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In this study the feeding patterns and practices at the introduction of a second stage phe-free protein substitute will be assessed in young children with PKU. This will be compared with the normal weaning process in healthy non-PKU age-matched children. In addition, tolerability and acceptability of the study product will be evaluated in a smaller group of subjects who have already been transferred onto a second stage protein substitute. The study is performed in 3 centers in the United Kingdom.
Part 1:
For subjects with PKU, the study product will be incorporated in the diet as the second stage protein substitute until the subjects are 2 years of age.
The healthy non-PKU age-matched subjects will not have the study product incorporated in their diet in order to be able to compare the weaning experience and nutritional intake of PKU subjects with non-PKU subjects. The healthy subjects will also be part of the study until the subjects are 2 years of age.
Part 2:
All PKU subjects will take the study product for 7 days.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1 | Other | Part 1 of the study will recruit subjects who are about to be introduced to a concentrated phe-free protein substitute (i.e. second stage protein substitute) for the first time. |
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| Part 2 | Other | Part 2 of the study will recruit subjects who have already been introduced to a concentrated phe-free protein substitute (i.e. have already transferred from phe-free infant formula onto a second stage protein substitute). This group will be included to evaluate the acceptability of the study product in patients who have already moved onto a second stage protein substitute. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| B2970 Metabolic Texture Modified Protein Substitute | Other | The study product is a powdered phe-free protein substitute supplemented with long chain polyunsaturated fatty acids (LCP's), containing essential and non-essential amino acids, carbohydrate, fat, vitamins, minerals and trace elements and has been designed for use in the management of proven PKU in children aged 6 months to 5 years. |
| Measure | Description | Time Frame |
|---|---|---|
| Feeding patterns- product intake | Actual intake of product and prescribed amount of product [# sachets] will be recorded as documented in diaries. | up to 2 years |
| Feeding patterns - intake other than study product | Intakes of standard formulas / breast-milk and normal foods [mL] or [g/day] and [frequency] of breastfeeding, as documented in diaries. | up to 2 years |
| Feeding practices and difficulties by questionnaire; position | Feeding practices entered by parents in diaries: the way the child has been fed will be assessed : categories [sitting position e.g on lap, in chair etc] | up to 2 years |
| Feeding practices and difficulties by questionnaire; self feeding | Feeding practices entered by parents in diaries; the way the child has been fed will be assessed : [self-feeding; parent feeding]; [type of self feeding: bottle, finger; spoon, fork] | up to 2 years |
| Occurence of Adverse Events [ Safety and tolerability] | Occurence of Adverse Events | up to 2 years |
| Gastro-Intestinal symptoms | Occurence of GI symptoms [yes/no] for:
| up to 2 years |
| Product Acceptability yes/no |
| Measure | Description | Time Frame |
|---|---|---|
| Weaning per group (with our without protein substitute) - descriptive | Compare the weaning , nutritional intakes [g/day] and metabolic control of infants taking the study product, with historical controls of the same age and weaning stage whose diet did not incorporate a semi-solid second stage protein substitute during the same time period [parent questionnaires] | up to 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Anita MacDonald | Birmingham Children's Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Birmingham Children's Hospital | Birmingham | B4 6NH | United Kingdom | |||
| Bradford Teaching Hospitals NHS Foundation Trust, St Luke's Hospital |
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| Label | URL |
|---|---|
| Growth, protein, and energy intake in children with PKU taking a weaning protein substitute in the first 2 years of life: a case-control study; Nutrients 2019, 11(3), 552; | View source |
| How Does Feeding Development and Progression onto Solid Foods in PKU Compare with Non-PKU Children During Weaning?; Nutrients 2019, 11(3), 529 | View source |
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Acceptability questions [yes/no] for:
| up to 2 years |
| Blood Phenylalanine control: Phe levels | Phe levels [umol/L] | up to 2 years |
| Blood Tyrosine levels | Tyrosine levels [umol/L] | up to 2 years |
| Intake of energy and nutritients: Study product | Intakes of energy and nutrients from the study product [diet diary; #g product/day] | up to 2 years |
| Intake of energy and nutritients: Weaning | Intakes of energy and nutrients from the weaning diet: descriptive information, intakes [g/day] | up to 2 years |
| Intake of energy and nutritients: Weaning | Intakes of energy and nutrients from the weaning diet: descriptive information, intakes [# meals or snacks/day] | up to 2 years |
| Anthropometry: weight | Weight [g] | up to 2 years |
| Anthropometry: length | Length [cm] | up to 2 years |
| Anxiety levels of parents - Beck's Anxiety inventory | The Beck's Anxiety Inventory, scores on domains [0 not at all - 3 severely] | up to 2 years |
| Coping mechanisms of parents by questionnaire | Coping Health Inventory for Parents (scores on domains coping behaviour [3 extremely helpful -0 not helpful] | up to 2 years |
| Parent experience of Feeding via questionnaire | Feeding time Parent Questionnaire, experience of parents of their child's feeding time, scores on various domains [0-7] | up to 2 years |
| Bradford |
| BD5 0NA |
| United Kingdom |
| JB Russell House, Gartnavel Royal Hospital | Glasgow | G12 OXH | United Kingdom |
| Mealtime Anxiety and Coping Behaviour in Parents and Children During Weaning in PKU: A Case-Control Study; Nutrients. 2019 Dec; 11(12): 2857 | View source |