Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Wuhan Children's Hospital | OTHER |
| Chengdu Women's and Children's Central Hospital | OTHER |
| Zhengzhou Children's Hospital, China | OTHER |
Not provided
Not provided
Not provided
Not provided
This study is a prospective, multicenter, randomized controlled trial designed to evaluate the clinical efficacy, tolerance, and safety of a partially hydrolyzed whey protein formula in infants with mild allergic symptoms. Partially hydrolyzed formulas contain low-molecular weight peptides and have been shown to improve protein tolerance and digestibility and to reduce allergenicity compared with intact cow's milk protein formulas. However, evidence regarding their therapeutic effects in infants who have already developed allergic symptoms remains limited.
Eligible infants with mild allergic manifestations who are predominantly formula-fed will be randomly assigned in a 1:1 ratio to receive either a partially hydrolyzed whey protein formula or an intact cow's milk protein formula. Infants in the intervention group will receive a 100% partially hydrolyzed whey protein formula during the initial intervention period and will transition to a 60% partially hydrolyzed whey protein formula after reaching 6 months of age, while infants in the control group will continue feeding with an intact protein formula.
The primary outcome is the overall improvement rate of allergic symptoms after 2 weeks of intervention. Secondary outcomes include tolerance after transition to the follow-on formula at 6 months of age, changes in skin, gastrointestinal, and respiratory symptoms, growth parameters, and safety outcomes. The results of this study are expected to provide evidence to support nutritional management strategies for infants with mild allergic symptoms.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Partially Hydrolyzed Whey Protein Formula | Experimental | Infants receive a 100% partially hydrolyzed whey protein formula during the initial intervention period and transition to a 60% partially hydrolyzed whey protein follow-on formula after 6 months of age. |
|
| Intact Cow's Milk Protein Formula | Active Comparator | Infants receive an intact cow's milk protein formula during the intervention period with standard feeding guidance. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Partially Hydrolyzed Whey Protein Formula | Dietary Supplement | Infants receive a 100% partially hydrolyzed whey protein formula during the initial intervention period and transition to a 60% partially hydrolyzed whey protein follow-on formula after 6 months of age. |
| Measure | Description | Time Frame |
|---|---|---|
| Overall Improvement Rate of Allergic Symptoms | The overall response rate is defined as the proportion of participants achieving either marked response or partial response based on the Therapeutic Index (n) calculated from the Total Symptom Index (TSI) at Week 2 (Day 14 ± 2 days) compared to Baseline (Day 0). TSI is a composite score integrating both skin and gastrointestinal symptoms, calculated as: TSI = (SCORAD score / 103 × 100) × 0.5 + (I-GSAS daily total score / 21 × 100) × 0.5. The SCORAD (SCORing Atopic Dermatitis) index ranges from 0 to 103, and the I-GSAS (Infant Gastrointestinal Symptoms Assessment Scale) daily total score ranges from 0 to 21. The Therapeutic Index (n) is computed as: n = (Baseline TSI - Week 2 TSI) / Baseline TSI × 100%. Response categories are: marked response (n ≥ 60%), partial response (20% ≤ n < 60%), and no response (n < 20%). The overall response rate is calculated as (number of participants with marked or partial response) / (number of participants in the intention-to-treat [ITT] population) × 10 | 2 weeks after the intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Safety Assessment | Evaluation of safety outcomes, including the incidence, severity, and type of adverse events (AEs), serious adverse events (SAEs), and treatment-emergent adverse events (TEAEs) in the experimental group compared to the control group. | Week 2, Week 4, Week 8, and 2 weeks post-formula switch |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Skin, Gastrointestinal, and Respiratory Symptoms | Proportion of participants in each group presenting with skin symptoms (SCORAD score > 0), gastrointestinal symptoms (I-GSAS score > 0), and respiratory symptoms (respiratory score > 0) at each specified time point. | Week 2, Week 4, Week 8, and 2 weeks post-formula switch |
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Xinqiong wang, MD | Contact | +8621 64370045 | 666101 | wangxq1983@126.com |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D006967 | Hypersensitivity |
| ID | Term |
|---|---|
| D007154 | Immune System Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Intact Cow's Milk Protein Formula | Dietary Supplement | intact cow's milk protein formula during the intervention period with standard feeding guidance. |
|
| Change from Baseline in Allergy-Related Symptom Scores and Response Category |
Comparison between the experimental group and the control group regarding the mean change from Baseline in allergy-related composite symptom scores, as well as the distribution of response categories (e.g., marked, partial, no response), at Week 4 and Week 8. |
| Baseline, Week 4, Week 8 |
| Proportion of Participants with Symptom Relapse After Switching to Stage 2 Formula |
Proportion of participants in the experimental group versus the control group who experience symptom relapse within 2 weeks after switching to a Stage 2 formula at 6 months of age. Relapse is defined as an increase in the Total Symptom Index (TSI) of >20% compared to the value measured at 6 months of age. |
| 2 weeks post-formula switch (at approximately 6.5 months of age) |
| Change from Baseline in Gut Microbiota Diversity | Assessment of changes in the alpha diversity (richness and evenness) of the gut microbiota, as measured by next-generation sequencing of 16S rRNA from stool samples. | Baseline, Week 2, and 2 weeks post-formula switch |