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CompletedNCT03728764Updated Feb 25, 2020

Growth and Safety of a Two-stage Feeding System in Preterm Infants

An interventional study of Preterm infant formula in Preterm Infant, sponsored by Société des Produits Nestlé (SPN). Completed at 4 sites in 3 countries. Open to participants aged Up to 5 Days, including healthy volunteers. Per ClinicalTrials.gov, last updated 2020-02-25.

Sponsored by Société des Produits Nestlé (SPN) (part of Nestlé S.A.) · Not applicable, Interventional, and Other

Phase
Not applicable
Study type
Interventional
Enrollment
34
Allocation
Not applicable
Ages
Up to 5 Days
Sex
All
01

Study summary

This study evaluates the safety and suitability of the two-stage feeding system in preterm infants.

Read the detailed description

This open-label trial will be conducted in up to 74 preterm infants to evaluate the formula as it would typically be used in the neonatal care unit and to document the safety and suitability of the two-stage feeding system in terms of growth in comparison to recommended growth goals, feeding tolerance, biochemical parameters, and adverse event reporting.

02

Conditions studied

  • Preterm Infant

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03

In context

Premature Birth

2,610 studies on the registry are indexed under Premature Birth; 507 are open to participants now.

This study's enrollment of 34 is below the median of 84 across 1,722 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

Société des Produits Nestlé (SPN) is the lead sponsor of 324 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
Up to 5 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. Written informed consent has been obtained from the parents/legally acceptable representative (LAR).
  2. Infant's birth weight ≤1500 g and appropriate for gestational age (AGA) as defined by weight ≥10 percentile and ≤90 percentile on the Fenton growth chart.
  3. Infant's gestational age ≥ 27 weeks and ≤ 32 weeks.
  4. Infant is clinically stable.
  5. Infants are eligible to start experimental formula within the first 5 days (≤120 hours) of life.

Exclusion criteria

Exclusion Criteria:

  1. Parents not willing / not able to comply with the requirements of study protocol.
  2. Infants experiencing early onset sepsis.
  3. Major congenital or chromosomal abnormality known to affect growth.
  4. Preterm infants experiencing liver failure.
  5. Peri-/intra-ventricular haemorrhage.
  6. Infant requiring prolonged (more than 3 doses) of steroid treatment.
  7. Infants' participation in another interventional clinical trial.
05

Study design

Phase
Not applicable
Primary purpose
Other
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
34 participants (actual)

Study arms

  • Other
    single arm

    Other: Preterm infant formula

Interventions

  • OtherPreterm infant formula

    Preterm infants will receive Stage 1 investigative product as soon as possible after birth until when 1.8 kg of body weight is achieved. Preterm infants will receive stage 2 preterm formula from when 1.8 kg of body weight is achieved until 1 month after hospital discharge.

06

What researchers measure

Primary outcomes

  1. Growth of preterm infants

    Weight gain

    Time frame: from FEF Day 1 to when infant reaches 1800 g (on average between 4 to 6 weeks after birth) or hospital discharge (on average 7 weeks after birth), whichever comes earlier

Secondary outcomes

  1. Other growth parameter at other time points

    Changes in weight gain (in g/day)

    Time frame: from Pre-FEF Day 1 to FEF Day 1, and then weekly from FEF Day 1 until hospital discharge (on average 7 weeks after birth) and at 30-days PD.

  2. Other growth parameter

    Changes in length (cm)

    Time frame: from Pre-FEF Day 1 to hospital discharge (on average 7 weeks after birth) and at 30-days PD.

  3. Other growth parameter

    Head circumference (HC) (cm)

    Time frame: from Pre-FEF Day 1 to hospital discharge (on average 7 weeks after birth) and at 30-days PD.

  4. Other growth parameter

    Corresponding z-scores and changes in z-scores expressed using Fenton growth chart will be analyzed

    Time frame: from Pre-FEF Day 1 to hospital discharge (on average 7 weeks after birth) and at 30-days PD ..

  5. Feeding intake:

    Neonatal unit feeding questionnaire capturing milk intake (Volume in ml/range from 0 to 1000ml)

    Time frame: daily between Pre-FEF day 1 and hospital discharge (on average 7 weeks after birth)

  6. Feeding tolerance:

    Tolerance to feeding regimen through neonatal unit questionnaire. Questionnaire assessing stool consistency (watery, mushysoft, runny, formed, hard); stool frequency (range from 0-20 times a day); Bloody stool (yes or no).

    Time frame: weekly between FEF Day 1 and hospital discharge (on average 7 weeks after birth)

  7. Feeding intake:

    Parent-reported questionnaire capturing milk intake (Volume in ml/range from 0 to 1000ml)

    Time frame: Daily during 30 days after hospital discharge

  8. Feeding tolerance:

    Tolerance to feeding through parent-reported questionnaire. Questionnaire assessing stool consistency (watery, mushysoft, runny, formed, hard); stool frequency (range from 0-20 times a day); Bloody stool (yes or no).

    Time frame: during the three days prior to the 30-day PD visit

  9. Neonatal unit routine blood collection for safety assessment (serum blood levels of blood urea nitrogen (BUN), creatinine, albumin, pre albumin)

    Clinical abnormal values will be captured as part of adverse event reporting.

    Time frame: will be obtained at Enrolment (baseline), if possible, Pre-FEF Day 1, FEF Day1, thereafter weekly until hospital discharge (on average 7 weeks after birth)., and lastly at 30 days post-discharge.

  10. Number of AEs reported for safety assessment

    through investigator-confirmed AE reporting

    Time frame: from the time the mother has consented to the infant's participation in the study soon after birth but no later than 5 days of age after birth until the 30 days PD visit in the clinic.

07

Study locations

4 sites
  • University Hospital in Pilsen
    Pilsen, 304 60, Czechia
  • Children's University Hospital
    Krakow, 30-663, Poland
  • University Hospital in Martin
    Martin, 03659, Slovakia
  • Fakultná nemocnica s poliklinikou
    Nové Zámky, 941 52, Slovakia
08

References and documents

Publications

  • Kwinta P, Lazarova S, Demova K, Chen Y, Hartweg M, Krattinger LF, Fumero C, Buczynska A, Durlak W, Uhrikova Z, Kozar M, Samuel TM, Zibolen M. Effects of two-stage preterm formulas on growth, nutritional biomarkers, and neurodevelopment in preterm infants. Front Pediatr. 2024 Nov 22;12:1427050. doi: 10.3389/fped.2024.1427050. eCollection 2024. PubMed 39649400 ↗

Individual participant data

Plan to share: No

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 25, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03728764
Responsible party
Sponsor
First posted
Nov 2, 2018
Start date
Oct 10, 2018
Primary completion
Sep 19, 2019
Completion
Dec 15, 2019
Last update
Feb 25, 2020

Oversight

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

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