CClinicalTrials.gg
CompletedNCT02103205LIMEUpdated May 28, 2026

Effect of Infant Formula With Bovine Lactoferrin and Low Iron Concentration on Infant Health and Immune Function

An interventional study of Formula with low iron concentration (2 mg/L) supplemented with bovine lactoferrin and Formula with low iron concentration (2mg/L) without lactoferrin in Health of Formula-fed Children, Infant Infections in Formula-fed Children and Iron Status of Formula-fed Children, sponsored by Umeå University. Completed at 1 site in Sweden. Open to participants aged 4 Weeks to 8 Weeks, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-05-28.

Sponsored by Umeå University · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
252
Allocation
Randomized
Ages
4 Weeks to 8 Weeks
Sex
All
01

Study summary

Breast milk is the gold standard of early infant nutrition and breastfed infants have advantages in several short and long term outcomes compared to those formula-fed.

The first aim of this study is to evaluate the effect of adding bovine lactoferrin to infant formula. The general hypothesis is that bovine lactoferrin reduces some of the previously observed differences between formula-fed and breast-fed infants with regard to health and development. The main outcome studied is the effect on immune function. The second aim is to study the effects of lower iron concentration in infant formula and to test the hypothesis that iron can be lowered without negative effects on health and development. The main outcome studied here is iron status. Other outcomes in this trial are microbiota composition, metabolomics, growth, body composition and cognitive development.

To test the lactoferrin hypothesis, formula-fed infants will be recruited and fed a low iron (2 mg/L) control formula, or the same formula supplemented with bovine lactoferrin. To test the iron hypothesis, a third group will be fed the same formula (no lactoferrin) with higher iron concentration (8 mg/L). Group allocation for all formula-fed infants will be double-blind randomized. Additionally, breast-fed infants will be recruited and used as a reference group (gold standard).

02

Conditions studied

  • Health of Formula-fed Children
  • Infant Infections in Formula-fed Children
  • Iron Status of Formula-fed Children

Keywords

  • Lactoferrin
  • Infant formula
  • Iron
03

In context

Lead sponsor

Umeå University is the lead sponsor of 263 studies on the registry; 60 are open to participants now.

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

04

Who can participate

Ages eligible
4 Weeks to 8 Weeks
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

Formula-fed healthy infants at 6 +/- 2 weeks of age with:

  • birth weight 2500-4500 g
  • gestational age at birth ≥ 37 completed weeks
  • no chronic disease or neonatal diagnoses believed to affect any outcome
  • no given blood transfusions or iron supplements

Exclusion criteria

Exclusion Criteria:

-

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
252 participants (actual)

Study arms

  • Active comparator
    Low iron, with lactoferrin

    Low iron, with lactoferrin

    Dietary Supplement: Formula with low iron concentration (2 mg/L) supplemented with bovine lactoferrin

  • Active comparator
    Low iron, no lactoferrin

    Low iron, no lactoferrin

    Dietary Supplement: Formula with low iron concentration (2mg/L) without lactoferrin

  • Placebo comparator
    Normal iron, no lactoferrin

    Normal iron, no lactoferrin

    Dietary Supplement: Formula with normal iron concentration (8 mg/L) without lactoferrin

Interventions

  • Dietary supplementFormula with low iron concentration (2 mg/L) supplemented with bovine lactoferrin
  • Dietary supplementFormula with low iron concentration (2mg/L) without lactoferrin
  • Dietary supplementFormula with normal iron concentration (8 mg/L) without lactoferrin
06

What researchers measure

Primary outcomes

  1. Incidence of infections

    Morbidity journal, Health questionnaire

    Time frame: Up to 12 months of age

  2. Cytokine levels

    IL-2, TNF-alpha

    Time frame: At 6 months of age

  3. Iron status

    s-ferritin, s-transferrin, s-iron, s-transferrin receptor concentration, reticulocyte Hb

    Time frame: At 6 months of age

Secondary outcomes

  1. Dietary intake

    Dietary journal

    Time frame: At baseline, 3, 4, 5, 6 and 12 months of age

  2. Growth

    Anthropometric data, Body Composition (PeaPod)

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  3. Bloodpressure

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  4. Antibody response to vaccines

    s-levels of specific antibodies to vaccines (DTP, Hib, PC)

    Time frame: At baseline, 4, 6 and 12 months of age

  5. Gut microbiota

    Stool samples

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  6. Saliva proteins

    Saliva total protein content, lactoferrin, saliva-peroxidase, IgA and amylase

    Time frame: At 4 months of age

  7. Inflammatory markers

    s-hsCRP, s-calprotectin

    Time frame: At baseline, 4, 6 and 12 months of age and 6 years age

  8. Cognitive development and behavior

    Bayley III, Wechsler Intelligence Scale for Children (WISC), Behavioral questionnaire

    Time frame: At 1 and 6 years of age

  9. s-hepcidin

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  10. Metabolomics

    Analyzed in urine and serum samples

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  11. Amino acids

    p-amino acids

    Time frame: At 4 and 6 months of age

  12. Blood urea nitrogen

    p-urea nitrogen

    Time frame: At 4 and 6 months of age

  13. Cytokine levels

    IL-2 and TNF alpha at baseline, 4 and 12 months of age and 6 years of age. Six additional cytokines at baseline, 4, 6 and 12 months of age and 6 years of age.

    Time frame: At baseline, 4, 6, 12 months of age and 6 years of age

  14. Iron status

    s-ferritin, s-transferrin, s-iron, s-transferrin saturation, s-transferrin receptor concentration, retuiculocyte Hb

    Time frame: At baseline, 4 and 12 months of age and 6 years of age

Other outcomes

  1. Lactoferrin in breastmilk

    Analyzed from mothers to the control group of breast fed infants.

    Time frame: At baseline, 4 and 6 months of age

07

Study locations

1 site
  • Umeå University, Department of Clinical Sciences
    Umeå, SE-901 87, Sweden
08

References and documents

Publications

  • Bjormsjo M, Hernell O, Lonnerdal B, Berglund SK. Immunological Effects of Adding Bovine Lactoferrin and Reducing Iron in Infant Formula: A Randomized Controlled Trial. J Pediatr Gastroenterol Nutr. 2022 Mar 1;74(3):e65-e72. doi: 10.1097/MPG.0000000000003367. PubMed 34908015 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 28, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02103205
Lead sponsor
Umeå University
Collaborators
University of California, Mead Johnson Nutrition
Responsible party
Staffan Berglund (MD, PhD, Umeå University) — Principal investigator
First posted
Apr 3, 2014
Start date
Jun 2014
Primary completion
May 2019
Completion
Jan 2025
Last update
May 28, 2026

Study contacts

Staffan K Berglund, MD, PhD
principal investigator · Umeå University
Olle Hernell, Professor
principal investigator · Umeå University
Bo Lönnerdal, Professor
principal investigator · University of California
Carolyn Slupsky, PhD
principal investigator · University of California

Oversight

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

Not currently enrolling

This study is completed, as verified in May 2026. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion