Status:

COMPLETED

iKanEat: A Randomized-controlled, Multi-center Trial of Megestrol for Chronic Oral Food Refusal in Children

Lead Sponsor:

University of Kansas Medical Center

Conditions:

Feeding Behavior

Feeding Disorder of Infancy or Early Childhood

Eligibility:

All Genders

9-108 years

Phase:

PHASE4

Brief Summary

This is a multi-center, randomized, placebo-controlled, double-blind clinical trial. The primary focus of the study is the evaluation of the effectiveness of treatment with megestrol as part of a 24 w...

Detailed Description

The primary aim of the current study is to conduct a randomized controlled trial of a 4-week course of megestrol, the only remaining medication that is part of the iKanEat protocol, to ensure that the...

Eligibility Criteria

Inclusion

  • Males and females aged 9 months to 9y0m at the time of consent.
  • Able to obtain parental or legal guardian written informed consent from subjects as applicable by local laws and regulations.
  • Subjects must have a G or G/J tube.
  • Subjects must receive over 80% of their total daily calorie needs from a tube in order to be classified as tube dependent.
  • Subjects must have a ≥ 3 month history of feeding problems as identified by a diagnosis from a multidisciplinary feeding team, and must have permission from the physician on the team to ensure that they are medically stable enough to participate in a weaning study.
  • Subjects must possess the oral motor skills necessary for eating. Subjects must possess behavioral skills necessary for mealtimes.

Exclusion

  • Children receiving oral or inhaled steroids.
  • Parent has a known developmental delay or cognitive impairment that may make participation in the study difficult (children with these issues will not be excluded).
  • Children receiving intensive (defined as more than one session per month) behavioral feeding therapy with a licensed psychologist (previous behavioral feeding therapy is not an exclusion criterion; neither is current oral-motor, sensory, or speech therapy).
  • Children of non-English speaking parents.

Key Trial Info

Start Date :

August 15 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 19 2025

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT03815019

Start Date

August 15 2019

End Date

March 19 2025

Last Update

September 10 2025

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Rady Children's Hospital - San Diego

San Diego, California, United States, 92123

2

Arnold Palmer Hospital for Children

Orlando, Florida, United States, 32806

3

Riley Hospital for Children at IU Health

Indianapolis, Indiana, United States, 46202

4

Boston Children's Hospital

Boston, Massachusetts, United States, 02115