- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07711938
Growth And Safety Outcomes In Infants With Cow´s Milk Protein Allergy (CMPA) Fed A Novel Extensively Hydrolyzed Formula (eHF)
A Randomized, Double-Blind, Controlled Study to Compare Growth, Tolerability, and Safety of a Novel, Extensively Hydrolyzed Formula (eHF) Versus a Standard eHF in Full Term Infants With Cow's Milk Protein Allergy (CMPA)
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
- Navn: Kamila Laskowska
- Telefonnummer: 41 21 785 87 32
- E-mail: kamila.laskowska@rd.nestle.com
Undersøgelse Kontakt Backup
- Navn: Giulia Ingrassia
- Telefonnummer: +41 21 785 92 23
- E-mail: giuliamarialaura.ingrassia@rd.nestle.com
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
Tager imod sunde frivillige
Beskrivelse
Inclusion Criteria:
- Full-term infant(gestational age ≥37 weeks and ≤42 weeks).
- Birth weight ≥2500 g and ≤4500 g.
- Parent(s)/LAR deemed able to provide written informed consent for participation of their infant in the study (in the opinion of the investigator).
- Participant aged ≥29 days (>4 weeks) and <5 months (≤22 weeks) at time of enrollment.
- Not breastfed at time of Screening Visit.
- History of an immediate-type (IgE-mediated) allergic reaction to a cow's milk-containing food or at least 2 persistent severe symptoms suggestive of delayed-onset (non-IgE-mediated) CMPA.
Exclusion Criteria:
- Prior use of eHF, HRF or AAF for more than 2 weeks before randomization.
- Congenital illness or malformation that may affect growth, or significant pre-natal and/or serious post-natal disease other than CMPA before randomization (per investigator's medical decision).
- Demonstrated chronic malabsorption not due to CMPA.
- History of severe anaphylaxis to CMP.
- Infants whose parent(s)/LAR cannot be expected to comply with study procedures.
- Currently participating or having participated in another clinical study since birth.
- Infants with a history of confirmed food protein induced enterocolitis syndrome due to other foods than CMP or Heiner syndrome.
- Infants with history of oral immunotherapy for CMPA.
- Diagnosed eosinophilic esophagitis.
- Received systemic oral or injected corticosteroids for more than 3 days (72 hours) within 2 weeks prior to the Screening Visit (topical corticosteroids allowed).
- Received systemic antibiotics within 1 week prior to Screening Visit (topical antibiotics, e.g., mupirocin allowed).
- Infants who are currently receiving treatment with immunomodulators (immunoglobulins, allergen extracts, or similar) or immuno-suppressants (azathioprine, cyclosporine or similar) within 2 weeks of Screening Visit (topical cyclosporine, tacrolimus, pimecrolimus or similar topical eczema treatments allowed), as well as infants with immune disorders which can compromise the immune function.
- Infants with a past or current disease or disorder which, in the opinion of the investigator or the sponsor either places the participant at risk because of participating in the study or may influence the results of the study, or the participant's ability to participate in the study (e.g., cardiovascular, pulmonary, gastrointestinal, hepatic, renal, neurological, musculoskeletal, endocrine or metabolic disorders, malignancy, major physical impairment, immunodeficiency, infectious disease or abnormal laboratory results as per the investigator's judgment).
- Parent(s)/LAR being in any relationship or dependency with the sponsor, and/or the investigator, and/or study staff.
- Underage parents (under 18 years old).
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Andet
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Tredobbelt
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Eksperimentel: Testformel
Ny generation EHF
|
Ny generation af en vallebaseret EHF-formel beregnet til diætstyring af spædbørn med CMPA.
|
|
Aktiv komparator: Kontrolformel
Kommerciel EHF
|
Kommerciel vallebaseret EHF-formel beregnet til diætstyring af spædbørn med CMPA.
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Weight Gain Over 16 Weeks
Tidsramme: 16 weeks
|
To demonstrate non-inferiority in growth in infants fed with the Test formula, compared to infants fed with the Control formula over the first 16 weeks of formula intake.
|
16 weeks
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Incidence of Adverse Events of Special Interest (AESIs)
Tidsramme: 52 weeks
|
To evaluate the safety and tolerability of the Test formula, including effects on "adverse events of special interest (AESIs)", which include lower respiratory tract infections (LRTIs), upper respiratory tract infections (URTIs), ear infections/otitis media, gastrointestinal infections and other viral or bacterial infections including urinary tract infections (UTIs).
|
52 weeks
|
|
Growth Parameters: Weight
Tidsramme: 52 weeks
|
The growth by body weight (in g) of infants over 52 weeks.
|
52 weeks
|
|
Growth Parameters: Length
Tidsramme: 52 weeks
|
The growth by body length (in cm) of infants over 52 weeks
|
52 weeks
|
|
Quality of Life Scores (ITQOL)
Tidsramme: 52 weeks
|
Quality of life over 52-weeks assessed by validated Quality of Life (QoL) scale: Infant and Toddler Quality of Life [ITQOL] Minimum score: 0 Maximum score: 100 Interpretation: Higher scores indicate better health-related quality of life, better functioning, or less negative impact on the child/family (depending on the specific domain). A score of 0 represents the worst health/status, while 100 represents the best health/status |
52 weeks
|
|
Stool Frequency and Stool Characteristics (BITSS)
Tidsramme: 52 weeks
|
Stool frequency and characteristics over 52 weeks based on Brussels Infant and Toddler Stool Scale (BITSS). Scale categories: 7 stool photographs corresponding to stool consistency types BITSS photographs are often grouped into: Hard: Types 1-3 Formed: Type 4 Loose: Types 5-6 Watery: Type 7 Interpretation: Lower categories (1-3): harder stools, potentially associated with constipation. Middle category (4): formed/normal stool consistency. Higher categories (5-7): increasingly loose to watery stools, potentially associated with diarrhea. |
52 weeks
|
|
Resolution of CMPA-Related Symptoms
Tidsramme: 52 weeks
|
Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on patient-reported outcome tool (PRO) based on parent(s)/legally authorized representative(s) (LAR) report.
|
52 weeks
|
|
Formula intake compliance
Tidsramme: 52 weeks
|
Formula intake (in ml) compliance (number of feeds per day) based on parent(s)/LAR report records collected via electronic data capture (EDC)/interactive response technology (IRT).
|
52 weeks
|
|
Healthcare resources utilization
Tidsramme: 52 weeks
|
Healthcare Resources Utilization (HCRU) over the 52-week intervention period, based on parent(s)/LAR report and medical records (such as: number of hospitalizations, number of unscheduled emergency department attendances, general practitioner/pediatrician visits)
|
52 weeks
|
|
Growth Parameters: Head Circumference
Tidsramme: 52 weeks
|
The growth by head circumference (in cm) of infants over 52 weeks
|
52 weeks
|
|
Quality of Life Scores (FLIP)
Tidsramme: 52 weeks
|
Quality of life over 52-weeks assessed by validated QoL scale: Food hypersensitivity family Impact [FLIP] Lower categories (1-3): harder stools, potentially associated with constipation. Middle category (4): formed/normal stool consistency. Higher categories (5-7): increasingly loose to watery stools, potentially associated with diarrhea. |
52 weeks
|
|
Resolution of Cow Milk Protein Allergy (CMPA)-Related Symptoms
Tidsramme: 52 weeks
|
Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Scoring Atopic Dermatitis Eczema Score (SCORAD) Minimum score: 0 Maximum score: 103 Interpretation: Higher scores indicate more severe eczema and therefore a worse outcome.
Lower scores indicate less severe disease and a better outcome
|
52 weeks
|
|
Resolution of CMPA-Related Symptoms
Tidsramme: 52 weeks
|
Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Infant Gastrointestinal Symptom Questionnaire (IGSQ) Minimum score: 13 Maximum score: 65 Interpretation: Higher scores indicate more gastrointestinal symptoms and poorer feeding tolerance (worse outcome).
Lower scores indicate fewer GI symptoms and better tolerance.
|
52 weeks
|
|
Resolution of CMPA-Related Symptoms
Tidsramme: 52 weeks
|
Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Cow's Milk-Related Symptom Score (CoMiSS). Minimum score: 0 Maximum score: 33 Interpretation: Higher scores indicate more severe cow's milk-related symptoms and therefore a worse outcome. Lower scores indicate fewer symptoms and a better outcome. |
52 weeks
|
Samarbejdspartnere og efterforskere
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- 2508.CLI
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
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