Synbiotic Extensively Hydrolysed Feed Study
An Evaluation of the Tolerance and Acceptability of a Whey-based Extensively Hydrolysed Feed With Pre- and Probiotics, for the Dietary Management of Cows' Milk Allergy in Infants
1 other identifier
interventional
35
1 country
8
Brief Summary
This study of the tolerance and acceptability of a extensively hydrolysed formula (eHF) containing pre- and probiotics will assess gastrointestinal (GI) tolerance, product intake and acceptability in 40 infants (aged \<13 months) currently using or requiring an extensively hydrolysed formula for the dietary management of CMA. Patients already prescribed an eHF (or other appropriate feed for CMA) at time of recruitment will undertake a 3 day baseline period in which their current symptoms, compliance, GI tolerance and acceptability towards their current feed is assessed, before introducing the study product for a period of 4 weeks. Patients who are not on an eHF (or other appropriate feed for CMA) at baseline will forgo this 3 day baseline period and immediately introduce the study product for 4 weeks.
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 2018
Longer than P75 for not_applicable
8 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
August 22, 2018
CompletedFirst Submitted
Initial submission to the registry
November 23, 2018
CompletedFirst Posted
Study publicly available on registry
March 14, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
July 31, 2023
CompletedNovember 27, 2023
November 1, 2023
3.3 years
November 23, 2018
November 24, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
Change in gastrointestinal tolerance from baseline to intervention day 28: questionnaire
Gastro-intestinal tolerance will be recorded by the parent on Baseline Days 1-3 (where this period is undertaken by the patient) and on Intervention Days 1, 2, 3, 7, 14, 21, 26, 27, and 28. Tolerance will be recorded using a standardised gastro-intestinal tolerance questionnaire, to be completed by the parents/carer
31 days
Secondary Outcomes (10)
Compliance
31 days
Parent-reported Atopic Symptoms
31 days
Food Allergy QOL - Parental burden questionnaire
31 days
Formula acceptability: Likert-style questionnaire
31 days
Nutrient intake
31 days
- +5 more secondary outcomes
Study Arms (1)
Study product
EXPERIMENTALExtensively Hydrolysed Formula containing Pre- and Probiotics
Interventions
Extensively Hydrolysed Formula containing Pre- and Probiotics
Eligibility Criteria
You may qualify if:
- Aged \<13 months
- Currently using or requiring an extensively hydrolysed formula for the dietary management of cows' milk allergy
- Expected to receive at least 25% of their energy intake from the study feed
- Already fed with infant formula or hypoallergenic formula (either partially or fully)
- Written, informed consent from parent/carer
You may not qualify if:
- "Severe" cows' milk allergy (clinically judged to require an amino acid formula) or any other contraindications to the use of an extensively hydrolysed formula
- Exclusively breastfed infants
- Primary lactose intolerance
- History of poor tolerance to whey based EHFs
- Immunocompromised infants
- Premature infants (born \<37 weeks)
- Major hepatic or renal dysfunction
- Requirement for any parenteral nutrition
- Tube-fed via a post-pyloric route
- Participation in other clinical intervention studies within 1 month of recruitment to this study
- Investigator concern around the ability of family to comply with protocol and requirements of study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Nutricia UK Ltdlead
Study Sites (8)
Brighton and Sussex University Hospital NHS Foundation Trust
Brighton, United Kingdom
University Hospitals Bristol NHS Foundation Trust
Bristol, United Kingdom
Ashford and St Peter's Hospital NHS Foundation Trust
Chertsey, United Kingdom
Royal Surrey County Hospital NHS Foundation Trust
Guildford, United Kingdom
Guy's and St Thomas' NHS Foundation Trust
London, United Kingdom
The Rotherham NHS Foundation Trust
Rotherham, United Kingdom
university Hospitals Southampton NHS Foundation Trust
Southampton, United Kingdom
West Hertfordshire NHS Foundation Trust
Watford, United Kingdom
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- SUPPORTIVE CARE
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- INDUSTRY
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 23, 2018
First Posted
March 14, 2019
Study Start
August 22, 2018
Primary Completion
December 1, 2021
Study Completion
July 31, 2023
Last Updated
November 27, 2023
Record last verified: 2023-11
Data Sharing
- IPD Sharing
- Will not share