Malnutrition, Child Clinical Trial
Official title:
Effect of an Alternative RUTF on Intestinal Permeability in Children With Severe Acute Malnutrition
Verified date | August 2022 |
Source | Washington University School of Medicine |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Ready-to-use therapeutic food (RUTF) is the standard of care for the treatment of SAM. UNICEF requires that there be no oil separation in these products necessitating the use of emulsifiers. The effect of emulsifiers on gut health and integrity in children receiving an exclusive diet of RUTF is unknown. The PIs have recently completed a randomized, triple-blind, controlled, clinical equivalency trial in Sierra Leone comparing the alternative oat RUTF (oat-RUTF) to standard RUTF on recovery rates in children with SAM. This study demonstrated higher rates of recovery among children receiving the oat-RUTF. The investigators hypothesize that this benefit may be due to the lack of emulsifier in the oat-RUTF resulting in improved intestinal health.This research project is a double-blind, randomized, controlled clinical effectiveness trial comparing a novel RUTF containing oats and no emulsifier and standard RUTF on recovery from severe acute malnutrition (SAM) and effects on intestinal health. The trial will be conducted in up to 40 PHUs in Western Rural and Pujehun Districts where supplementary feeding programs (SFP) are not currently available.
Status | Completed |
Enrollment | 129 |
Est. completion date | September 6, 2021 |
Est. primary completion date | September 6, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 6 Months to 59 Months |
Eligibility | Inclusion Criteria: - mid-upper arm circumference (MUAC) <11.5 cm Exclusion Criteria: - Children currently involved in another research trial or feeding program - Children developmentally delayed - have a chronic debilitating illness - history of peanut or milk allergy |
Country | Name | City | State |
---|---|---|---|
Sierra Leone | Project Peanut Butter | Pujehun |
Lead Sponsor | Collaborator |
---|---|
Washington University School of Medicine | Ministry of Health and Sanitation, Government of Sierra Leone, Project Peanut Butter, Sierra Leone |
Sierra Leone,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Change of % of lactose excreted between enrollment and 4 weeks after enrollment | %L measured in the urine relative to the amount ingested will be calculated for children in both groups. %L will be categorized as normal (<0.2%) and abnormal (>0.2) | at week 4 after enrollment | |
Secondary | fecal 16S rRNA configuration after 4 weeks of feeding | Multi amplicon rRNA characterization of flash frozen stool sample | after 4 weeks of feeding |
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