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CompletedNCT00710359Updated Aug 16, 2010

Cobalamin Status in Young Children With Gastrointestinal Symptoms or Feeding Problems

An interventional study of Hydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma) in Vitamin B 12 Deficiency, sponsored by Haukeland University Hospital. Completed at 1 site in Norway. Open to participants aged Up to 8 Months. Per ClinicalTrials.gov, last updated 2010-08-16.

Sponsored by Haukeland University Hospital · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
100
Allocation
Randomized
Ages
Up to 8 Months
Sex
All
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Study summary

During fetal life and infancy, an adequate cobalamin status is important for normal growth and central nervous system development. During the last years we have detected cobalamin deficiency in a number of infants admitted to the Pediatric Department with various symptoms, including neurological symptoms and feeding problems. Cobalamin treatment is given to the infants with biochemical cobalamin deficiency, and leads to loss of symptoms and in improved physical condition.

In this study we want to establish the prevalence of cobalamin deficiency in infants with gastrointestinal symptoms and/or feeding problems. Cobalamin status will be investigated in all children aged 8 months and younger, admitted to the Pediatric Department with these symptoms. In a randomised intervention trial we will evaluate the effect of cobalamin supplementation in children with these symptoms and metabolic evidence of impaired cobalamin status.

Study hypothesis: Cobalamin treatment given to the infants with biochemical cobalamin deficiency, will lead to loss of symptoms and in improved physical condition.

02

Conditions studied

  • Vitamin B 12 Deficiency

Keywords

  • Cobalamin deficiency
  • Infant
  • Nutrition
  • Cobalamin supplementation
  • Feeding problems
  • Gastrointestinal symptoms
03

In context

Vitamin B 12 Deficiency

72 studies on the registry are indexed under Vitamin B 12 Deficiency; 10 are open to participants now.

This study's planned enrollment of 100 is above the median of 65 across 44 interventional studies indexed under Vitamin B 12 Deficiency.

Browse Vitamin B 12 Deficiency studies →

Lead sponsor

Haukeland University Hospital is the lead sponsor of 276 studies on the registry; 61 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
Up to 8 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Children below 8 months of age
  • Clinical diagnosis or symptoms: feeding problems and/or gastrointestinal symptoms

Exclusion criteria

Exclusion Criteria:

  • Children with syndromic disease
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Care provider, Investigator, Outcomes assessor)
Enrollment
100 participants (estimated)

Study arms

  • Active comparator
    1

    400 µg hydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma) given as a single intramuscular injection. The syringe is covered so it is impossible to see whether or not it contains any substance.

    Dietary Supplement: Hydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma)

  • Sham comparator
    2

    The controls receive an intramuscular "injection", however, it is only an introduction of the needle into the muscle, but no injections are given. The syringe is covered so it is impossible to see whether or not it contains any substance.

    Dietary Supplement: Hydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma)

Interventions

  • Dietary supplementHydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma)

    400 µg hydroxycobalamin (Vitamin B12 Depot, Nycomed Pharma), as a single intramuscular injection

    Also known as: Vitamin B12, Cobalamin, B vitamins

06

What researchers measure

Primary outcomes

  1. Outcome Measure: Changes in cobalamin and folate status, including metabolic markers, hematological parameters, growth parameters, symptom and neurological evaluation

    Time frame: Reevalutation after 4 weeks

Secondary outcomes

  1. Maternal evaluation of changes in infant behaviour and symptoms

    Time frame: After 4 weeks

07

Study locations

1 site
  • Department of Pediatrics, Haukeland University Hospital
    Bergen, 5021, Norway
08

References and documents

Publications

  • Rosenblatt DS, Whitehead VM. Cobalamin and folate deficiency: acquired and hereditary disorders in children. Semin Hematol. 1999 Jan;36(1):19-34. PubMed 9930566 ↗
  • Bjorke Monsen AL, Ueland PM, Vollset SE, Guttormsen AB, Markestad T, Solheim E, Refsum H. Determinants of cobalamin status in newborns. Pediatrics. 2001 Sep;108(3):624-30. doi: 10.1542/peds.108.3.624. Erratum In: Pediatrics 2002 Oct;110(4):853. PubMed 11533328 ↗
  • Wulffraat NM, De Schryver J, Bruin M, Pinxteren-Nagler E, van Dijken PJ. Failure to thrive is an early symptom of the imerslund Grasbeck syndrome. Am J Pediatr Hematol Oncol. 1994 May;16(2):177-80. PubMed 8166372 ↗
  • Monsen AL, Refsum H, Markestad T, Ueland PM. Cobalamin status and its biochemical markers methylmalonic acid and homocysteine in different age groups from 4 days to 19 years. Clin Chem. 2003 Dec;49(12):2067-75. doi: 10.1373/clinchem.2003.019869. PubMed 14633879 ↗
  • Bjorke-Monsen AL, Torsvik I, Saetran H, Markestad T, Ueland PM. Common metabolic profile in infants indicating impaired cobalamin status responds to cobalamin supplementation. Pediatrics. 2008 Jul;122(1):83-91. doi: 10.1542/peds.2007-2716. PubMed 18595990 ↗
  • Torsvik I, Ueland PM, Markestad T, Bjorke-Monsen AL. Cobalamin supplementation improves motor development and regurgitations in infants: results from a randomized intervention study. Am J Clin Nutr. 2013 Nov;98(5):1233-40. doi: 10.3945/ajcn.113.061549. Epub 2013 Sep 11. PubMed 24025626 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 16, 2010, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00710359
Lead sponsor
Haukeland University Hospital
Collaborators
Norwegian Foundation for Health and Rehabilitation, Foundation to Promote Research into Functional Vitamin B12 Deficiency, Bergen, Norway
First posted
Jul 4, 2008
Start date
Apr 2008
Primary completion
Aug 2010
Completion
Aug 2010
Last update
Aug 16, 2010

Study contacts

Anne-Lise Bjørke Monsen, M.D., Ph.D.
principal investigator · Laboratory of Clinical Biochemistry, Haukeland University Hospital, N-5021 Bergen, Norway
Per Magne Ueland, M.D., Ph.D.
study director · Department of Internal Medicine, University of Bergen, 5021 Armauer Hanssen Hus, Bergen, NORWAY

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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