A Growth and Hypoallergenicity Study of a New Formula for Infants With Cow Milk Allergy
CMA
A Prospective, Randomized, DB Controlled Study to Evaluate the Nutritional Safety (Growth) of an Amino Acid Based Formula With Prebiotics and Probiotics in Infants Diagnosed With Cow Milk Allergy, With or Without Other Food Allergies.
1 other identifier
interventional
126
1 country
22
Brief Summary
This study involves the use of 2 different Neocate formulas: a control formula called Neocate Infant and a test Neocate formula. These kinds of formulas are for use in children from birth to 8 months of age with Cow Milk Allergy (CMA), other food allergies, and other gastrointestinal disorders. The purpose of this study is to compare the control and test Neocate formulas for safety, tolerability, and effectiveness (in promoting growth) when used in subjects with CMA. This study will also look at the test Neocate formula to see if it is hypoallergenic when used in subjects with CMA.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Mar 2008
Longer than P75 for not_applicable
22 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
March 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 21, 2008
CompletedFirst Posted
Study publicly available on registry
April 23, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2012
CompletedStudy Completion
Last participant's last visit for all outcomes
July 1, 2012
CompletedDecember 9, 2020
December 1, 2020
4.3 years
April 21, 2008
December 7, 2020
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The primary endpoint is attained growth (i.e. incremental gains in weight) over the study period.
The primary endpoint is attained growth (i.e. incremental gains in weight) over the study period. Length and head circumference measures will also be collected and analysed. Both the growth velocities of the group as a whole (cross-sectional group data) and individuals (longitudinal individual data) will be reviewed and analysed. In assessing group data, comparisons of increments per unit of time will be made. Due to the varying ages of the subjects recruited to the study, growth measures will be concerted to z-scores using an appropriate reference population to allow a meaningful comparison of the ability of the formulas to promote growth. In assessing the growth of individual infants, data will be plotted on National Centre for Health Statistics (NCHS) growth charts and assessed qualitatively.
4 months
Study Arms (2)
New Neocate
EXPERIMENTALnew Neocate
Neocate Infant
ACTIVE COMPARATORNeocate Infant formula
Interventions
Eligibility Criteria
You may qualify if:
- Subjects aged from birth to 8 months old with documented allergy to cow milk protein are eligible to enter the study. Subjects with other IgE or non IgE mediated allergies to food in addition to milk protein (e.g. multiple food allergy or an eosinophilic disorder) are also eligible to enter the study. However all subjects must have a confirmed allergy to milk confirmed by one of the following criteria, within two months prior to the baseline visit:
- Positive double-blind placebo controlled food challenge with cow milk
- A confirmed history of acute severe reaction after isolated accidental ingestion with a positive test result for IgE antibody
- Confirmed history of a reaction to cow milk protein with CM-specific IgE of \>15kU/L for children over two years and \> 5kU/L for children under two years.
- Confirmed clinical history of a reaction to cow milk protein with a positive skin prick test with a resulting wheal diameter greater or equal to 3mm.
- No confirmed clinical history of a reaction to cow milk protein subjects with a positive skin prick test with a resulting wheal diameter greater or equal to 8mm for children over 2 years and greater or equal to 6mm for children under 2 years.
- For children with an Allergic Eosinophilic Gastroenteritis (AEG), documentation of eosinophilic infiltration and resolution of symptoms on a diet that restricted cow milk (and other foods) with reoccurrence after re-administration of cow milk.
- Written informed consent / ability to give informed consent.
- These subjects are expected to consume a minimum intake of test formula to ensure an average daily intake, which provides at least 50% of their daily energy requirements,
You may not qualify if:
- All subjects
- Infants \<5lb 8oz at birth
- Infants \< 37 weeks gestation
- Infants with severe concurrent illness or major congenital malformations
- Suspected or documented systemic or congenital infections (e.g. human immunodeficiency virus)
- Unable to adhere to protocol instructions due to non compliance of parent or caregiver
- Investigator's uncertainty about the willingness or ability of the patient to comply with the protocol requirements
- Participation in any other studies involving investigational products concomitantly or within twenty eight days prior to entry into the study
- An infant of any personnel connected with the study
- Infants whose parent/caregiver is younger than the legal age of consent
- These subjects must not have received systemic antibiotics in the previous two weeks prior to entry into the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nutricia North Americalead
- Nutricia Liverpoolcollaborator
- Danone Institute Internationalcollaborator
Study Sites (22)
Pendleton Pediatrics
Chandler, Arizona, 85224, United States
Visions Clinical Research - Tucson
Tucson, Arizona, 85712, United States
Children's Investigational Research Program, LLC (CHIRP)
Bentonville, Arkansas, 72712, United States
Children's Hospital, LA
Los Angeles, California, 90027, United States
David Geffen School of Medicine at UCLA
Los Angeles, California, 90095, United States
Rosario B. Retino, MD, Inc
Ontario, California, 91762, United States
Choc Psf, Amc
Orange, California, 92868, United States
Nemours Children's Clinic
Jacksonville, Florida, 32207, United States
Alzein Pediatrics
Evergreen Park, Illinois, 60805, United States
Regional Research Specialists, LLC
Shreveport, Louisiana, 71106, United States
Craig A. Spiegel, M.D.
Bridgeton, Missouri, 63044, United States
Meridian Clinical Research, LLC
Omaha, Nebraska, 68134, United States
Weill Cornell Medical College
New York, New York, 10021, United States
Asheboro Research Associates
Asheboro, North Carolina, 27203, United States
Duke University
Durham, North Carolina, 27710, United States
Pediatrics, PLLC
Holly Springs, North Carolina, 27540, United States
John Panuto, M.D.
Middleburg Heights, Ohio, 44130, United States
The Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
Childrens Hospital of Pittsburgh
Pittsburgh, Pennsylvania, 15213, United States
PI-Coor Clinical Research, LLC
Burke, Virginia, 22015, United States
Virginia Commonwealth University
Richmond, Virginia, 23219, United States
Advanced Pediatrics
Vienna, Virginia, 22180, United States
Related Publications (3)
Amari S, Shahrook S, Namba F, Ota E, Mori R. Branched-chain amino acid supplementation for improving growth and development in term and preterm neonates. Cochrane Database Syst Rev. 2020 Oct 2;10(10):CD012273. doi: 10.1002/14651858.CD012273.pub2.
PMID: 33006765DERIVEDHarvey BM, Eussen SRBM, van Helvoort A, Harthoorn LF. Cow's Milk Allergic Infants on Elemental Formula Maintain Adequate Mineral Status Despite Using Acid-suppressive Drugs. J Pediatr Gastroenterol Nutr. 2019 Nov;69(5):e147-e148. doi: 10.1097/MPG.0000000000002469. No abstract available.
PMID: 31425366DERIVEDBurks AW, Harthoorn LF, Van Ampting MT, Oude Nijhuis MM, Langford JE, Wopereis H, Goldberg SB, Ong PY, Essink BJ, Scott RB, Harvey BM. Synbiotics-supplemented amino acid-based formula supports adequate growth in cow's milk allergic infants. Pediatr Allergy Immunol. 2015 Jun;26(4):316-22. doi: 10.1111/pai.12390.
PMID: 25845680DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Barbara Mourmans
Study Mgr Nutricia Research - Centre for Specialised Nutrition
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- TRIPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 21, 2008
First Posted
April 23, 2008
Study Start
March 1, 2008
Primary Completion
July 1, 2012
Study Completion
July 1, 2012
Last Updated
December 9, 2020
Record last verified: 2020-12