- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06031025
Prevalence and Natural History of Functional Gastrointestinal Disorders Among At-risk Infants. (FUSID)
Prospective Assessment of the Prevalence and Natural History of Gastroesophageal Reflux and Functional Gastro-intestinal Disorders Among At-risk Infants
The goal of this observational study is to learn about the prevalence and characteristics of functional gastrointestinal disorders (FGID) in at risk infants (former preterm infants and those with birth asphyxia) during the first 2 years of life. The main questions it aims to answer are:
- evaluate the prevalence of symptoms related to gastro-esophageal reflux (GER), of functional gastrointestinal disorders during the first 2 years of life
- describe growth parameters during follow-up up to the corrected age of 2 years Participants will be assessed clinically and with a structured questionnaire based on the Rome IV criteria to describe FGID.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Infants will undergo clinical assessment at 3, 6, 12, 24 months' corrected age at the local Follow-up clinic.
Clinical examination, anthropometric measurement and data from a structured questionnaire to detect FGID will be performed.
Z-scores for weight, length and head circumference will be calculated according to the World Health Organization (WHO) standards.
Data from the questionnaires will be collected. Clinical characteristics of patients and perinatal data will be collected and analyzed by appropriate statistical methods.
The prevalence and characteristics of FGID in the study population will be compared to published data (mostly from term infants).
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Stefano Nobile, MD, PhD, MSc
- Phone Number: +390630156937
- Email: stefano.nobile@policlinicogemelli.it
Study Locations
-
-
-
Roma, Italy, 00168
- Recruiting
- Fondazione Policlinico Gemelli IRCCS
-
Contact:
- Stefano Nobile, MD, PhD, MSc
- Phone Number: +390630156937
- Email: stefano.nobile@policlinicogemelli.it
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- infants with gestational age at birth < 31 weeks
- infants with gestational age at birth < 37 weeks and major respiratory or neurologic morbidity
- infants with history of perinatal asphyxia
Exclusion Criteria:
- lack of informed consent
- diagnosis of congenital or other major gastrointestinal disease (i.e. inflammatory bowel disease, cancer)
Study Plan
How is the study designed?
Design Details
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Prevalence of FGID
Time Frame: 3, 6, 12, 24 months of corrected age
|
Occurrence of FGID (percentage of patients)
|
3, 6, 12, 24 months of corrected age
|
|
Frequency of FGID
Time Frame: 3, 6, 12, 24 months of corrected age
|
Frequency of FGID (i.e.
number of symptoms per day)
|
3, 6, 12, 24 months of corrected age
|
|
Severity of FGID
Time Frame: 3, 6, 12, 24 months of corrected age
|
Severity (scales from 0 to 10 for increasing values) of FGID
|
3, 6, 12, 24 months of corrected age
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Somatic growth: weight
Time Frame: 3, 6, 12, 24 months of corrected age
|
Measurement of weight and calculation of z-scores based on reference standards by the World Health Organization
|
3, 6, 12, 24 months of corrected age
|
|
Somatic growth: head circumference
Time Frame: 3, 6, 12, 24 months of corrected age
|
Measurement of head circumference and calculation of z-scores based on reference standards by the World Health Organization
|
3, 6, 12, 24 months of corrected age
|
|
Somatic growth: length
Time Frame: 3, 6, 12, 24 months of corrected age
|
Measurement of length and calculation of z-scores based on reference standards by the World Health Organization
|
3, 6, 12, 24 months of corrected age
|
Collaborators and Investigators
Investigators
- Principal Investigator: Stefano Nobile, MD, PhD, MSc, Fondazione Policlinico Universitario A. Gemelli, IRCCS
Publications and helpful links
General Publications
- Steutel NF, Zeevenhooven J, Scarpato E, Vandenplas Y, Tabbers MM, Staiano A, Benninga MA. Prevalence of Functional Gastrointestinal Disorders in European Infants and Toddlers. J Pediatr. 2020 Jun;221:107-114. doi: 10.1016/j.jpeds.2020.02.076.
- Robin SG, Keller C, Zwiener R, Hyman PE, Nurko S, Saps M, Di Lorenzo C, Shulman RJ, Hyams JS, Palsson O, van Tilburg MAL. Prevalence of Pediatric Functional Gastrointestinal Disorders Utilizing the Rome IV Criteria. J Pediatr. 2018 Apr;195:134-139. doi: 10.1016/j.jpeds.2017.12.012. Epub 2018 Feb 3.
- Benninga MA, Faure C, Hyman PE, St James Roberts I, Schechter NL, Nurko S. Childhood Functional Gastrointestinal Disorders: Neonate/Toddler. Gastroenterology. 2016 Feb 15:S0016-5085(16)00182-7. doi: 10.1053/j.gastro.2016.02.016. Online ahead of print.
- Iacono G, Merolla R, D'Amico D, Bonci E, Cavataio F, Di Prima L, Scalici C, Indinnimeo L, Averna MR, Carroccio A; Paediatric Study Group on Gastrointestinal Symptoms in Infancy. Gastrointestinal symptoms in infancy: a population-based prospective study. Dig Liver Dis. 2005 Jun;37(6):432-8. doi: 10.1016/j.dld.2005.01.009. Epub 2005 Mar 2.
- Scarpato E, Salvatore S, Romano C, Bruzzese D, Ferrara D, Inferrera R, Zeevenhooven J, Steutel NF, Benninga MA, Staiano A. Prevalence and Risk Factors of Functional Gastrointestinal Disorders: A Cross-Sectional Study in Italian Infants and Young Children. J Pediatr Gastroenterol Nutr. 2023 Feb 1;76(2):e27-e35. doi: 10.1097/MPG.0000000000003653. Epub 2022 Nov 1.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 4921
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
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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