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CompletedNCT03549156Updated Mar 16, 2020

Comparison of a Two Ready-to-use Supplementary Foods of Differing Protein Quality for the Treatment of MAM.

An interventional study of C-RUSF and HIPRO RUSF in Malnutrition, sponsored by Washington University School of Medicine. Completed at 1 site in Malawi. Open to participants aged 6 Months to 59 Months. Per ClinicalTrials.gov, last updated 2020-03-16.

Sponsored by Washington University School of Medicine · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
1,858
Allocation
Randomized
Ages
6 Months to 59 Months
Sex
All
01

Study summary

This is a prospective, randomised, double-blinded, controlled clinical effectiveness trial of two supplementary foods in the treatment of MAM. The setting will be 21 rural sites in southern Malawi. The participants will be 1800 children 6-59 months old with MAM, defined as mid-upper arm circumference (MUAC) ≥ 11.5 cm and \< 12.5 cm and/or a weight-for-height Z-score (WHZ) between -2 and -3 without bipedal edema. Children will receive approximately 75 kcal/kg/d (314 kJ/kg/d) of one of two RUSFs in two-week rations for outpatient therapy of MAM. The two supplements will be a novel, locally produced peanut/dairy RUSFs, one with a high protein quality (HIPRO RUSF) or one with a standard protein quality, referred to as control RUSF (C-RUSF). The primary outcome measures will be recovery from MAM (achieving MUAC ≥ 12.5 cm and/or WHZ>-2 by 12 weeks) or failure (death, development of severe acute malnutrition, transfer to hospital for inpatient care, failure to recover from MAM by 12 weeks, default). Secondary outcome measures include rates of weight, height, and mid-upper-arm circumference (MUAC) gain, time to graduation, and adverse effects from the supplementary foods.

02

Conditions studied

  • Malnutrition

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Keywords

  • Moderate Acute Malnutrition, Malnutrition
03

In context

Malnutrition

1,587 studies on the registry are indexed under Malnutrition; 237 are open to participants now.

This study's enrollment of 1,858 is above the median of 90 across 1,134 interventional studies indexed under Malnutrition.

Browse Malnutrition studies →

Lead sponsor

Washington University School of Medicine is the lead sponsor of 1,765 studies on the registry; 271 are open to participants now.

Of its 324 completed or terminated interventional studies of FDA-regulated products, 212 (65%) have results posted.

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

04

Who can participate

Ages eligible
6 Months to 59 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • MUAC \< 12.5 cm and ≥ 11.5 cm
  • without bipedal edema

Exclusion criteria

Exclusion Criteria:

  • simultaneously involved in another research trial or supplemental feeding program
  • developmentally delayed, have a chronic debilitating illness such as cerebral palsy
  • history of peanut or milk allergy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
1,858 participants (actual)

Study arms

  • Active comparator
    C-RUSF

    Control/Standard RUSF

    Dietary Supplement: C-RUSF

  • Active comparator
    HIPRO RUSF

    New RUSF product

    Dietary Supplement: HIPRO RUSF

Interventions

  • Dietary supplementC-RUSF

    -RUSF contains whey permeate, WPC 80, peanut paste, sugar, soy oil, canola oil, a customized micronutrient premix to account for the minerals in whey permeate, and an emulsifier

    Also known as: Ready-to-use supplementary food

  • Dietary supplementHIPRO RUSF

    HIPRO RUSF contains extruded soy flour, skimmed milk, peanut paste, sugar, soy oil, palm oil, a premix containing concentrated minerals and vitamins, an emulsifier and dicalcium phosphate or calcium carbonate

    Also known as: Ready-to-use supplementary food

06

What researchers measure

Primary outcomes

  1. Recovery from Moderate Acute Malnutrition using Mid-Upper Arm Circumference (MUAC) and Weight for Height Z score (WHZ)

    Number of participants achieving a Mid-Upper Arm Circumference (MUAC) ≥ 12.5 cm and/or WHZ\>-2 within a 12 week treatment period

    Time frame: 12 weeks

07

Study locations

1 site
  • Local Feeding Clinics
    Blantyre, Malawi
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 16, 2020, 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
NCT03549156
Lead sponsor
Washington University School of Medicine
Collaborators
Arla Foods, Kamuzu University of Health Sciences, Project Peanut Butter
Responsible party
Sponsor
First posted
Jun 7, 2018
Start date
Jun 25, 2018
Primary completion
Mar 8, 2019
Completion
Mar 8, 2019
Last update
Mar 16, 2020

Study contacts

Mark Manary, MD
principal investigator · Washington University School of Medicine in St. Louis

Oversight

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

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This study is completed, as verified in Mar 2020. You cannot join it, but the record below documents what was studied.

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