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Improved Respiratory Infection by Consuming Lactoferrin Fortified a2 Growing up Formula in Children of 2 to 3 Year Old

Completed
Conditions
Diarrheal Disease
Respiratory Infection
Interventions
Dietary Supplement: Enfinitas growing up stage 3 formula
Dietary Supplement: a2 growing up stage 3 formula puls lactoferrin supplement
Registration Number
NCT05670678
Lead Sponsor
a2 Milk Company Ltd.
Brief Summary

The goal of this observational study is to compare the incidence of ARI and/or diarrheal disease associated with feeding different formulas with and without lactoferrin supplement in children of 2-3 years old. 200 children eligible for the study will be enrolled from two study sites and randomly assigned to two groups (a2 growing up stage 3 formula puls lactoferrin supplement, and Enfinitas growing up stage 3 formula) to feed for 90 days. About 160 children (80 for each group) are expected to finish the study, and data will be collected during the four visits across the study.

Researchers will compare the two groups to see if there is significant decrease of the occurrence of diarrheal disease and/or acute respiratory infection for children fed with a2 growing up stage 3 formula puls lactoferrin supplement

Detailed Description

This study is two arms, opening parallel-designed, observational study. Diarrheal and infectious episodes, including acute upper and lower respiratory infections (ARI), changes in stool patterns, use of systemic antibiotics, adverse events and study formula consumption will be compared in children 2 - 3 years of age who are assigned to receive one of the two following study formulas for a 3-month feeding period: a2 growing up stage 3 formula puls lactoferrin supplement and Enfinitas growingup stage 3 formula.

200 children eligible for the study will be enrolled from two study sites and randomly assigned to two groups to feed for 90 days. About 160 children (80 for each group) are expected to finish the study, and data of primary and secondary outcomes will be collected during the four visits across the study. A sample size of 80 completed per group is needed to achieve a 80% power.

The Andersen-Gill model will be used to model the primary outcome (recurrent event of either diarrheal disease or an acute respiratory infection) under the framework of the proportional hazard assumption. For other secondary outcomes such as duration of acute respiratory infections(ARI) and/or diarrheal disease, episodes of systemic antibiotic use,amount of study formula consumed,changes in stool pattern and cost of treatment will also be analyzed.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
200
Inclusion Criteria
  • Full term born children current aged 2-3 years old
  • Birth weight not less than 2500g (5lb 8oz)
  • Consumes Milk or milk-based beverage regularly before recruitment
  • Informed consent signed
  • Parents or guardians of the infants committ not to participate in interventional clinical research during the intervention
Exclusion Criteria
  • Has a potential risk of metabolic or chronic disease; Fetal malformation; Or present with condition(s) that the investigator believes may affect the infant's ability to be orally fed, the infant's normal growth/development, or the infant's health evaluation.
  • In-take prebiotics or probiotic continuesly 15 days before the recruitment.
  • Growth problems or other protencial risks.
  • Larger-gestational age (LGA) babies born to mothers with gestational diabetes (defined as newborns whose birth weight is above the 90th percentile of average - Treated with antibiotics 7 days before study intervention.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Enfinitas growing up stage 3 formulaEnfinitas growing up stage 3 formulaper 100g serving * Lactoferrin 330 mg * Galactooligosaccharides (GOS) at 1.58 mg * β-Glucan 22 mg * DHA 0.4
a2 growing up stage 3 formula puls lactoferrin supplementa2 growing up stage 3 formula puls lactoferrin supplementper 100g serving * Lactoferrin 30 mg * Galactooligosaccharides (GOS) at 3 g * DHA 0.37 * Lactoferrin supplement plus: 2.68 ml per serving, 20 mg per 2 ml, 600 mg per bottle
Primary Outcome Measures
NameTimeMethod
Change of frequency of acute respiratory infection (ARI) and/or diarrheal diseasebaseline day 0, day 90

Change of frequency of acute respiratory infection (ARI) and/or diarrheal disease from baseline to 3 months

Secondary Outcome Measures
NameTimeMethod
Changes in stool patternbaseline day 0, visit 1 day 30, visit 2 day 60, visit 4 day 90

Average number of bowel movements per week and stool consistency

Amount of study formula consumedbaseline day 0, visit 1 day 30, visit 2 day 60, visit 4 day 90

Amount of study formula consumed (in grams)

Cost of medical treatmentbaseline day 0, visit 1 day 30, visit 2 day 60, visit 4 day 90

Cost of medical treatment in RMB yuan for each visit interval

Duration of acute respiratory infections(ARI) and/or diarrheal diseasebaseline day 0, visit 1 day 30, visit 2 day 60, visit 4 day 90

Number of days with acute respiratory infections(ARI) and/or diarrheal disease for each visit

Number of days of antibiotics treatedbaseline day 0, visit 1 day 30, visit 2 day 60, visit 4 day 90

Number of days of antibiotics treated for each visit interval

Trial Locations

Locations (2)

Qiu Bin Community Hospital

🇨🇳

Jinhua, Zhejiang, China

Nan Quan Community Hospital

🇨🇳

Jinhua, Zhejiang, China

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