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| Name | Class |
|---|---|
| Shanghai First Maternity and Infant Hospital | OTHER |
| Xinhua Hospital, Shanghai Jiao Tong University School of Medicine | OTHER |
| Edanz Group Japan Ltd | UNKNOWN |
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This trial is a single-blind, randomized, controlled, parallel-designed trial to compare the effects of a2 Platinum® stage 1 infant formula versus conventional, A1 and A2 β-casein-containing stage 1 infant formula versus breastfeeding on crying, tolerance, gut health, and immune function.
The protocol was updated from V8.2 to V9.1 and was approved by the Ethical Committee of Shanghai First Maternity and Infant Hospital, the main site. The major changes are: from "blind to participants" to "non-blind to participants"; from "Single-Centre" to "Multi-Centre"; number of subjects from "270" to "180"; trial period from "3 weeks" to "4 weeks"; and number of visits from "6" to "4".
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| a2 Group | Active Comparator | The infant group consuming a2 Platinum® stage 1 infant formula |
|
| Control Group | Active Comparator | The infant group consuming conventional, A1 and A2 β-casein containing stage 1 infant formula |
|
| breast feeding | No Intervention |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| a2 Platinum® stage 1 infant formula | Other | Upon randomization (if not included in the breastfed group), each participant will be provided with up to 105 days' supply of the standardized formula and up to 28 days' supply of the allocated formula. Participants and study investigators will conduct the trial via a pre-determined randomization schedule. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes of crying frequency at each follow up visit compared to baseline | Record frequency of crying (times/d) | Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 days after baseline); Visit 4 (28 days after baseline) |
| Changes of crying duration at each follow up visit compared to baseline | Record duration of crying (min) | Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Changes in fecal MPO levels at each follow up visit compared to baseline | Record fecal MPO (in Unit) as markers of inflammation | Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in salivary cortisol levels at each follow up visit compared to baseline | Record salivary cortisol (nmol/L) as markers of immune function | Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Changes in body length |
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Inclusion Criteria:
For the formula-fed groups, participants in addition to the above-listed criteria, must also meet the following criterion:
- Parent or guardian agrees that the baby will be fed with standardized formula upon enrolment and switched to randomized formula at baseline (90-105 days of age)
For the breastfed group, participants in addition to the above-listed criteria, must also meet the following criterion:
- Parent or guardian agrees that the baby will be breast-fed
Exclusion Criteria:
Infant with inborn malformation and with hereditary and/or chronic and/or inborn diseases that could interfere with the survey (e.g. being unable to breast-feed or formula-fed)
Diseases jeopardizing intrauterine growth
Known or increased risk of IgE-mediated cow's milk protein allergy
Infant with an acute infection or gastroenteritis at time of randomization
Evidence of feeding difficulties or formula intolerance, such as vomiting or poor intake at time of randomization
Participation in another clinical trial
Investigator's uncertainty about the willingness or ability of the parents to comply with the protocol requirements (including to fill in the diaries and to wait with introducing weaning foods until 4 months of age, and capability and willingness to do stool sample collection, handling, processing, and storage as instructed)
Infant is immunocompromised (according to a doctor's diagnosis of immunodeficiencies such as combined immunodeficiencies, DiGeorge Syndrome, Wiskott-Aldrich syndrome, severe congenital neutropenia and secondary immunodeficiencies linked to HIV infection, Down Syndrome or others) and children with known head/brain disease/injury such as microcephaly, macrocephaly or others
Exit Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Jiangqin Liu, MD | Shanghai First Maternity and Infant Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Nanjing Maternity and Child Health Care Hospital | Nanjing | Jiangsu | 210004 | China | ||
| Second Hospital of Jilin University |
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| ID | Term |
|---|---|
| D003226 | Congresses as Topic |
| ID | Term |
|---|---|
| D009938 | Organizations |
| D004472 | Health Care Economics and Organizations |
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| Women & Children's Health Care Hospital of Linyi, China |
| UNKNOWN |
| Beijing Esmile Technology Co. Ltd. | UNKNOWN |
| Nanjing Maternity and Child Health Care Hospital | OTHER |
| First Teaching Hospital of Tianjin University of Traditional Chinese Medicine | OTHER |
| Second Hospital of Jilin University | OTHER |
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|
| Conventional, A1 and A2 β-casein containing stage 1 infant formula | Other | Upon randomization (if not included in the breastfed group), each participant will be provided with up to 105 days' supply of the standardized formula and up to 28 days' supply of the allocated formula. Participants and study investigators will conduct the trial via a pre-determined randomization schedule. |
|
Differences in length gain (cm/d) |
| Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 days after baseline); Visit 4 (28 days after baseline) |
| Changes in body weight | Differences in weight gain (kg/d) | Visit 1 (screening/randomization); Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Changes in head circumference | Differences in head circumference (cm/d) | Visit 1 (screening/randomization); Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Number of adverse events at each follow up visit compared to baseline | Record number of adverse events as a measure of safety and tolerability | Visit 1 (screening/randomization); Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 day after baseline); Visit 4 (28 days after baseline) |
| Abundance analysis of gut microflora species | Differences in abundance of gut microflora species | Visit 2 (baseline [90-105 days since birth]); Visit 3 (14 days after baseline); Visit 4 (28 days after baseline) |
| Changchun |
| Jilin |
| 130041 |
| China |
| Women & Children's Health Care Hospital of Linyi, China | Linyi | Shandong | 276000 | China |
| Shanghai First Maternity and Infant Hospital | Shanghai | Shanghai Municipality | 200121 | China |
| First Teaching Hospital of Tianjin University of Traditional Chinese Medicine | Tianjin | Tianjin Municipality | 300192 | China |