Acceptability and Palatability Study of Paediatric Amino Acid Feed

Inclusion criteria:

• Children ≥1 year of age who require an amino acid-based formula (ideally alreadyestablished on Alfamino or another amino acid formula dependent on feasibility ofreaching required numbers or currently on a plant-based milk and need extranutrition from an amino acid formula) for the dietary management of presumed CMA, ormultiple food allergies and other conditions where an amino acid formula isrecommended

• All children ≥1 year of age where they are consuming either orally or via a tube 200mls or more of amino acid formula.

• Children with the ability to indicate palatability of the formula (NB there will besimple symbols to help young children and nonverbal children indicate whether theformula is palatable). If an infant is tube fed if they are able to have tastesorally.

• Willingly given, written, informed consent from patient or parent/guardian.

Exclusion Criteria:

• Inability to comply with the study protocol, in the opinion of the investigator.

• Children less than 1 year of age

• Children with significant renal or hepatic impairment

• Change in current medication or use of additional macro/micronutrient supplementsduring the study period, unless clinically indicated and prescribed by theinvestigator e.g. thickener, PPIs etc (must be recorded in patient case recordfile).

• Participation in another intervention study within 2 weeks of this study.

• Caregiver unable to read and write in English (will need to complete 1 month offorms at home on behalf of participants).