This study aims to compare nutritional outcomes in terms of percentage of weight gain between a new planted-based high-energy ONS and a standard high-energy ONS with animal protein (cow's mil protein) in patients at malnutrition according to Global Leadership Initiative on Malnutrition (GLIM) criteria.
Due to the increasingly pressing need to develop an oral nutritional supplement (ONS) that does not contain animal ingredients, Fortimel PlantBased, suitable for patients with Disease-Related Malnutrition or who wish to avoid or reduce the consumption of animal products for dietary or lifestyle reasons, is being promoted. At the same time, it is also a therapeutic option to be considered in the population with allergy or intolerance to cow's milk protein. Therefore, the aim is to offer an adapted therapeutic nutritional solution that guarantees nutritional results that are not inferior than ONS with animal protein (cow's milk protein). This study was designed as an open-label randomized controlled non-inferiority trial with two arms: a new planted-based ONS (Fortimel PlantBased) as the intervention arm and standard ONS (Fortimel Energy) as the control arm, both high-energy formulas (1.5 kcal/m; 200ml). The study will be carried out in patients at malnutrition according to Global Leadership Initiative on Malnutrition (GLIM) criteria, who need to supplement their diet by taking a high-energy ONS for at least 12 weeks. These patients will be treated and follow-up by the Endocrinology and Nutrition services of 6 public hospitals in Spain.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
140
2 bottles/day of the high energy ONS
Hospital Universitario de Basurto
Bilbao, Spain
RECRUITINGHospital Universitario Reina Sofía
Córdoba, Spain
RECRUITINGHospital Universitario de Gran Canaria Doctor Negrín
Las Palmas de Gran Canaria, Spain
RECRUITINGHospital Universitario de Móstoles
Madrid, Spain
RECRUITINGHospital Universitario Virgen del Rocío
Seville, Spain
RECRUITINGHospital Clínico Valladolid
Valladolid, Spain
RECRUITINGChange in weight
Change in weight percentage
Time frame: Changes between baseline and final visit (12 weeks).
Improvement in nutritional status
Improvement in nutritional status according to the GLIM criteria. A change in classification category from grade 2 of malnutrition to grade 1 or not meet GLIM criteria, as well as a change from grade 1 to not meet GLIM criteria are considered an improvement.
Time frame: From the baseline to the final visit (12 weeks)
Change in muscle strength
Measured by dynamometry
Time frame: From the baseline to final visit (12 weeks)
Change in calf circumference
Time frame: From baseline to final visit (12 week)
Percentage of compliance
Taking into account the number of bottles per day taken, the ml of product and the ml left over.
Time frame: During the study follow up
Changes in the gastrointestinal symptom scale (GSRS)
Total score
Time frame: From the baseline to final visit (12 week)
ONS Satisfaction
Patients satisfaction taking ONS will be considered if a patient indicates a score of at least 8 points for overall satisfaction question.
Time frame: Final visit (12 week)
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