ClinicalTrials.gg
Status unknownNCT04995874Updated Nov 15, 2021

Supplementation Trial of KOKO Plus Among HIV Exposed Children in Accra

An interventional study of KOKOPlus protein and micronutrient powder in HIV Infections, Nutrition Poor and Child Development, sponsored by Noguchi Memorial Institute for Medical Research. Status unknown at 6 sites in Ghana. Open to participants aged 6 Months to 18 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2021-11-15.

Sponsored by Noguchi Memorial Institute for Medical Research · Not applicable, Interventional, and Prevention

The sponsor has not verified this record recently (last verified Aug 2021), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
649
Allocation
Randomized
Ages
6 Months to 18 Months
Sex
All
01

Study summary

The overall aim of the research is to conduct a randomised controlled trial of KOKOPlus in young HIV exposed children attending HIV clinics in Accra, Ghana to test the effectiveness of KOKOPlus over a period of 6 months to improve nutritional status and child development in HIV exposed children 6-18 months of age in Accra

Read the detailed description

The specific objectives are to accomplish the following

  1. To test the effectiveness of KOKOPlus to improve the nutritional status of HIV exposed infants aged 6-18 months.
  2. To measure and compare nutritional status in intervention and control arms by monitoring growth in terms of height and weight over the period of 6 months
  3. To measure and compare micronutrient status of intervention and control arms by comparing baseline midline and endline measurements of hemoglobin levels.
  4. To measure and compare morbidity rates of intervention and control arms.
  5. To measure and compare rates of achievement of child development goals between intervention and control arms using a standardized tool, the Caregiver Reported Early Development Instrument (CREDI).
  6. To understand and record experiences relating to the use of KOKOPlus of mothers/caregivers in the intervention arm through focus group discussion
02

Conditions studied

  • HIV Infections
  • Nutrition Poor
  • Child Development

Keywords

  • HIV-Exposed
  • Nutrient Status
  • KOKOPlus
03

In context

HIV Infections

4,734 studies on the registry are indexed under HIV Infections; 244 are open to participants now.

This study's planned enrollment of 649 is above the median of 80 across 3,489 interventional studies indexed under HIV Infections.

Browse HIV Infections studies →

Lead sponsor

Noguchi Memorial Institute for Medical Research is the lead sponsor of 7 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
6 Months to 18 Months
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

  • Mother-infant dyads; positive mothers and children between 6 and 12 months of age attending antiretroviral (ART) Clinics and child HIV Clinics.

Exclusion criteria

Exclusion Criteria:

  • Mothers who decline to participate in the study

Children with severe acute malnutrition (mid-upper arm circumference \<115 mm or a weight-for-height/length \<-3 Z-scores of the WHO growth standards).

Children on hospital admission

Children with diagnosed or apparent congenital conditions such as encephalitis, cleft palate, hole in heart, which negatively affect the child's ability to eat and/or growth.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
649 participants (estimated)

Study arms

  • Experimental
    Intervention

    KOKOPlus protein and micronutrient powder , a complementary food supplement containing soya powder, sugar and oil along with the essential amino acid lysine and a micronutrient mix was formulated. Two weeks' supply of KOKOPlus sachets will be given to intervention arm participants every fortnight for 6 months to be mixed into any cereal, soup, stew, or other food given to the children.

    Dietary Supplement: KOKOPlus protein and micronutrient powder

  • No intervention
    Control

    This arm will receive no supplement and no placebo for the duration of the study.,

Interventions

  • Dietary supplementKOKOPlus protein and micronutrient powder

    KokoPlus, a complementary food supplement was formulated by using linear programming methodology to improve the protein quality as well as the micronutrient and macronutrient content of commonly consumed traditional complementary (baby) foods in Ghana . It contains soya powder, sugar and oil along with the essential amino acid lysine and a micronutrient mix. It complies with WHO's complementary feeding guidelines, FAO/WHO recommended micronutrient intake (RNI) and the WHO's guidelines for protein and essential amino acid intake for children in the age group of 6 to 24 months. A daily supply of KokoPlus achieves 30% of the total recommended energy, 60% of total protein and 40% of total fat requirements from complementary foods. It also meets 35-55% of minimum intake of essential amino acids and 50-150% RNI based on the total daily requirements.

06

What researchers measure

Primary outcomes

  1. Anthropometry

    Length-for-age Z score, Weight-for-age Z score. Weight for length Z score

    Time frame: 6 months

  2. Haemoglobin

    (g/dl), anaemia

    Time frame: 6 months

  3. Child developmental Milestones achieved

    Time frame: 6 months

Secondary outcomes

  1. Morbidity

    Incidence of fever, malaise, loss of appetite

    Time frame: 6 months

07

Study locations

6 of 6 sites recruiting
  • 37 Military Hospital
    Accra, Greater Accra, Ghana
    Recruiting
  • Greater Accra Regional Hospital
    Accra, Greater Accra, Ghana
    Recruiting
  • Korle-bu Teaching Hospital
    Accra, Greater Accra, Ghana
    Recruiting
  • Princess Marie Louise Children's Hospital
    Accra, Greater Accra, Ghana
    Recruiting
  • Ashaiman Polyclinic
    Ashaiman, Greater Accra, Ghana
    Recruiting
  • Tema General Hospital
    Tema, Greater Accra, Ghana
    Recruiting
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Aug 2021 (actual). Primary completion is estimated for Jun 2022, 10 months after the start.

Of 393 non-industry interventional studies with no phase under HIV Infections, half reached primary completion within 28 months of starting (the median), counting those still running; a quarter within 16 and three quarters within 45. This study's planned 10 months is below that.

Counting every sponsor, half of 402 studies reached it within 28 months; a quarter within 16 and three quarters within 45.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 6, 2021
First posted
Aug 9, 2021
StartActual
Aug 6, 2021
Primary completionEst.
Jun 25, 2022
CompletionEst.
Jun 25, 2022
Last update
Nov 15, 2021
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Nov 15, 2021, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04995874
Lead sponsor
Noguchi Memorial Institute for Medical Research
Collaborators
International Food Policy Research Institute
Responsible party
Sponsor
First posted
Aug 9, 2021
Start date
Aug 6, 2021
Primary completion
Jun 25, 2022 (estimated)
Completion
Jun 25, 2022 (estimated)
Last update
Nov 15, 2021

Study contacts

Gloria K Folson
Contact
gfolson@noguchi.ug.edu.gh
+233550006053
Grace S Tokor
Contact
gracetokor@gmail.com
+233243009116
Gloria K Folson
principal investigator · Noguchi Memorial Institute for Medical Research

Oversight

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

Not currently enrolling

This study is status unknown, as verified in Aug 2021. You cannot join it, but the record below documents what was studied.

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