Comparison of 10% milk ready-to-use food to 25% milk ready-to-use food in the treatment of severely malnourished, Malawian children

ISRCTN ISRCTN54186063
DOI https://doi.org/10.1186/ISRCTN54186063
Secondary identifying numbers N/A
Submission date
01/06/2009
Registration date
04/06/2009
Last edited
29/12/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Mary Manary
Scientific

Washington University School of Medicine
One Children's Place
St. Louis
63110
United States of America

Phone +1 314 454 2178
Email manary@kids.wustl.edu

Study information

Study designRandomised double-blind controlled clinical effectiveness trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Other
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleRandomised, double-blind controlled clinical effectiveness trial comparing 10% milk ready-to-use food with 25% milk ready-to-use food (RUTF) in the treatment of severe acute malnutrition in rural Malawian children
Study objectivesThe proposed study tests the hypothesis that 12 - 60 month-old children with severe acute malnutrition whose caretakers are provided with supplements and counselling to feed the child with 175 kcal/kg/d of either 10% milk ready-to-use therapeutic food (RUTF) or 25% milk RUTF are likely to recover at a similar rate during an 8-week intervention.
Ethics approval(s)Washington University Human Research Protection Office approved on the 21st May 2008 (ref: FWA00002284; 08-0513)
Health condition(s) or problem(s) studiedChildhood severe acute malnutrition
InterventionThe randomised food product, 10% milk RUTF or 25% milk RUTF, sufficient for two weeks' feeding to the treated child will be given to the subject's caretaker with instructions on daily feeding methods and advice not to share the food product with other members of the household. Children and their caretakers will return for follow-up, food collection, and measurements and monitoring of the child's growth and any adverse events every 2 weeks.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Applicable
Drug / device / biological / vaccine name(s)Ready-to-use therapeutic food (RUTF)
Primary outcome measureRecovery, defined as weight-for-height z-score greater than -2 on two consecutive visits.
Secondary outcome measures1. Rates of gain in weight, height and mid-upper arm circumference
2. Adverse outcomes such as death
3. Number of days of fever, cough and diarrhoea

Measured at each return visit, i.e. every two weeks until the child reached the final outcome of recovery/death/another outcome.
Overall study start date06/01/2008
Completion date05/01/2009

Eligibility

Participant type(s)Patient
Age groupChild
Lower age limit12 Months
Upper age limit60 Months
SexBoth
Target number of participants1800
Total final enrolment1874
Key inclusion criteria1. Children aged 12 - 60 months, either sex
2. Suffering from severe acute malnutrition
3. Reside within 7 kilometres of and present to one of the 15 feeding sites during the recruitment period
Key exclusion criteria1. Not permanent residents in the vicinity of one of the feeding sites
2. Severe chronic illness, e.g., cerebral palsy
3. A history of peanut allergy or anaphylaxis resulting from any food
4. Receiving other supplementary food
5. Participating in another research study
Date of first enrolment06/01/2008
Date of final enrolment05/01/2009

Locations

Countries of recruitment

  • Malawi
  • United States of America

Study participating centre

Washington University School of Medicine
St. Louis
63110
United States of America

Sponsor information

University of Malawi College of Medicine (Malawi)
University/education

Private Bag 360
Blantyre
3
Malawi

Website http://www.medcol.mw/
ROR logo "ROR" https://ror.org/04vtx5s55

Funders

Funder type

Charity

Hickey Family Foundation (USA) - Academy for Educational Development

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 01/12/2010 29/12/2020 Yes No

Editorial Notes

29/12/2020: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.