Prealbumin and IGF-1 Levels in Pediatric Chronic Cholestasis With Severe Malnutrition After Nutrition Therapy
Preliminary Study: Effect of Nutrition Therapy on Prealbumin and IGF-1 Level in Severe Malnutrition Under Five Years Old With Chronic Cholestasis
1 other identifier
interventional
15
1 country
1
Brief Summary
The goal of this clinical trial is to learn if a high-energy liquid diet improves the nutritional status of children with chronic cholestasis (a liver condition that blocks bile flow). Researchers want to see if this diet helps children who are malnourished. The main questions the study aims to answer are:
- Does the liquid diet raise the level of prealbumin (a marker of nutrition) in the blood?
- Does the liquid diet raise the level of Insulin-like Growth Factor-1 (IGF-1) (a hormone that helps growth) in the blood? Participants will:
- Consume a high-energy liquid diet for 14 days.
- Give blood samples at the start and at the end of the 2-week study.
- Keep a daily record of what they eat and drink in a food diary. Researchers will compare the blood test results from the start and the end of the study to see if the liquid diet works to improve the children's prealbumin and IGF-1 levels. This study is important to help children with liver problems grow better and stay healthy.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Apr 2026
Shorter than P25 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
April 6, 2026
CompletedFirst Submitted
Initial submission to the registry
April 14, 2026
CompletedFirst Posted
Study publicly available on registry
May 6, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2026
ExpectedStudy Completion
Last participant's last visit for all outcomes
July 1, 2026
May 6, 2026
May 1, 2026
2 months
April 14, 2026
May 1, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Prealbumin and IGF-1 levels
The difference in prealbumin and IGF-1 levels before and after 14 days of nutritional therapy
15 days
Secondary Outcomes (8)
Gastrointestinal tolerance for bowel movement
14 days
Mid upper arm circumference changes
15 days
Height gain
15 days
Other illness duration
14 days
Gastrointestinal tolerance for vomit
14 days
- +3 more secondary outcomes
Study Arms (1)
Nutrition Therapy Group
EXPERIMENTALNutrition therapy
Interventions
The nutritional therapy provided consists of a liquid formula with BPOM approval number MD 250976001600096 for subjects under 1 year of age, and BPOM approval number ML 562409102696 for subjects over 1 year of age. Patients are also given micronutrients in the form of vitamins A, D, E, and K, as well as vitamin B1, folic acid, and zinc as needed.
Eligibility Criteria
You may qualify if:
- Children under 5 years old
- Diagnosed with chronic cholestasis and severe malnutrition
- Parental/guardian informed consent
- Willingness to use a nasogastric tube (NGT) if indicated
- Covered by national health insurance or other insurance
You may not qualify if:
- Comorbidities (heart failure, chronic kidney disease, HIV)
- Severe acute infections (acute gastroenteritis, dengue fever, pneumonia)
- Post-liver transplant
- Post-Kasai portoenterostomy (jaundice-free)
- Currently exclusively breastfeeding
- Use of steroids or NSAIDs within two weeks prior to the study.
- Receiving a transfusion of whole blood, fresh frozen plasma, or platelets within one week prior to the study
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Faculty of Medicine, University of Indonesia, Jakarta, DKI Jakarta 10430
Jakarta Pusat, DKI Jakarta, 10430, Indonesia
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Tri Faranita, dr, Sp.A
Department of Child Health, Faculty of Medicine, University of Indonesia - Cipto Mangunkusumo Hospital
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Pediatrician, Fellow in Pediatric Nutrition and Metabolic Diseases
Study Record Dates
First Submitted
April 14, 2026
First Posted
May 6, 2026
Study Start
April 6, 2026
Primary Completion (Estimated)
June 1, 2026
Study Completion (Estimated)
July 1, 2026
Last Updated
May 6, 2026
Record last verified: 2026-05