Randomized Controlled Trial of Higher-Volume Feedings in Preterm Neonates
1 other identifier
interventional
224
1 country
1
Brief Summary
The primary hypothesis is that preterm infants who are less than or equal to 32 weeks gestation and weigh 1001-2500 grams at birth will have an increase in weight gain with a feeding goal of 180-200 ml/kg/day more than the commonly used feeding goal of 140-160 ml/kg/day
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2015
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
First Submitted
Initial submission to the registry
December 1, 2014
CompletedStudy Start
First participant enrolled
January 1, 2015
CompletedFirst Posted
Study publicly available on registry
March 3, 2015
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
June 1, 2018
CompletedJune 18, 2018
June 1, 2018
3.4 years
December 1, 2014
June 14, 2018
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Weight gain
Average change in weight between baseline and 12 weeks
baseline to average 12 weeks of age
Secondary Outcomes (9)
Mid arm circumference
baseline to average 12 weeks of age
Length
baseline to average 12 weeks of age
Head circumference
baseline to average 12 weeks of age
Caloric intake
36 weeks
Length of stay
36 weeks or discharge
- +4 more secondary outcomes
Other Outcomes (8)
Body fat composition
36 weeks or discharge
Rates of necrotizing enterocolitis (Bell Stage ≥ 2)
36 weeks or discharge
Rates of feeding intolerance
36 weeks or discharge
- +5 more other outcomes
Study Arms (2)
Higher Volume Feeding Goal
ACTIVE COMPARATORInfants randomized to this group will have higher volume feeding goals of 180-200 ml/kg/day.
Usual Volume Feeding Goal
NO INTERVENTIONInfants randomized to this group will have feeding goals of 140-160 ml/kg/day.
Interventions
Eligibility Criteria
You may qualify if:
- Inborn or outborn infants born at a gestational age of 32 weeks or less; Birthweight 1001-2500; Feeding volume of at least 120 ml/kg/day; Enrolled prior to 28 days of age and prior to exceeding 32 weeks
You may not qualify if:
- Hemodynamically significant patent ductus arteriosis; History of necrotizing enterocolitis Bell Stage II or greater; Known gastrointestinal or neurologic malformations; Prior or planned enrollment into the NICHD MILK Trial; Terminal illness or decision to withhold or limit support
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
University of Alabama at Birmingham
Birmingham, Alabama, 35249, United States
Related Publications (2)
Salas AA, Travers CP, Jerome ML, Chandler-Laney P, Carlo WA. Percent Body Fat Content Measured by Plethysmography in Infants Randomized to High- or Usual-Volume Feeding after Very Preterm Birth. J Pediatr. 2021 Mar;230:251-254.e3. doi: 10.1016/j.jpeds.2020.11.028. Epub 2020 Nov 25.
PMID: 33248115DERIVEDTravers CP, Wang T, Salas AA, Schofield E, Dills M, Laney D, Yee A, Bhatia A, Winter L, Ambalavanan N, Carlo WA. Higher- or Usual-Volume Feedings in Infants Born Very Preterm: A Randomized Clinical Trial. J Pediatr. 2020 Sep;224:66-71.e1. doi: 10.1016/j.jpeds.2020.05.033. Epub 2020 May 25.
PMID: 32464224DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY DIRECTOR
Waldemar A Carlo, MD
University of Alabama at Birmingham
- PRINCIPAL INVESTIGATOR
Colm Travers, MD
University of Alabama at Birmingham
Ariel A Salas, MD
University of Alabama at Birmingham
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
December 1, 2014
First Posted
March 3, 2015
Study Start
January 1, 2015
Primary Completion
June 1, 2018
Study Completion
June 1, 2018
Last Updated
June 18, 2018
Record last verified: 2018-06