RECIPE BASED F100 INTERVENTION FOR NUTRITIONAL EFFICACY IN SAM (REFINE-SAM )
REFINE-SAM
EFFICACY AND SAFETY OF F100 PREPARED BY RECIPE METHOD FOR WEIGHT GAIN IN SEVERELY ACUTE MALNOURISHED CHILDREN
1 other identifier
interventional
114
1 country
2
Brief Summary
This open-label randomized controlled trial evaluates the efficacy and safety of multiple formulations of the F-100 therapeutic feed during the rehabilitation phase among children aged 6-59 months with SAM, in comparison to standard WHO F-100. The primary outcome is daily weight gain (g/kg/day) over 10 days; secondary outcomes include MUAC improvement, gastrointestinal tolerance (vomiting/diarrhea), duration to recovery, and renal safety markers (serum urea, creatinine, serum sodium, urine-specific gravity).
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 Jan 2025
Shorter than P25 for not_applicable
2 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
January 1, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2025
CompletedStudy Completion
Last participant's last visit for all outcomes
June 30, 2025
CompletedFirst Submitted
Initial submission to the registry
August 7, 2025
CompletedFirst Posted
Study publicly available on registry
August 19, 2025
CompletedAugust 24, 2025
August 1, 2025
5 months
August 7, 2025
August 22, 2025
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Mean weight gain (g/kg/day) during rehabilitation
Mean weight gain (g/kg/day) during 10 days of rehabilitation
From randomization to after starting treatment 10 days
Secondary Outcomes (4)
MUAC
From randomization to after starting treatment 10 days
Safety profile
From randomization to after starting treatment 10 days
Acceptability and Palatability by Hedonic scale scores for taste and acceptability of F-100
day 1
Change in serum albumin levels from baseline to day 10
base line and day 10
Study Arms (2)
WHO F-100 Formula
ACTIVE COMPARATORWHO already made formula will be given after initial stabilization starting from 150 kcal per kg per day to a maximum of 220 kcal per kg per day at 4-hourly intervals, and intakes and vitals will be monitored.
WHO RECIPE MADE F100
EXPERIMENTALWho recipe made F100 formula will be given after initial stabilization, starting from 150 kcal per kg per day to a maximum of 220 kcal per kg per day at 4-hourly intervals, and intakes and vitals will be monitored.
Interventions
Recipe-made formula will be given after initial stabilization, starting from 150 kcal per kg per day to a maximum of 220 kcal per kg per day at 4-hourly intervals, and intakes and vitals will be monitored.
Eligibility Criteria
You may qualify if:
- Children aged 6-59 months
- Diagnosed with SAM
- Have completed stabilization and entering rehabilitation phase per WHO CMAM guidelines
You may not qualify if:
- Secondary malnutrition (e.g. tuberculosis, HIV)
- Chronic systemic diseases
- Congenital anomalies
- Terminal illness
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Children's Hospital and Institute of child health Multan
Multan, Punjab Province, 60000, Pakistan
Tehsil Head Quater Sujah Abad
Multan Khurd, Punjab Province, 60000, Pakistan
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- STUDY CHAIR
Muhammad T Sultan, PhD
Bahuddin Zakariya University,Multan.
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER GOV
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Principal Investigator
Study Record Dates
First Submitted
August 7, 2025
First Posted
August 19, 2025
Study Start
January 1, 2025
Primary Completion
June 1, 2025
Study Completion
June 30, 2025
Last Updated
August 24, 2025
Record last verified: 2025-08
Data Sharing
- IPD Sharing
- Will not share