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RecruitingNCT06055543Updated Sep 26, 2023

Impact of a New Plant-based High-energy Oral Nutritional Supplement on Nutritional Outcomes in Malnourished Patients

A Phase 4 interventional study of Fortimel in Malnutrition, Cancer and Inflammatory Bowel Diseases, sponsored by Danone Specialized Nutrition. Recruiting at 6 sites in Spain. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-09-26.

Sponsored by Danone Specialized Nutrition · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by May 2024, 2 years 4 months ago, but the record still lists the study as recruiting.
  • Started Aug 2023; still recruiting 3 years 1 month later.
Phase
Phase 4
Study type
Interventional
Enrollment
140
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to compare nutritional outcomes in terms of percentage of weight gain between a new planted-based high-energy ONS and a standard high-energy ONS with animal protein (cow's mil protein) in patients at malnutrition according to Global Leadership Initiative on Malnutrition (GLIM) criteria.

Read the detailed description

Due to the increasingly pressing need to develop an oral nutritional supplement (ONS) that does not contain animal ingredients, Fortimel PlantBased, suitable for patients with Disease-Related Malnutrition or who wish to avoid or reduce the consumption of animal products for dietary or lifestyle reasons, is being promoted. At the same time, it is also a therapeutic option to be considered in the population with allergy or intolerance to cow's milk protein. Therefore, the aim is to offer an adapted therapeutic nutritional solution that guarantees nutritional results that are not inferior than ONS with animal protein (cow's milk protein).

This study was designed as an open-label randomized controlled non-inferiority trial with two arms: a new planted-based ONS (Fortimel PlantBased) as the intervention arm and standard ONS (Fortimel Energy) as the control arm, both high-energy formulas (1.5 kcal/m; 200ml).

The study will be carried out in patients at malnutrition according to Global Leadership Initiative on Malnutrition (GLIM) criteria, who need to supplement their diet by taking a high-energy ONS for at least 12 weeks. These patients will be treated and follow-up by the Endocrinology and Nutrition services of 6 public hospitals in Spain.

02

Conditions studied

  • Malnutrition
  • Cancer
  • Inflammatory Bowel Diseases
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Hiv
03

In context

Inflammatory Bowel Diseases

1,460 studies on the registry are indexed under Inflammatory Bowel Diseases; 437 are open to participants now.

This study's planned enrollment of 140 is above the median of 70 across 770 interventional studies indexed under Inflammatory Bowel Diseases.

Browse Inflammatory Bowel Diseases studies →

Lead sponsor

This is the only study on the registry with Danone Specialized Nutrition as lead sponsor.

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

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Patients ≥ 18 years old

    • Malnourished patients according to GLIM criteria
    • Patients with a high energy requirement (1.5kcal/ml) requiring the intake of 2 bottles of ONS per day for at least 12 weeks
    • Patients presenting any of the following clinical situations:
  • Elderly patients requiring oral nutritional support
  • Patients with digestive pathology including but not restricted to inflammatory bowel disease, short bowel syndrome, pancreatitis, without active malabsorption and maldigestion.
  • Chronic diseases such as COPD, mild to moderate renal disease, HIV
  • Oncologic patients with Eastern Cooperative Oncology Group (ECOG) 0-1

    • Patients who have given their consent to participate
    • Patients who, in the opinion of the physician, have the capacity to answer the study questionnaires themselves or their caregivers

Exclusion criteria

Exclusion Criteria:

  • Patients who need ONS due to surgical or acute illness*

    • Patients with known intolerance or allergy to cow's milk, soya or peas
    • Patients with hyperthyroidism. Patients with uncontrolled hypothyroidism
    • Uncontrolled diabetic patients (HbA1c >8%)
    • Patients requiring enteral nutrition by tube or ostomy
    • Patients with moderate and serious renal insufficiency \< 30ml/min/1,73 m2
    • Patients who have value creatinine:

      • 1,70 mg/dl - 150,31umol/L Men
      • 1,50 mg/dl - 132,63umol/L Women
    • Patients with levels of haemoglobin \<10 g/dl, transferrin \<150 mg /dl
05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
140 participants (estimated)

Study arms

  • Active comparator
    Fortimel Energy

    Control: high-energy ONS 1.5 Kcal/m 200ml for 90 days

    Dietary Supplement: Fortimel

  • Experimental
    Fortimel PlantBased

    Intervention: high-energy ONS 1.5 Kcal/m 200ml for 90 days

    Dietary Supplement: Fortimel

Interventions

  • Dietary supplementFortimel

    2 bottles/day of the high energy ONS

06

What researchers measure

Primary outcomes

  1. Change in weight

    Change in weight percentage

    Time frame: Changes between baseline and final visit (12 weeks).

  2. Improvement in nutritional status

    Improvement in nutritional status according to the GLIM criteria. A change in classification category from grade 2 of malnutrition to grade 1 or not meet GLIM criteria, as well as a change from grade 1 to not meet GLIM criteria are considered an improvement.

    Time frame: From the baseline to the final visit (12 weeks)

Secondary outcomes

  1. Change in muscle strength

    Measured by dynamometry

    Time frame: From the baseline to final visit (12 weeks)

  2. Change in calf circumference

    Time frame: From baseline to final visit (12 week)

  3. Percentage of compliance

    Taking into account the number of bottles per day taken, the ml of product and the ml left over.

    Time frame: During the study follow up

  4. Changes in the gastrointestinal symptom scale (GSRS)

    Total score

    Time frame: From the baseline to final visit (12 week)

  5. ONS Satisfaction

    Patients satisfaction taking ONS will be considered if a patient indicates a score of at least 8 points for overall satisfaction question.

    Time frame: Final visit (12 week)

07

Study locations

6 of 6 sites recruiting
  • Hospital Universitario de Basurto
    Bilbao, 48013, Spain
    Recruiting
  • Hospital Universitario Reina Sofía
    Córdoba, 14004, Spain
    Recruiting
  • Hospital Universitario de Gran Canaria Doctor Negrín
    Las Palmas de Gran Canaria, 35010, Spain
    Recruiting
  • Hospital Universitario de Móstoles
    Madrid, 28935, Spain
    Recruiting
  • Hospital Universitario Virgen del Rocío
    Sevilla, 41013, Spain
    Recruiting
  • Hospital Clínico Valladolid
    Valladolid, 47003, Spain
    Recruiting
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 Sep 26, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06055543
Lead sponsor
Danone Specialized Nutrition
Responsible party
Sponsor
First posted
Sep 26, 2023
Start date
Aug 9, 2023
Primary completion
May 31, 2024 (estimated)
Completion
May 31, 2024 (estimated)
Last update
Sep 26, 2023

Oversight

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

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