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Foreseen high level of subject burden and non compliance in the clinical trial due to extensive product preparation and the nutritional concept for the improvement of RBC DHA is compromised by the change in the product formulation
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This is a prospective, double blind, randomized, controlled proof-of-concept study with a parallel group design that aims to investigate the effect of a liquid oral supplement comprising a blend of glycerides at certain proportions on infant and toddler DHA status.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EXPL | Experimental | Liquid oral supplement comprising a blend of glycerides at certain proportions |
|
| CTRL | Other | Liquid oral supplement comprising glycerides used in current formulas |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blend of glycerides at certain proportions | Other | combination of glycerides in specific proportions in a liquid oral supplement |
|
| Measure | Description | Time Frame |
|---|---|---|
| RBC-DHA levels after 56 days of supplementation | Red blood cell (RBC)-DHA after eight weeks of intervention | Study day 56 |
| Measure | Description | Time Frame |
|---|---|---|
| RBC, plasma additional fatty acids status | Determination of omega-3, omega-6, eicosapentanoic acid, arachidonic acid | Study days 0, 14, 28 and 56 |
| DHA supplement intake | Parent-reported supplement intake assessed using a 3-day DHA Supplement Intake and Tolerance Diary |
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Inclusion Criteria:
Subjects who fulfil all of the following inclusion criteria will be included:
Evidence of personally signed and dated informed consent form indicating that the infant/toddler's parent(s)/ Legally Authorized representative (LAR) has been informed of all pertinent aspects of the study.
Infants/toddlers whose parent(s)/LAR are willing and able to comply with scheduled visits, and the requirements of the study protocol.
Infants/toddlers must meet the following inclusion criteria respectively to be eligible for enrollment into the study:
Exclusion Criteria:
Any of the following criteria would render a subject ineligible for inclusion:
Infants/toddlers with conditions requiring feedings other than those specified in the protocol.
Infants receiving complementary foods or liquids defined as 4 or more teaspoons per day or approximately 20 grams (g) per day of complementary foods or liquids at enrollment.
Infants/toddlers who have a medical condition or history that could increase the risk associated with study participation or interfere with the interpretation of study results, including:
Infants/toddlers who are presently receiving or have received prior to enrollment any of the following: medication(s) or supplement(s) which are known or suspected to affect fat digestion, absorption, and/or metabolism (e.g., lactase enzymes, pancreatic enzymes); medications that may neutralize or suppress gastric acid secretion; medications that could affect any study outcomes.
Infants/toddlers whose parent(s)/LAR who in the Investigator's assessment cannot be expected to comply with the protocol or with study procedures.
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| Name | Affiliation | Role |
|---|---|---|
| Elvira M Estorninos, MD | Las Pinas Doctors Hospital | Principal Investigator |
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| glycerides used in current formulas | Other | glycerides used in current formulas in a liquid oral supplement |
|
| Study days 3, 14, 28 and 56 |
| Gastrointestinal (GI) tolerance | Parent-reported GI tolerance indicators assessed using a 3-day DHA Supplement Intake and Tolerance Diary | Study days 3, 14, 28 and 56 |
| Weight | Weight measured in grams | Study days 0, 14, 28 and 56 |
| Length | Length measured in cm | Study days 0, 14, 28 and 56 |
| Head circumference | Head circumference measured in cm | Study days 0, 14, 28 and 56 |
| Dietary intakes of DHA and other fatty acids (toddler population only) | Assessed using a 24-hour food recall | Study days 0, 28 and 56 |
| Standard adverse events (AEs) and serious AEs (SAEs) reporting for safety assessment | Incidence of AEs / SAEs reported throughout the study, particular attention will be paid to AEs related to GI tolerance and comfort | Study days 0, 14, 28, 56, and 70 |