atopic dermatitis difficult
- Infant has consumed an infant formula for more than 4 weeks prior to enrolment
- Cow milk allergy or intolerance
- Institutionalized infant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: Experimental formula
Infant and follow-on goat milk formula
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Infant formula and follow-on formula made from whole goat milk
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Active Comparator: Control formula
Infant and follow-on cow milk formula
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Infant formula and follow-on formula made from cow's milk ingredients
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cumulative incidence of atopic dermatitis up to the age of 12 months
Time Frame: Age 12 months
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Cumulative incidence of atopic dermatitis up to the age of 12 months diagnosed by study personnel (defined as meeting the UK Working Party Diagnostic Criteria for atopic dermatitis)
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Age 12 months
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Cumulative incidence of atopic dermatitis up to the age of 24 and 60 months
Time Frame: Age 24 and 60 months
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Cumulative incidence of atopic dermatitis up to the age of 24 and 60 months diagnosed by study personnel (defined as meeting the UK Working Party Diagnostic Criteria for atopic dermatitis)
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Age 24 and 60 months
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Cumulative incidence of parental reported diagnosis of atopic dermatitis up to the age of 12, 24 and 60 months
Time Frame: Age 12, 24 and 60 months
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Cumulative incidence of parental reported diagnosis of atopic dermatitis up to the age of 12, 24 and 60 months, defined as meeting the UK Working Party Diagnostic Criteria for atopic dermatitis
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Age 12, 24 and 60 months
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Point incidence of atopic dermatitis
Time Frame: at 4, 6, 12, 24 and 60 months of age
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Point incidence of study and parental diagnosis of atopic dermatitis, defined as meeting the UK Working Party Diagnostic Criteria for atopic dermatitis at the age of 4, 6, 12, 24 and 60 months
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at 4, 6, 12, 24 and 60 months of age
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Time to onset of atopic dermatitis
Time Frame: Age 12, 24 and 60 months
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Age at first study or reported diagnosis of atopic dermatitis up to the age of 12, 24 and 60 months
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Age 12, 24 and 60 months
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Severity of atopic dermatitis
Time Frame: at 4, 6, 12, 24 and 60 months of age
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Atopic dermatitis severity in children with diagnosed (study diagnosis or reported diagnosis) atopic dermatitis, using the SCORing Atopic Dermatitis (SCORAD; Severity Score: 0 to 104, with a higher score indicating more severe eczema) questionnaire completed by a study nurse at all face-to-face visits at 4, 6, 12, 24 and 60 months of age.
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at 4, 6, 12, 24 and 60 months of age
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Severity of atopic dermatitis
Time Frame: at 4, 6, 8, 10, 12, 18, 24, 36, 48 and 60 months of age
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Atopic dermatitis severity in children with diagnosed (study diagnosis or reported diagnosis) atopic dermatitis, using the Patient Orientated Eczema Measure (POEM; Severity Score: 0 to 28, with a higher score indicating more severe eczema) questionnaire completed by parents at 4, 6, 8, 10, 12, 18, 24, 36, 48 and 60 months of age
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at 4, 6, 8, 10, 12, 18, 24, 36, 48 and 60 months of age
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Cumulative use of atopic dermatitis-related medication
Time Frame: Age 12, 24 and 60 months of age
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Cumulative use of eczema-related medication or skin care for eczema up to 12, 24 and 60 months of age
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Age 12, 24 and 60 months of age
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Cumulative incidence of atopic dermatitis in risk-related subgroups
Time Frame: Age 12, 24 and 60 months of age
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Cumulative incidence of atopic dermatitis in risk-related subgroups up to 12, 24 and 60 months of age
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Age 12, 24 and 60 months of age
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Incidence of parental reported food allergy
Time Frame: Age 12, 24 and 60 months of age
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Parental report of a clinical diagnosis of food allergy at 12, 24 and 60 months of age
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Age 12, 24 and 60 months of age
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Incidence of allergic sensitization to food or non-food allergens
Time Frame: Age 12 and 60 months of age
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Allergic sensitization at 12 and 60 months of age to any of the common allergens (specific and total IgE)
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Age 12 and 60 months of age
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Incidence of hay fever, asthma and asthma-related diseases
Time Frame: Age 12, 24 and 60 months
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Parental reported hay fever and asthma-related diseases (wheezing and allergic rhinitis) up to 12, 24 and 60 months of age
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Age 12, 24 and 60 months
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Biochemical markers: blood markers
Time Frame: at 4, 12 and 60 months of age
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Blood: complete blood count (given numbers of different cells per volume and suitable ratios) at 4, 12 and 60 months of age
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at 4, 12 and 60 months of age
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Biochemical and metabolic markers: blood markers
Time Frame: at 4, 12 and 60 months of age
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Blood: lipidome and metabolome (including more than 300 compounds reported in µmol/liter) at 4, 12 and 60 months of age
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at 4, 12 and 60 months of age
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Biochemical and metabolic markers: blood markers
Time Frame: at 4, 12 and 60 months of age
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Blood: inflammation markers (including immunoglobulins and cytokines reported as relative units/liter and ng/ml, respectively) at 4, 12 and 60 months of age
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at 4, 12 and 60 months of age
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Genetic markers: blood markers
Time Frame: at 12 months of age
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Blood: filaggrin gene at 12 months of age
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at 12 months of age
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Gut microbiome profile
Time Frame: at 4, 12 and 60 months of age
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Stool: microbiome
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at 4, 12 and 60 months of age
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Growth parameters
Time Frame: at baseline, 4, 6, 12, 24 and 60 months of age
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Anthropometry: weight (in kg) at baseline, 4, 6, 12, 24 and 60 months of age
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at baseline, 4, 6, 12, 24 and 60 months of age
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Growth parameters
Time Frame: at baseline, 4, 6, 12, 24 and 60 months of age
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Anthropometry: recumbent length (in cm) at baseline, 4, 6, 12, 24 and standard height (in cm) at 24 and 60 months of age
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at baseline, 4, 6, 12, 24 and 60 months of age
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Growth parameters
Time Frame: at baseline, 4, 6, 12, 24 and 60 months of age
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Anthropometry: BMI (weight and height will be combined to report BMI in kg/cm2) at baseline, 4, 6, 12, 24 and 60 months of age
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at baseline, 4, 6, 12, 24 and 60 months of age
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Growth parameters
Time Frame: at baseline, 4, 6, 12, 24 and 60 months of age
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Anthropometry: weight-for-age, length-for-age and BMI-for-age z-scores (WHO growth standards) at baseline, 4, 6, 12, 24 and 60 months of age
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at baseline, 4, 6, 12, 24 and 60 months of age
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Gastrointestinal symptoms
Time Frame: at 4, 6 and 12 months of age
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Parental report of gastrointestinal symptoms using the Infant Gastrointestinal Symptom Questionnaire (IGSQ; Index Score range from 13 to 65, with higher scores indicating greater gastrointestinal symptom burden) at 4, 6 and 12 months of age
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at 4, 6 and 12 months of age
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Sleep
Time Frame: at 4, 6 and 12 months of age
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Parental report of sleep using the Brief Infant Sleep Questionnaire (BISQ; data in time: hours and minutes of sleep time) at 4, 6 and 12 months of age
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at 4, 6 and 12 months of age
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Child's wellbeing
Time Frame: at 4, 12, 24 and 60 months of age
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Parental report of quality of life in children using the Infant Toddler Quality of Life questionnaire™ (ITQOL; infant and parent item scales range from 0 to 100, with a higher score indicating better health) at 4, 12, 24 and 60 months of age
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at 4, 12, 24 and 60 months of age
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Nutrition
Time Frame: at age 4, 6, 8, 10, 12 and 60 months of age
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Nutrition questionnaire at 4, 6, 8, 10, 12 and 60 months of age
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at age 4, 6, 8, 10, 12 and 60 months of age
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Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Principal Investigator: Berthold Koletzko, MD, PhD, Dr. von Hauner Children's Hospital, LMU University Hospital Munich
Publications and helpful links
General Publications
- Grote V, Schlosser L, Campoy C, Crehua-Gaudiza E, Demmelmair H, Ege MJ, Escribano J, Galera-Martinez R, Garcia-Santos JA, Gruszfeld D, Guerlich K, Guillen-Sebastian C, Handel U, Jamka M, Jarocka-Cyrta E, Ksiazyk J, Mazur A, Parada-Ricart E, Robredo-Garcia I, Rodriguez G, Romanczuk B, Saenz de Pipaon M, Tejon-Fernandez M, Walkowiak J, Weichselbaum E, Witte A, Koletzko B. Whole goat milk versus cow milk formula and atopic dermatitis in infants: A randomized clinical trial. Clin Nutr. 2026 Aug;63:106707. doi: 10.1016/j.clnu.2026.106707. Epub 2026 Jun 3.
- Ferry JM, Galera-Martinez R, Campoy C, Saenz de Pipaon M, Jarocka-Cyrta E, Walkowiak J, Romanczuk B, Escribano J, Gispert M, Grattarola P, Gruszfeld D, Iglesia I, Grote V, Demmelmair H, Handel U, Gallier S, Koletzko B. Effects of infant feeding with goat milk formula or cow milk formula on atopic dermatitis: protocol of the randomised controlled Goat Infant Formula Feeding and Eczema (GIraFFE) trial. BMJ Open. 2023 Apr 13;13(4):e070533. doi: 10.1136/bmjopen-2022-070533.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
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
Additional Relevant MeSH Terms
- Genetic Diseases, Inborn
- Immune System Diseases
- Hypersensitivity, Immediate
- Hypersensitivity
- Skin Diseases
- Skin Diseases, Genetic
- Skin Diseases, Eczematous
- Dermatitis
- Congenital, Hereditary, and Neonatal Diseases and Abnormalities
- Skin and Connective Tissue Diseases
- Dermatitis, Atopic
- Food
- Diet, Food, and Nutrition
- Physiological Phenomena
- Food and Beverages
- Beverages
- Foods, Specialized
- Milk Substitutes
- Food, Formulated
- Infant Food
- Infant Formula
Other Study ID Numbers
Other Study ID Numbers
- DGC201911
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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