Assessment of growth and body composition in preterm infants in relation to two different protein intakes: a randomised controlled trial

ISRCTN ISRCTN99801051
DOI https://doi.org/10.1186/ISRCTN99801051
Secondary identifying numbers N/A
Submission date
31/07/2008
Registration date
05/09/2008
Last edited
05/09/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Paola Roggero
Scientific

Via Commenda 12
Milano
20122
Italy

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study objectivesThe goal is to evaluate the safety and the effects on neonatal growth and body composition of two distinct strategies (intervention and control) for parenteral nutrition.
Ethics approval(s)Ethics approval received from the Ethical Committee FONDAZIONE IRCCS Ospedale Maggiore Policlinico Mangiagalli Regina Elena on the 24th March 2006.
Health condition(s) or problem(s) studiedPreterm infant nutrition and body composition
InterventionTo detect a difference of 3.0 g/kg per day in weight gain between the two treatment groups (a = 0.25; power = 80%, assuming SD = 2.0 g/kg per day), 9 patients are required for each group.

Preterm infants will be randomised to receive two different schedules of NPT: high or low protein intake for two weeks. The high protein intake consists of at maximum 3.5 g/Kg/d starting from 2.5 g/Kg/d and the low protein intake consists of 2.5 g/Kg/d starting from 1.5 g/Kg/d.
Intervention typeOther
Primary outcome measureSafety/tolerance:
1. Haemo-gas analysis twice a week for the first 15 days
2. Blood urea nitrogen and serum ammonium on the 1st day of life, on the 4th/5th, on the 7th/8th and 15th day of life
3. Blood amino acid profile on the 1st day of life (before starting NPT) and on the 4th/5th and 15th day of life
Secondary outcome measuresEfficacy:
1. Body composition (assessed by means of deuterium and air plethismography-Pea Pod) at birth, at 15 days of life and at 36 weeks of post-conceptional age
2. Growth (weight assessed daily, length and head circumference assessed weekly)
3. Anabolism assessed by means of nitrogen balance on 2nd, 5th, and 8th day of life
4. Blood amino acid profile on the 1st day of life (before starting NPT) and on the 4th/5th and 15th day of life
Overall study start date01/09/2008
Completion date01/06/2009

Eligibility

Participant type(s)Patient
Age groupNeonate
SexMale
Target number of participants9 patients per group (18 in total)
Key inclusion criteria1. Birth weight between 1000 and 1500 g
2. Being male
3. Being adequate for gestational age (birth weight greater than or equal to 10th percentile according to the Babson and Benda's chart updated)
4. Need for oxygen (O2) less than 40% within the first 72 hours
Key exclusion criteria1. Starting parenteral nutrition (NPT) after the first 24 hours of life
2. Chromosomal abnormalities
3. Metabolic disease
4. Congenital infections (toxoplasmosis, rubella, cytomegalovirus, herpes simplex and human immunodeficiency virus [HIV] [TORCH])
5. Score of severity of clinical conditions at birth (CRIBB) greater than 4
Date of first enrolment01/09/2008
Date of final enrolment01/06/2009

Locations

Countries of recruitment

  • Italy

Study participating centre

Via Commenda 12
Milano
20122
Italy

Sponsor information

Institute of Paediatrics and Neonatology (Italy)
Research organisation

University Medical School of Milan
Via Commenda 12
Milano
2012
Italy

Website http://www.mangiagalli.it
ROR logo "ROR" https://ror.org/00wjc7c48

Funders

Funder type

Hospital/treatment centre

Fondazione IRCCS Ospedale Maggiore Policlinico Mangiagalli Regina Elena (Italy)

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