Status:

UNKNOWN

Community-based Clinical Trial With Microbiota Directed Complementary Foods (MDCFs) Made of Locally Available Food Ingredients for the Management of Children With Post-severe Acute Malnutrition Moderate Acute Malnutrition (Post-SAM MAM)

Lead Sponsor:

International Centre for Diarrhoeal Disease Research, Bangladesh

Collaborating Sponsors:

Washington University School of Medicine

Conditions:

Microbiota

Complementary Food

Eligibility:

All Genders

12-18 years

Phase:

PHASE2

Brief Summary

Background (brief): 1. Burden: A total of 52 million children under 5 are suffering from acute malnutrition globally, of whom 33 million suffer from moderate acute malnutrition (MAM). In Bangladesh, ...

Detailed Description

Background: Moderate acute malnutrition (MAM), a major global health problem, is defined as wasting (i.e. weight-for-height between \<-2 and -3 Z-scores of the WHO Child Growth Standards) and/or mid-...

Eligibility Criteria

Inclusion

  • Inclusion Criteria:
  • Parent(s) willing to sign consent form; the informed consent document will explicitly request permission to use the collected fecal samples for future studies, including but not limited to culturing component bacterial strains
  • Child age 12-18 months
  • WLZ between \<-2 and -3 without bilateral pedal edema at the time of randomization
  • Parent(s) willing to bring the child to the feeding centre twice daily for 4 weeks for nutritional therapy, once daily for next 4 weeks and administer the feeds provided by study staff once daily at home for 4 weeks and twice daily for next 4 weeks.
  • Exclusion Criteria
  • Medical conditions: Children with tuberculosis (diagnosis based on WHO 2014 guidelines which have been incorporated in the national TB control guidelines of Bangladesh). The guidelines depend upon the following five diagnostic principles (three out of five should be positive): 1. Specific symptoms of TB, 2. Specific signs, 3. Chest X-ray, 4. Mantoux test, and 5. History of contact,\[9\] or any congenital/acquired disorder affecting growth i.e. known case of trisomy-21 or cerebral palsy; children on an exclusion diet for the treatment of persistent diarrhea; having known history of soy, peanut or milk protein allergy- Severe anemia (\<8mg/dl), will be assessed by Hemocue (Model no. Hemocue Hb 301)
  • Failure to obtain informed written consent from parents or caretakers

Exclusion

    Key Trial Info

    Start Date :

    November 1 2018

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    June 30 2021

    Estimated Enrollment :

    124 Patients enrolled

    Trial Details

    Trial ID

    NCT04015986

    Start Date

    November 1 2018

    End Date

    June 30 2021

    Last Update

    March 9 2021

    Active Locations (1)

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    Icddr,B

    Dhaka, Bangladesh, 1212