ClinicalTrials.gg
CompletedNCT03062761TENUTOUpdated Jan 14, 2019

A Clinical Study to Investigate the Effects of an Infant Formula Containing Partially Hydrolysed Proteins on Growth, Safety and Tolerance in Healthy Term Infants

A Phase 2 interventional study of Infant Formula with prebiotics and Standard Infant Formula in Growth, sponsored by Nutricia Research. Completed at 15 sites in 6 countries. Open to participants aged Up to 14 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-01-14.

Sponsored by Nutricia Research (part of Danone) · Phase 2, Interventional, and Prevention

Phase
Phase 2
Study type
Interventional
Enrollment
380
Allocation
Randomized
Ages
Up to 14 Days
Sex
All
01

Study summary

It is universally accepted that the best nutrition for a new-born infant is breast milk. Breast milk provides a complete set of nutrients to support growth and development of children in early life, including components that have a beneficial effect on gut health and the body's ability to defend itself against infectious organisms and other invaders (immune system).However, it may occur that a mother is unable to breastfeed her child, or chooses not to breastfeed. In such cases, an infant formula inspired by breast milk is the best alternative. Research is done to optimize milk formula for infants. One of these formulas contains 'partially hydrolyzed' proteins instead of intact proteins, meaning the proteins in this formula are broken down into smaller pieces. These smaller pieces of protein make the milk more suitable for consumption by infants at risk of developing cow's milk allergy. These types of partially hydrolyzed protein formulas have been on the market for several years, in particular for children with a family risk of allergy. So far, no safety related issues have been reported. It is also known that weight gain of infants receiving partially hydrolyzed proteins in general is appropriate according to the World Health Organisation growth standards.

The main purpose of the TENUTO study is to demonstrate that infants who receive a specific partially hydrolyzed protein infant formula for the first 4 months of life have a similar weight gain compared to infants receiving standard infant formula with intact proteins. A group of infants who receive breast milk only is also included for comparison.

02

Conditions studied

  • Growth
03

In context

Lead sponsor

Nutricia Research is the lead sponsor of 51 studies on the registry; 12 are open to participants now.

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

04

Who can participate

Ages eligible
Up to 14 Days
Sexes eligible
All
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Healthy term infants (gestational age ≥ 37 weeks + 0 days and ≤ 41 weeks + 6 days);
  2. Infants' age at enrolment ≤ 14 days;
  3. Birth weight within normal range for gestational age and sex (10th to 90th percentile according to the WHO Child Growth Standards - or local growth standards if available);
  4. Head circumference at inclusion within normal range for age and sex (within 2 SD curves according to WHO Child Growth Standards - or local growth standards if available);
  5. Infant formula arms: infants who are exclusively formula fed by time of randomisation with a maximum infants' age of 14 days (infants of mothers who choose not to breastfeed or mothers who cease breastfeeding for any reason before the infant is 14 days of age); OR Breastfeeding reference arm: infants who are exclusively breastfed and whose mothers are intending to exclusively breastfeed their infant at least until the infant is 17 weeks of age; 6 Written informed consent from parent(s) and/or legal guardian(s) aged ≥ 18 years.

Exclusion criteria

Exclusion Criteria:

Infants of pregnant women/mothers:

  1. who are currently participating or will participate in any other (clinical) study involving investigational or marketed products during pregnancy and/or lactation;
  2. known to have a significant medical condition (including during pregnancy) that might interfere with the study or known to affect intra-uterine growth (e.g. placenta previa, pre-eclampsia, eclampsia, gestational diabetes requiring insulin or oral medication), as per investigator's clinical judgement;

    Infants of parents:

  3. who are incapable to comply with study protocol or Investigator's uncertainty about the willingness or ability of the parents to comply with the protocol requirements;

    Infants:

  4. who have to be fed with a special diet other than standard (non-hydrolysed) cow's milk based infant formula
  5. known to have current or previous illnesses/conditions which could interfere with the study or its outcome parameters, such as gastrointestinal malformations, congenital metabolic disorders, immune deficiency or major surgery, as per investigator's clinical judgement;
  6. with any history of, or current participation in any other study involving investigational or marketed products.
05

Study design

Phase
Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
380 participants (actual)

Study arms

  • Experimental
    Active product: partially hydrolysed proteins

    Partially hydrolysed whey protein based infant formula containing prebiotics.

    Other: Infant Formula with prebiotics

  • Active comparator
    Control product: standard formula (intact protein)

    Intact cow's milk protein based infant formula containing prebiotics.

    Other: Standard Infant Formula

Interventions

  • OtherInfant Formula with prebiotics

    Intervention group: Partially hydrolysed whey protein based infant formula containing prebiotics.

  • OtherStandard Infant Formula

    Control group: Intact cow's milk protein based infant formula containing prebiotics

06

What researchers measure

Primary outcomes

  1. Weight gain

    Weight gain in grams per day from baseline until 17 weeks of age

    Time frame: 17 weeks

Secondary outcomes

  1. Length

    Gain in Recumbent length (mm/day)

    Time frame: 17 weeks

  2. Head circumference

    Gain in Head circumference (mm/day)

    Time frame: 17 weeks

  3. Mid-upper arm circumference

    Gain in Mid-upper arm circumference (mm/day)

    Time frame: 17 weeks

  4. Anthropometric measures

    Z scores of anthropometric parameters

    Time frame: 17 weeks

  5. Albumin level

    Albumin in blood (g/L)

    Time frame: 17 weeks

  6. Calcium level

    Calcium in blood (mmol/l)

    Time frame: 17 weeks

  7. Phosphorus level

    Phosphorus in blood (mmol/l)

    Time frame: 17 weeks

  8. Iron level

    Iron (µmol/l) in blood

    Time frame: 17 weeks

  9. Magnesium level

    Magnesium (mmol/l) in blood

    Time frame: 17 weeks

  10. Nitrogen level

    Blood urea nitrogen (mmol/l)

    Time frame: 17 weeks

  11. Number of subjects with adverse events

    Adverse events (by "System/Organ Class" and "Preferred term" according the MedDRA ) will be reported as number of subjects with at least one adverse event

    Time frame: 17 weeks

  12. Number of adverse events

    Number of adverse events (by "System/Organ Class" and "Preferred term" according the MedDRA)

    Time frame: 17 weeks

  13. Concomitant medications

    All concomitant medications (according to WHO-DDE) will be summarised in individual data listing

    Time frame: 17 weeks

  14. Regurgitation

    Regurgitation nr of occurrences per week

    Time frame: 4, 8, 13 and 17 weeks

  15. Vomiting

    Vomiting nr of occurrences per week

    Time frame: 4, 8, 13 and 17 weeks

  16. Diarrhoea

    Number of infants with diarrhoea (definition adapted from WHO definition based on number of watery stools per day)

    Time frame: 4, 8, 13 and 17 weeks

  17. Constipation

    Number of infants with constipation (definition adapted from Rome II criteria based on number of defecations and consistency per week)

    Time frame: 4, 8, 13 and 17 weeks

07

Study locations

15 sites
  • University of Turku Children's Allergy and Asthma Clinic
    Turku, Finland
  • Groupement des Hopitaux de l'institut Catholique de Lille
    Lille, France
  • Hospices Civils de Lyon
    Lyon, France
  • Vivantes Klinik für Geburtsmedizin, Klinikum Neukölln
    Berlin, Germany
  • Paediatric Practice
    Bramsche, Germany
  • Gelre Ziekenhuizen
    Apeldoorn, Netherlands
  • Poliklinika Ginekologiczno-Poloznicza Sp. z o.o. Sp.k
    Bialystok, Poland
  • Specjalistyczna Poradnia Medyczna Przylądek Zdrowia
    Krakow, Poland
  • POLMED / Instytut Mikroekologii
    Poznan, Poland
  • Korczowski Bartosz, Gabinet Lekarski
    Rzeszów, Poland
  • NZLA Michalkowice Jarosz i Partnerzy Spolka Lekarska
    Siemianowice Śląskie, Poland
  • Hospital Quirónsalud Barcelona
    Barcelona, Spain
  • Hospital General Universitario de Elche
    Elche, Spain
  • Hospital Universitari Sant Joan de Reus (IISPV)
    Reus, Spain
  • Hospital Universitari de Tarragona Joan XXIII
    Tarragona, Spain
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03062761
Lead sponsor
Nutricia Research
Responsible party
Sponsor
First posted
Feb 23, 2017
Start date
Apr 27, 2017
Primary completion
Oct 26, 2018
Completion
Nov 12, 2018
Last update
Jan 14, 2019

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2019. 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