The main purpose of this study is to demonstrate that the growth of infants fed with the Test Formula is non-inferior those fed with the Control Formula. The study will also evaluate the gastrointestinal tolerance, quatliy of life and acceptability of the new rice protein-based formula in infants with cow's milk protein allergy (CMPA).
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
OTHER
Masking
QUADRUPLE
Enrollment
104
Hydrolyzed rice protein formula
Commercially available extensively hydrolyzed cow's milk formula
Charité Universitätsmedizin Berlin
Berlin, Germany
RECRUITINGAzienda Ospedaliera Universitaria Federico II
Weight-for-age z-score at 4 months post-enrollment
Weight measured in g and expressed in z scores according to the World Health Organization (WHO) Child Growth Standards.
Time frame: From enrollment to 4 months post-enrollment
Weight
Weight (g and z-scores)
Time frame: Monthly from enrollment to 4 months post-enrollment
Length
Length (cm and z-scores)
Time frame: Monthly from enrollment to 4 months post-enrollment
Head circumference
Head circumference (cm and z-scores)
Time frame: At enrollmentn and 4 months post-enrollment
Tibia lenght
Tibia (cm)
Time frame: At enrollmentn and 4 months post-enrollment
Femur lenght
Femur (cm)
Time frame: At enrollmentn and 4 months post-enrollment
Gastrointestinal Symptoms
The Infant Gastrointestinal Symptom Questionnaire (IGSQ) will be used to assess GI tolerance. The IGSQ is a validated instrument that includes 13 questions in 5 domains (stooling, spitting-up/vomiting, crying, fussiness, and flatulence) and total scores range from 13 (best) to 65 (worst) for overall GI symptom burden.
Time frame: Monthly from enrollment to 4 months post-enrollment, and 7 days after enrollment
Gastrointestinal Symptoms
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Naples, Italy
Azienda Ospedaliero Universitaria di Parma
Parma, Italy
RECRUITINGAOUP Ospedale Santa Chiara
Pisa, Italy
COMPLETEDOspedale Pediatrico Bambino Gesu
Rome, Italy
NOT_YET_RECRUITINGAO Ordine Mauriziano
Turin, Italy
RECRUITINGPoliklinika Ginekologiczno-Położnicza Arciszewscy
Bialystok, Poland
RECRUITINGCentrum Medyczne Pratia
Bydgoszcz, Poland
RECRUITINGIN-VIVO Bydgoszcz
Bydgoszcz, Poland
RECRUITINGPrywatna Praktyka Lekarska Gabinet Pediatryczno-Alergologiczny
Bydgoszcz, Poland
RECRUITING...and 9 more locations
A daily GI tolerance questionnaire will be used.
Time frame: First 7 days post enrollment
Stool frequency and consistency
A retrospective 1-day stool record including the Brussels Infant and Toddler Stool Scale will be used.
Time frame: At enrollment
Stool frequency and consistency
A 3-day stool diary including the Brussels Infant and Toddler Stool Scale will be used.
Time frame: 2 months and 4 months post-enrollment
Cow's Milk-related Allergy Symptom
The Cow's Milk-related Symptom Score (CoMiSS) will be used to assess symptoms related to CMPA. The CoMiSS questionnaire contains 6 items and generates a score based on gastrointestinal, dermatological, respiratory, and general symptoms (total score range 0-33), which may be associated with CMPA .
Time frame: Monthly from enrollment to 4 months post-enrollment
Food Allergy Quality of Life
The Food Allergy Quality of Life Questionnaire (FAQLQ-PF) will be used. It is a validated instrument with 30 items in 3 domains (emotional impact, food-related anxiety, dietary and social restrictions).
Time frame: At enrollment and 4 months post-enrollment
Parental self-efficacy in managing food allergy
Parental self-efficacy in managing their child's food allergy will be assessed using the Food Allergy Self-Efficacy Scale for Parents (FASE-P). The FASE-P is a validated instrument with 21 items.
Time frame: At enrollment and 4 months post-enrollment
Parent-reported infant health-related quality of life
Parent-reported infant health-related quality of life will be assessed using the Infant and Toddler Quality of Life Questionnaire - Short Form (ITQOL-SF47). The ITQOL-SF47 is a validated instrument with 47 items.
Time frame: At enrollment and 4 months post-enrollment
Complementary food intake
Total energy and macronutrient intake calculated from food recalls / diaries.
Time frame: At enrollment, 2 months post-enrollment and 4 months post-enrollment
Formula compliance
A questionnaire will be used to assess formula compliance.
Time frame: Monthly from enrollment to 4 months post-enrollment
Formula liking
A questionnaire will be used to assess formula liking.
Time frame: 4 months post-enrollment
Safety - Occurence of AE
Adverse Events will be collected.
Time frame: From enrollment to 4 months post-enrollment