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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02839148
Other study ID # PR-16005
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date April 2016
Est. completion date April 2018

Study information

Verified date August 2018
Source International Centre for Diarrhoeal Disease Research, Bangladesh
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study will provide a tool for researchers to measure important outcomes in relation to trial of intervention to reduce or prevent stunting. Hypothesis: We assume that appetite score will be associated with improvement in growth and development parameters of children given the nutrition and psychosocial stimulation intervention Objectives: To explore maternal perception regarding childhood stunting To develop and validate an appetite measuring tool To assess the appetite status of young children To examine the relationship between appetite score, growth and development, potential biomarkers of appetite, child food intake and intestinal inflammation of the children. Methods: In the first phase, a qualitative study will be conducted to explore maternal perception regarding childhood stunting and to develop a tool- the "Early Childhood Appetite and Satiety Tool"(ECAST) using mixed method approach (qualitative and quantitative). In the second phase, a community-based trial will be conducted with 50 stunted children of aged 12-18 months, living in urban slums of Dhaka, and 50 age-sex matched control children (non-stunted).


Description:

The stunted children will receive an intervention package which includes food supplementation (FS) with one egg and 150 ml of whole milk supplementing the usual home diet, 6 days a week for 3 months; psychosocial stimulation (PS) for 6 months, and routine clinical care monthly for 6 months. The control children will receive routine clinical care but no FS and PS. Routine clinical care includes micronutrients powder, de-worming, health and nutrition education and immunization. All children will be assessed for appetite score (ECAST score) and anthropometry-at baseline then monthly for 6 months; food intake at baseline then monthly for 3 months, and cognitive development using Bayley Scales of Infant and Toddler Development, third version (Bayley-III) on enrolment and at 3 and 6 months of enrolment. Blood samples will be collected to examine gut hormones, complete blood count and haemoglobin percentage. Stool samples will be collected for routine examination and stool biomarkers. Urine sample will be collected for screening urinary tract infection. All the specimens will be collected at baseline and at 3 and 6 months of enrollment. Outcome measures/variables: The primary outcome: Assessment of appetite score of stunted children aged 12-18 months compared to non-stunted children. The secondary outcomes are: -Association of appetite score with growth and development with potential biomarkers of appetite with child food intake and intestinal inflammation of the children.


Recruitment information / eligibility

Status Completed
Enrollment 390
Est. completion date April 2018
Est. primary completion date April 2018
Accepts healthy volunteers Accepts Healthy Volunteers
Gender All
Age group 6 Months to 5 Years
Eligibility Inclusion Criteria: - 50 stunted children (LAZ<-2) aged 12-18 months - 50 non-stunted (LAZ=-2) aged 12-18 months Exclusion Criteria: - Severe acute malnutrition (SAM) - Chronic illness - Congenital anomaly/developmental delay/oromotor dysfunction

Study Design


Related Conditions & MeSH terms


Intervention

Dietary Supplement:
Food supplementation
Arm 1 will be given food supplementation (FS), psychosocial stimulation (PS) and routine clinical care will be given and arm will be provided only with routine clinical care. The control children will receive routine clinical care but no FS or PS.

Locations

Country Name City State
Bangladesh Icddr,B Dhaka

Sponsors (2)

Lead Sponsor Collaborator
International Centre for Diarrhoeal Disease Research, Bangladesh University of Washington

Country where clinical trial is conducted

Bangladesh, 

Outcome

Type Measure Description Time frame Safety issue
Primary Assessment of appetite score of stunted children aged 12-18 months compared to non-stunted children 4 months
Secondary Association of appetite score with growth and development child food intake 15 months
Secondary Association of appetite score with growth and potential biomarkers of appetite 15 months
Secondary Association of appetite score with growth and intestinal inflammation of the children 15 months
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