- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica 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)
Panoramica dello studio
Stato
Condizioni
Intervento / Trattamento
Tipo di studio
Iscrizione (Stimato)
Fase
- Non applicabile
Contatti e Sedi
Contatto studio
- Nome: Kamila Laskowska
- Numero di telefono: 41 21 785 87 32
- Email: kamila.laskowska@rd.nestle.com
Backup dei contatti dello studio
- Nome: Giulia Ingrassia
- Numero di telefono: +41 21 785 92 23
- Email: giuliamarialaura.ingrassia@rd.nestle.com
Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
- Bambino
Accetta volontari sani
Descrizione
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).
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Altro
- Assegnazione: Randomizzato
- Modello interventistico: Assegnazione parallela
- Mascheramento: Triplicare
Armi e interventi
Gruppo di partecipanti / Arm |
Intervento / Trattamento |
|---|---|
|
Sperimentale: Formula di prova
Nuova generazione EHF
|
Nuova generazione di una formula EHF a base di siero di latte destinata alla gestione dietetica dei bambini con CMPA.
|
|
Comparatore attivo: Formula di controllo
EHF commerciale
|
Formula EHF a base di siero di latte commerciale destinata alla gestione dietetica dei bambini con CMPA.
|
Cosa sta misurando lo studio?
Misure di risultato primarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Weight Gain Over 16 Weeks
Lasso di tempo: 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
|
Misure di risultato secondarie
Misura del risultato |
Misura Descrizione |
Lasso di tempo |
|---|---|---|
|
Incidence of Adverse Events of Special Interest (AESIs)
Lasso di tempo: 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
Lasso di tempo: 52 weeks
|
The growth by body weight (in g) of infants over 52 weeks.
|
52 weeks
|
|
Growth Parameters: Length
Lasso di tempo: 52 weeks
|
The growth by body length (in cm) of infants over 52 weeks
|
52 weeks
|
|
Quality of Life Scores (ITQOL)
Lasso di tempo: 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)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 52 weeks
|
The growth by head circumference (in cm) of infants over 52 weeks
|
52 weeks
|
|
Quality of Life Scores (FLIP)
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
Lasso di tempo: 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
|
Collaboratori e investigatori
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Inizio studio (Stimato)
Completamento primario (Stimato)
Completamento dello studio (Stimato)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Effettivo)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Effettivo)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Altri numeri di identificazione dello studio
- 2508.CLI
Informazioni su farmaci e dispositivi, documenti di studio
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Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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