CClinicalTrials.gg
CompletedNCT02332967Updated Jan 13, 2015

Safety and Efficacy of Addition of Structured Lipids in Starter Formulas

An interventional study of Whey predominant starter formula and Whey predominant starter formula + 40% palmitic acid in Healthy Newborn Infants, sponsored by Société des Produits Nestlé (SPN). Completed. Open to participants aged 1 Week to 4 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2015-01-13.

Sponsored by Société des Produits Nestlé (SPN) · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
488
Allocation
Randomized
Ages
1 Week to 4 Months
Sex
All
01

Study summary

The primary objective of this trial is to demonstrate that infants receiving an infant formula in which 40 or 50% of the palmitic acid is in the sn-2 position have, during the first 4 months of life, stools that are softer than those of infants receiving a control formula.

Read the detailed description

Human milk is considered as the golden standard for infant formula. In human milk and infant formula lipids provide about 55% of energy for the infant and represent as such a major nutrient for the baby. The vast majority of the lipids in human milk is composed of triacylglycerols (98% of total lipids) and the remainder percent are phospholipids. Triglycerides are composed of the glycerol backbone to which three fatty acids are bound. In human milk, palmitate (16:0) is the major long chain saturated fatty acid representing 22% to 26% of total fatty acids, esterified to approximately 70% in sn-2 position on the glycerol backbone. Unsaturated fatty acids such as oleic acid (18:1) and linoleic acid (18:2n-6) are preferentially esterified at the 1 and 3 position. In infant formulas the major source of palmitic acid is palm oil or palm olein where palmitate is, however, preferentially in the external 1,3 positions, and mono- and polyunsaturated fatty acids are usually esterified at the 2-position of the triacylgycerol.

The aim of this study is to assess the safety and efficacy of infant formula containing 40% and 50%, respectively, of palmitic acid in sn-2 position.

02

Conditions studied

  • Healthy Newborn Infants
03

In context

Lead sponsor

Société des Produits Nestlé (SPN) is the lead sponsor of 314 studies on the registry; 16 are open to participants now.

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

04

Who can participate

Ages eligible
1 Week to 4 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • healthy newborn infants
  • full term infant (37 - 42 weeks gestation)
  • birth weight between 2.5 and 4.5 kg
  • singleton birth
  • the infant's mother has elected to exclusively formula feed her baby, from enrollment to 4 months of age
  • having obtained his7her legal representative's informed consent

Exclusion criteria

Exclusion Criteria:

  • congenital illness or malformation that may affect normal growth
  • significant pre-natal and/or post-natal disease
  • hospitalization in the first 14 days of life after the child has left the maternity ward
  • receiving antibiotic treatment at time of enrolment
  • newborn whose parents/caregivers cannot be expected to comply with treatment
  • newborn currently participating in another interventional clinical trial.
05

Study design

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

Study arms

  • Active comparator
    Whey predominant starter formula

    Whey predominant starter formula

    Other: Whey predominant starter formula + 40% palmitic acid · Other: Whey predominant starter formula + 50% palmitic acid

  • Experimental
    Whey predominant starter formula + 40% palmitic acid

    Whey predominant starter formula + 40% palmitic acid in sn-2 position

    Other: Whey predominant starter formula

  • Experimental
    Whey predominant starter formula + 50% palmitic acid

    Whey predominant starter formula + 50% palmitic acid in sn-2 position

    Other: Whey predominant starter formula

Interventions

  • OtherWhey predominant starter formula

    Milk powder product given to babies between 1 week and 4 months

  • OtherWhey predominant starter formula + 40% palmitic acid

    Milk powder product containing 40% of palmitic acid

  • OtherWhey predominant starter formula + 50% palmitic acid

    Milk powder product containing 50% of palmitic acid

06

What researchers measure

Primary outcomes

  1. Stool consistency

    To demonstrate that the infants receiving an infant formula with 40% or 50% of palmitic acid during the first 4 months of life have softer stools than the ones receiving the control formula.

    Time frame: 4 months

  2. Baby weight gain

    To demonstrate that the weight gain in babies receiving the experimental formula is the same as with the control formula

    Time frame: 4 months

Secondary outcomes

  1. Baby length and head circumference

    To assess whether the groups have comparable changes in length, and head circumference

    Time frame: 4 months

  2. Digestive tolerance using a questionnaire filled in by the mothers

    To assess the infants' digestive tolerance of the starter formula

    Time frame: 4 months

  3. Gut microbiota using microbiology method

    To compare gut microbiota between the groups

    Time frame: 4 months

  4. Fat quantity in the stools

    To assess fat absorption

    Time frame: 4 months

  5. Baby body composition (DEXA)

    To compare body composition

    Time frame: 4 months

  6. Food intake by the baby

    To compare volume intake between the groups

    Time frame: 4 months

  7. Rate of spitting up

    To compare spitting up between the groups

    Time frame: 4 months

  8. Number of adverse events

    To evaluate the frequency of episodes of morbidity (adverse events)

    Time frame: 4 months

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Beghin L, Marchandise X, Lien E, Bricout M, Bernet JP, Lienhardt JF, Jeannerot F, Menet V, Requillart JC, Marx J, De Groot N, Jaeger J, Steenhout P, Turck D. Growth, stool consistency and bone mineral content in healthy term infants fed sn-2-palmitate-enriched starter infant formula: A randomized, double-blind, multicentre clinical trial. Clin Nutr. 2019 Jun;38(3):1023-1030. doi: 10.1016/j.clnu.2018.05.015. Epub 2018 Jun 1. PubMed 29903473 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 13, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02332967
Lead sponsor
Société des Produits Nestlé (SPN)
Responsible party
Sponsor
First posted
Jan 7, 2015
Start date
Jul 2007
Primary completion
Feb 2012
Completion
Sep 2012
Last update
Jan 13, 2015

Study contacts

Dominique Turck, Prof
principal investigator · Gatroenterology and Nutrition, Pediatric dept, CHRU Lille

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Nov 2014. 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