Safety and Efficacy of Infant Formulas Supplemented With Pre- and Probiotic(s)

Last updated: June 12, 2024
Sponsor: Société des Produits Nestlé (SPN)
Overall Status: Completed

Phase

N/A

Condition

N/A

Treatment

Breast feeding (BF)

Experimental formulas (EF)

Control formulas (CF)

Clinical Study ID

NCT04962594
20.12.INF
  • Ages < 14
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This is a randomized, controlled, multicenter, double-blind study of healthy term infants. The primary objective of the trial is to demonstrate the safety of a a starter infant formula supplemented with pre- and probiotic(s) by comparing the growth of infants randomized to the experimental formula versus the control formula from enrolment to 4 months of age.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Evidence of personally signed and dated informed consent document indicating thatthe infant's parent(s)/ legally accepted representatives LAR have been informed ofall pertinent aspects of the study.

  2. Infants whose parent(s)/LAR have reached the legal age of majority in the countrieswhere the study is conducted.

  3. Infants whose parent(s)/LAR are willing and able to comply with scheduled visits,and the requirements of the study protocol.

  4. Infants whose parent(s)/LAR are able to be contacted directly by telephonethroughout the study.

  5. Infants must meet all of the following inclusion criteria to be eligible forenrollment into the study:

  6. Healthy term infant (≥37 weeks of gestation)

  7. At enrollment visit, post-natal age ≤14 days/0.5 months

  8. Birth weight ≥ 2500g and ≤ 4500g.

  9. For formula-fed groups, infants must be exclusively consuming and tolerating acow's milk infant formula at time of enrollment and their parent(s)/LAR musthave independently elected, before enrollment, not to breastfeed.

  10. For the breastfed group, infants must have been exclusively consuming breastmilk since birth, and their parent(s)/LAR must have made the decision tocontinue exclusively breastfeeding until at least 4 months of age.

Exclusion

Exclusion Criteria:

  1. Infants with conditions requiring infant feedings other than those specified in theprotocol.

  2. Infants who have a medical condition or history that could increase the riskassociated with study participation or interfere with the interpretation of studyresults, including:

  3. Evidence of major congenital malformations (e.g., cleft palate, extremitymalformation)

  4. Suspected or documented systemic or congenital infections (e.g., humanimmunodeficiency virus, cytomegalovirus, syphilis)

  5. Previous or ongoing severe medical or laboratory abnormality (acute or chronic)which, in the judgment of the investigator, would make the infant inappropriatefor entry into the study. Of note, children who are normally healthy but at thetime of enrollment suffering from acute illness in a minor condition which arecommon in childhood and do not require some of the exclusionary medicationmentioned below can be enrolled.

  6. Infants who are presently receiving or have received prior to enrollment any of thefollowing: medication(s) or supplement(s) which are known or suspected to affect thefollowing: fat digestion, absorption, and/or metabolism (e.g., pancreatic enzymes);stool microbiota and characteristics (e.g., oral or systemic antibiotics, glycerinsuppositories, bismuth-containing medications, docusate, Maltsupex, or lactulose);growth (e.g. insulin or growth hormone); gastric acid secretion.

  7. Currently participating or having participated in another clinical trial sincebirth.

  8. Subjects or subjects' parent(s) or legal representative who are not willing and notable to comply with scheduled visits and the requirements of the study protocol

Study Design

Total Participants: 318
Treatment Group(s): 3
Primary Treatment: Breast feeding (BF)
Phase:
Study Start date:
September 02, 2021
Estimated Completion Date:
April 04, 2024

Study Description

This is a randomized, controlled, multicenter, double-blind study of healthy term infants, consisting of two randomized formula-fed arms (control and experimental formulas) and a non-randomized breast-fed reference group.

The population under investigation are healthy infants aged ≤14 days at enrollment. The planned sample size for formula-fed infants is 236 (118 per study group). A non-randomized breastfed reference group of 90 healthy, term, exclusively breastfed infants up to 4 months will also be enrolled.

Study formulas are administrated orally, ad libitum, from enrollment until 15 months of age.

The primary objective of the trial is to demonstrate the safety of a starter infant formula supplemented with pre- and probiotic(s) by comparing the growth (weight gain, g/day) of infants randomized to the experimental formula versus the control formula from enrolment to 4 months of age.

In addition fecal microbiome, fecal metabolic profile, fecal markers of immune and gut health, blood markers of immune health (in a subset of 60 infants/group), GI tolerance, bone index (subset of 40 infants/group), other anthropometric measurements, dietary pattern and infant illness and infection outcomes will be assessed/measured.

Connect with a study center

  • AZ Sint-Jan Brugge-Oostende AV

    Brugge, 8000
    Belgium

    Site Not Available

  • Universitair Ziekenhuis Brussel

    Brussel, 1090
    Belgium

    Site Not Available

  • Kinderartsen Huis

    Hasselt, 3500
    Belgium

    Site Not Available

  • CHC-Groupe santé, Clinique MontLégia

    Liège, 4000
    Belgium

    Site Not Available

  • CHU de Liège - CHR de la Citadelle

    Liège, 4000
    Belgium

    Site Not Available

  • CHU Amiens-Picardie

    Amiens, 80054
    France

    Site Not Available

  • Hôpital Femme Mère Enfant

    Bron, 69677
    France

    Site Not Available

  • Hôpital de la Croix Rousse

    Lyon, 69004
    France

    Site Not Available

  • CHU de Nantes

    Nantes,
    France

    Site Not Available

  • CHU Charles Nicolle

    Rouen, 76031
    France

    Site Not Available

  • Hôpital Bretonneau, CHRU de Tours

    Tours, 37044
    France

    Site Not Available

  • Klinikum Südstadt Rostock

    Rostock, 18059
    Germany

    Site Not Available

  • Evangelisches Waldkrankenhaus Spandau

    Spandau, 13589
    Germany

    Site Not Available

  • Hospital Vithas Castellón

    Castellón De La Plana,
    Spain

    Site Not Available

  • Reina Sofía University Hospital

    Córdoba, 14004
    Spain

    Site Not Available

  • Instituto Hispalense de Pediatría, Unidad de Investigación

    Sevilla, 41014
    Spain

    Site Not Available

  • Hospital Vithas Valencia

    Valencia,
    Spain

    Site Not Available

  • Quironsalud Valencia Hospital

    Valencia,
    Spain

    Site Not Available

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