Child Malnutrition Clinical Trial
Official title:
Simplified Combined Protocol for the Identification and Treatment of Acute Malnutrition in Venezuela
NCT number | NCT05543759 |
Other study ID # | 291021 |
Secondary ID | |
Status | Terminated |
Phase | |
First received | |
Last updated | |
Start date | September 5, 2022 |
Est. completion date | November 30, 2022 |
Verified date | May 2023 |
Source | UNICEF - Venezuela |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational [Patient Registry] |
Global acute malnutrition (GAM) in children under five is defined by being too thin for a given height and/or having the Mid-upper arm circumference less than a given threshold. GAM includes moderate acute malnutrition (MAM) and severe acute malnutrition (SAM). This study has been designed to generate new evidence about the simplified combined protocol for the identification and treatment of GAM in Venezuela. The objective of the study is to document the safety and effectiveness of the Venezuelan simplified treatment protocol for GAM, which includes reduced frequency of follow-up visits, single product use and optimized daily RUTF dose. This prospective longitudinal study was conducted in 19 centers treating GAM in children aged 6-59 months diagnosed with uncomplicated GAM, defined as WHZ <-2 or MUAC <125mm or ++ bilateral edema. Children will be prospectively followed for a total of 6 months, including the treatment phase and the immediate post-discharge weeks until 6 months. The effectiveness of the treatment will be measured by the recovery rate, duration of the treatment and changes in anthropometry (weight, height and arm circumference). Other treatment effects will also be measured, including how many are admitted to the hospital, death and relapse rates from the nutritional program. An economic evaluation component will be incorporated. Total costs will be aggregated and presented as costs per child treated and per child recovered.
Status | Terminated |
Enrollment | 307 |
Est. completion date | November 30, 2022 |
Est. primary completion date | November 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 6 Months to 59 Months |
Eligibility | Inclusion Criteria: - The child is between 6 and 23 months of age at inclusion. - The mother must live in the study area from the time of inclusion. - Mid-upper arm circumference (MUAC) <12.5 cm or WHZ <-2 or bilateral pitting edema. - No serious medical complications. - Positive appetite test. - The consent of the mother or caregiver. Exclusion Criteria: - Congenital malformations that make anthropometric measurements impossible. - Mother intends to leave the study area before six months. - Presence of medical condition requiring referral for hospitalization. |
Country | Name | City | State |
---|---|---|---|
Venezuela | Distrito Capital, La Guaira, Miranda | Caracas | Distrito Capital |
Lead Sponsor | Collaborator |
---|---|
UNICEF - Venezuela |
Venezuela,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Recovery rate | This indicator is defined as the number children who recovered from wasting, MAM and SAM according to national program criteria (WHZ>-2 and MUAC>=125mm and absence of bilateral edema for two consecutive visits, within 16 weeks of enrollment in the program) divided by the total number of treatment results recorded. | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Primary | Weight gain | Average weight change per month | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Primary | MUAC gain | Average change in MUAC per month | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Primary | Duration of the treatment | Defined as the average number of weeks spent on treatment (enrollment and discharge) in children 6-59 months of age at enrollment, according to health registers | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Primary | Prevalence of relapse after discharge from the treatment | This indicator is defined as the proportion of children with WHZ-score <-2 or MUAC <125 mm or bilateral edema six months after the admission | at six months after the admission | |
Primary | Number of RUTF delivered per child | Average number of RUTF delivered per child (SAM/MAM) | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Primary | Cost per child | Average number of dollars that cost to recovery a child | Up to 4 months, from date of inclusion in the program until the date of recovery or 16th week after inclusion in the program or date of death from any cause, whichever came first | |
Secondary | Longitudinal prevalence of wasting | This indicator is defined for each child as the number of visits during which nutritional wasting is observed divided by the total number of monthly visits made. | Up to 6 months, from date of enrolment until the date of last documented progression or date of death from any cause, whichever came first | |
Secondary | Prevalence of child stunting | Proportion of children with Height-for-age Z-score (LAZ)<-2 (according to the 2006 World Health Organization reference) at the end of the study | Up to 6 months, from date of enrolment until the date of last documented progression or date of death from any cause, whichever came first | |
Secondary | Prevalence of child morbidity | Defined by the number of days with symptoms of acute respiratory infections, fever, diarrhea (three or more loose or liquid stools per day) and malaria divided by the total number of days observed/reported in the recall period | Up to 6 months, from date of enrolment until the date of last documented progression or date of death from any cause, whichever came first | |
Secondary | Prevalence of readmission | Prevalence of children readmitted to the treatment within six months after after the admission | Up to 6 months, at 24 weeks after the admission |
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