Adjustable Fortification of Human Milk Fed to Chinese Preterm Infants
1 other identifier
interventional
51
1 country
1
Brief Summary
This clinical trial will compare how the individualized and fortified human milk feeding will help a premature infant grow.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Aug 2012
Longer than P75 for not_applicable
1 active site
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
August 1, 2012
CompletedFirst Submitted
Initial submission to the registry
November 5, 2012
CompletedFirst Posted
Study publicly available on registry
November 22, 2012
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2017
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2017
CompletedNovember 28, 2017
November 1, 2017
5 years
November 5, 2012
November 25, 2017
Conditions
Outcome Measures
Primary Outcomes (2)
Time to reach 100kcal/kg/d of enteral nutrition
Days to reach 100kcal/kg/d of enteral nutrition
participants will be followed until discharge, an expected average of 2 weeks
The weight gain velocity during hospitalization
The weight gain velocity(g/kg/d)
participants will be followed until discharge, an expected average of 2 weeks
Secondary Outcomes (3)
The protein and energy ratio of enteral nutrition each week after enrollment
participants will be followed until discharge, an expected average of 2 weeks
Time to reach 2000g of body weight
participants will be followed until discharge, an expected average of 2 weeks
metabolic indicators after enrollment, including BUN,prealbumin, albumin
participants will be followed until discharge, an expected average of 2 weeks
Study Arms (2)
Standard Fortification
ACTIVE COMPARATORreceive human milk fortified with human milk fortifier(HMF) in the standard amount (4 packs /100 ml of HM) throughout the study
Adjustable fortification
EXPERIMENTALencompasses increasing/decreasing the amount of human milk fortifier(HMF) and adding supplemental protein guided by periodic determinations of the protein concentration of human milk (PCHM), body weight, blood urea nitrogen(BUN)
Interventions
Then fortification with human milk fortifier will be initiated at different levels according to the body weight of infants, the protein concentration of human milk and blood urea nitrogen
Eligibility Criteria
You may qualify if:
- Less than 34 weeks gestational age at birth
- Birth weight within 800-1800 grams
- Exclusively or mostly breastfed (greater than 80% if the feeding volume)
- Tolerated enteral feedings of 60 ml/kg/d
- Remain in the Neonatal Intensive Care Unit at least 14 days prior to hospital discharge,remain in the Neonatal Intensive Care Unit at least 10 days after enrollment
- Signed Informed Consent
You may not qualify if:
- Small for gestational age
- Infants currently receiving ventilation therapy
- Major congenital malformations
- Suspected or documented systemic or congenital infections
- Evidence of cardiac, respiratory, endocrinologic, hematologic, gastrointestinal, or other systemic diseases that may impact growth
- Severe intraventricular hemorrhage (greater than grade II) or periventricular leukomalacia
- Suspected or documented maternal substance abuse
- Infants currently receiving glucocorticoids or infants who have received glucocorticoids within the past 28 days
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Peking Union Medical College Hospitallead
- Mead Johnson Nutritioncollaborator
Study Sites (1)
Peking Union Medical College Hospital
Beijing, Beijing Municipality, 100730, China
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Danhua Wang, Professor
Peking Union Medical College Hospital
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- PARTICIPANT, CARE PROVIDER
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
November 5, 2012
First Posted
November 22, 2012
Study Start
August 1, 2012
Primary Completion
August 1, 2017
Study Completion
August 1, 2017
Last Updated
November 28, 2017
Record last verified: 2017-11
Data Sharing
- IPD Sharing
- Will not share