Toddler Milk Intervention Trial
Effects of Milk Protein Intake in Young Children on Early Growth and Later Obesity Risk: a Multicentre Randomized Clinical Trial
1 other identifier
interventional
1,618
2 countries
2
Brief Summary
To assess growth of children (enrolled between 11.5 and 13.5 months) fed with two iso-energetic, young-child formulas with different protein content during the second year of life
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable healthy
Started Sep 2016
Longer than P75 for not_applicable healthy
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
August 31, 2016
CompletedStudy Start
First participant enrolled
September 1, 2016
CompletedFirst Posted
Study publicly available on registry
September 20, 2016
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
October 1, 2024
CompletedDecember 6, 2024
December 1, 2024
4.8 years
August 31, 2016
December 5, 2024
Conditions
Outcome Measures
Primary Outcomes (1)
BMI-for-age z-score
WHO-growth standard
Age 24 months
Secondary Outcomes (11)
BMI-for-age z-score
Age 72 months
The percentage of overweight and obese children
Age 24 months
The percentage of overweight and obese children
Age 72 months
Growth parameters: Anthropometry: Weight, Length, Heel knee length, Mid-arm circumference, Waist circumference, Hip circumference (only 48 months and 72 months), Head circumference, Triceps skinfold, Subscapular skinfold
Age 12, 18, 24, 48 and 72 months
Child's development: Parental rating of child development with Ages & Stages Questionnaires®
Age 24 and 48 months
- +6 more secondary outcomes
Study Arms (2)
Experimental formula
EXPERIMENTALYoung-child formula with low protein content
Control formula
ACTIVE COMPARATORYoung-child formula with protein content similar to that of cow's milk
Interventions
Young-child formula with low protein content
Young-child formula with protein content similar to that of cow's milk
Eligibility Criteria
You may qualify if:
- Having obtained his/her parents' (or his/her legally accepted representative \[LAR's\] written informed consent and having evidence of personally signed and dated informed consent document indicating that the child's parents/LAR have been informed of all pertinent aspects of the study
- Child was born full term (≥ 37 weeks of gestation)
- Age at enrollment: between 11.5 months and 13.5 months of age
- kg ≤ birth weight ≤ 4.5 kg
- Born from a singleton pregnancy
- Child's parent(s)/LAR is of legal age of consent, has sufficient local language skills to complete the informed consent and other study documents, is able to be contacted directly by telephone throughout the study, and is willing and able to fulfill the requirements of the study protocol.
You may not qualify if:
- Diagnosed disorder considered to interfere with nutrition or growth (e.g. malabsorptive disorders as short bowel syndrome, inflammatory bowel disease; neurological and congenital disorders that may delay growth as cerebral palsy, agenesis of the corpus callosum, spina bifida, Down Syndrome, Cri Du Chat; disorders that may lead to obesity: Prader willi syndrome, Angelman syndrome, etc.)
- Cows' milk allergy
- Lactose intolerance
- Participation in any other interventional clinical trial during the 4 weeks prior to enrollment
- Infant who is being breastfed at the time of enrollment
- Infant who does not usually drink 300ml of cow's and/or formula milk per day
- Institutionalized children
- Child or child's family who in the Investigator's judgment cannot be expected to comply with the protocol or study procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Dr Von Hauner Children's hospital
Munich, 80337, Germany
Hospital Universitari Joan 23 de Tarragona. Universitat Rovira i Virgili.
Tarragona, Spain
Related Publications (3)
Neiss J, Demmelmair H, Geyer F, Triebswetter A, Angkasa D, Escribano J, Ferre N, Gispert-Llaurado M, Koletzko B, Bechtold-Dalla Pozza S, Grote V. Associations of insulin-like growth factor 1 and IGF binding proteins 2 and 3 with lipids in toddlers. Lipids Health Dis. 2026 Feb 3. doi: 10.1186/s12944-026-02872-y. Online ahead of print.
PMID: 41634786DERIVEDFerry JM, Escribano J, Gispert-LLaurado M, Koletzko B, Grote V. Impact of cut-point methods on classification of physical activity and sedentary behaviour of toddlers. BMC Public Health. 2025 Oct 2;25(1):3290. doi: 10.1186/s12889-025-24636-6.
PMID: 41039386DERIVEDGrote V, Jaeger V, Escribano J, Zaragoza M, Gispert M, Grathwohl D, Koletzko B. Effect of milk protein content in Toddler formula on later BMI and obesity risk: protocol of the multicentre randomised controlled Toddler Milk Intervention (ToMI) trial. BMJ Open. 2021 Dec 7;11(12):e048290. doi: 10.1136/bmjopen-2020-048290.
PMID: 34876419DERIVED
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
August 31, 2016
First Posted
September 20, 2016
Study Start
September 1, 2016
Primary Completion
July 1, 2021
Study Completion
October 1, 2024
Last Updated
December 6, 2024
Record last verified: 2024-12
Data Sharing
- IPD Sharing
- Will not share