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Growth and safety Outcomes in infants with CMPA fed a novel extensively hydrolyzed formula.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Test Formula | Experimental | New generation eHF |
|
| Control Formula | Active Comparator | Commercial eHF |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| New generation eHF | Dietary Supplement | New generation of a whey-based eHF formula intended for the dietary management of infants with CMPA. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Weight Gain Over 16 Weeks | To demonstrate non-inferiority in growth in infants fed with the Test formula, compared to infants fed with the Control formula over the first 16 weeks of formula intake. | 16 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of Adverse Events of Special Interest (AESIs) | To evaluate the safety and tolerability of the Test formula, including effects on "adverse events of special interest (AESIs)", which include lower respiratory tract infections (LRTIs), upper respiratory tract infections (URTIs), ear infections/otitis media, gastrointestinal infections and other viral or bacterial infections including urinary tract infections (UTIs). |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kamila Laskowska | Contact | 41 21 785 87 32 | kamila.laskowska@rd.nestle.com | |
| Giulia Ingrassia | Contact | +41 21 785 92 23 | giuliamarialaura.ingrassia@rd.nestle.com |
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| Commercial eHF | Dietary Supplement | Commercial whey-based eHF formula intended for the dietary management of infants with CMPA. |
|
| 52 weeks |
| Growth Parameters: Weight | The growth by body weight (in g) of infants over 52 weeks. | 52 weeks |
| Growth Parameters: Length | The growth by body length (in cm) of infants over 52 weeks | 52 weeks |
| Quality of Life Scores (ITQOL) | Quality of life over 52-weeks assessed by validated Quality of Life (QoL) scale: Infant and Toddler Quality of Life [ITQOL] Minimum score: 0 Maximum score: 100 Interpretation: Higher scores indicate better health-related quality of life, better functioning, or less negative impact on the child/family (depending on the specific domain). A score of 0 represents the worst health/status, while 100 represents the best health/status | 52 weeks |
| Stool Frequency and Stool Characteristics (BITSS) | Stool frequency and characteristics over 52 weeks based on Brussels Infant and Toddler Stool Scale (BITSS). Scale categories: 7 stool photographs corresponding to stool consistency types BITSS photographs are often grouped into: Hard: Types 1-3 Formed: Type 4 Loose: Types 5-6 Watery: Type 7 Interpretation: Lower categories (1-3): harder stools, potentially associated with constipation. Middle category (4): formed/normal stool consistency. Higher categories (5-7): increasingly loose to watery stools, potentially associated with diarrhea. | 52 weeks |
| Resolution of CMPA-Related Symptoms | Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on patient-reported outcome tool (PRO) based on parent(s)/legally authorized representative(s) (LAR) report. | 52 weeks |
| Formula intake compliance | Formula intake (in ml) compliance (number of feeds per day) based on parent(s)/LAR report records collected via electronic data capture (EDC)/interactive response technology (IRT). | 52 weeks |
| Healthcare resources utilization | Healthcare Resources Utilization (HCRU) over the 52-week intervention period, based on parent(s)/LAR report and medical records (such as: number of hospitalizations, number of unscheduled emergency department attendances, general practitioner/pediatrician visits) | 52 weeks |
| Growth Parameters: Head Circumference | The growth by head circumference (in cm) of infants over 52 weeks | 52 weeks |
| Quality of Life Scores (FLIP) | Quality of life over 52-weeks assessed by validated QoL scale: Food hypersensitivity family Impact [FLIP] Lower categories (1-3): harder stools, potentially associated with constipation. Middle category (4): formed/normal stool consistency. Higher categories (5-7): increasingly loose to watery stools, potentially associated with diarrhea. | 52 weeks |
| Resolution of Cow Milk Protein Allergy (CMPA)-Related Symptoms | Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Scoring Atopic Dermatitis Eczema Score (SCORAD) Minimum score: 0 Maximum score: 103 Interpretation: Higher scores indicate more severe eczema and therefore a worse outcome. Lower scores indicate less severe disease and a better outcome | 52 weeks |
| Resolution of CMPA-Related Symptoms | Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Infant Gastrointestinal Symptom Questionnaire (IGSQ) Minimum score: 13 Maximum score: 65 Interpretation: Higher scores indicate more gastrointestinal symptoms and poorer feeding tolerance (worse outcome). Lower scores indicate fewer GI symptoms and better tolerance. | 52 weeks |
| Resolution of CMPA-Related Symptoms | Rate of adequate clinical response and time to symptom resolution of CMPA-related symptoms (in days) collected on Cow's Milk-Related Symptom Score (CoMiSS). Minimum score: 0 Maximum score: 33 Interpretation: Higher scores indicate more severe cow's milk-related symptoms and therefore a worse outcome. Lower scores indicate fewer symptoms and a better outcome. | 52 weeks |