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CompletedNCT01201005Updated Sep 14, 2010

B Vitamin Status in Premature and Small for Gestational Age(SGA) Infants

An interventional study of Hydroxycobalamin and Sham injection in Biochemical Cobalamin Status and Motor Neurodevelopment, sponsored by Haukeland University Hospital. Completed at 1 site in Norway. Open to participants aged 5 Months to 7 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2010-09-14.

Sponsored by Haukeland University Hospital · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
80
Allocation
Randomized
Ages
5 Months to 7 Months
Sex
All
01

Study summary

Premature birth and low birth weight implies insufficient intrauterine growth and fetal malnutrition. During the first months of life where the infant is breastfed, the low stores aquired during fetal life, may cause specific B vitamin deficiencies. In this study infants with a birth weight below 3000 g will be studied at 6 weeks, 4 and 6 months. At 6 months infants with biochemical signs of impaired cobalamin status (i.e.: tHcy > 97.5 percentile for cobalamin treated infants, i.e.: tHcy>6.5 µM/L) will be randomised to cobalamin treatment or placebo. At 7 months the investigators will evaluate the effect of cobalamin or placebo treatment according to infant biochemical status and neurodevelopment.

Study hypothesis: Cobalamin treatment given to infants with biochemical cobalamin deficiency will normalize biochemical status and cause improved motor neurodevelopment.

02

Conditions studied

  • Biochemical Cobalamin Status
  • Motor Neurodevelopment
03

In context

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
5 Months to 7 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Birthweight \< 3000 grams
  • Age 6 months (+/- 0.5 months)
  • Plasma total homocysteine > 6.5 umol/L

Exclusion criteria

Exclusion Criteria:

  • Plasma total homocysteine \< 6.5 umol/L
05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
80 participants (actual)

Study arms

  • Active comparator
    Hydroxycobalamin

    Hydroxycobalamin 400 µg (Vitamin B12 depot, Nycomed Pharma) is given as a singel intramuscular injection. The syringe is covered so it is impossible to see whether it contains any substance

    Dietary Supplement: Hydroxycobalamin

  • Sham comparator
    needle injection

    The controls receive an intramuscular "injection": which is merely an introduction of the needle into the muscle whithout any injection. The syringe is covered so it is not possible to see whether the syringe contains any substance

    Dietary Supplement: Sham injection

Interventions

  • Dietary supplementHydroxycobalamin

    Hydroxycobalamin 400 µg (Vitamin B12 depot, Nycomed Pharma ) is given as a single intramuscular injection

  • Dietary supplementSham injection

    needle injection without any substance given

06

What researchers measure

Primary outcomes

  1. Changes in biochemical status and neurodevelopment

    Bloodsamples for analysis of B vitamin status are drawn before intervention and after 4 weeks Neurological evaluation (AIMS test) of the infants is done before intervention and after 4 weeks

    Time frame: 4 weeks

Secondary outcomes

  1. Maternal evaluation of changes in infant behaviour/development

    Maternal evaluation of changes in infant behaviour will be tested by using a maternal questionnaire, Ages and Stages (ASQ), a highly rated child screening and monitoring system, before and after intervention

    Time frame: 4 weeks

07

Study locations

1 site
  • Haukeland University Hospital
    Bergen, 5021, Norway
08

References and documents

Publications

  • 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 IK, Ueland PM, Markestad T, Midttun O, Bjorke Monsen AL. Motor development related to duration of exclusive breastfeeding, B vitamin status and B12 supplementation in infants with a birth weight between 2000-3000 g, results from a randomized intervention trial. BMC Pediatr. 2015 Dec 18;15:218. doi: 10.1186/s12887-015-0533-2. PubMed 26678525 ↗
  • Torsvik IK, Markestad T, Ueland PM, Nilsen RM, Midttun O, Bjorke Monsen AL. Evaluating iron status and the risk of anemia in young infants using erythrocyte parameters. Pediatr Res. 2013 Feb;73(2):214-20. doi: 10.1038/pr.2012.162. Epub 2012 Nov 20. PubMed 23168578 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Sep 14, 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
NCT01201005
Lead sponsor
Haukeland University Hospital
First posted
Sep 14, 2010
Start date
Jul 2009
Primary completion
Aug 2010
Completion
Aug 2010
Last update
Sep 14, 2010

Oversight

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

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