ClinicalTrials.gg
RecruitingNCT07216664M-MILK RCTUpdated Jan 20, 2026

Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants

An interventional study of Multisensory early oral administration of human milk in Infant, Premature, Diseases, sponsored by Loyola University. Recruiting at 2 sites in United States. Open to participants aged 23 Weeks to 32 Weeks. Per ClinicalTrials.gov, last updated 2026-01-20.

Sponsored by Loyola University · Not applicable, Interventional, and Prevention

From the registry’s dates

  • Started Nov 2025; still recruiting 1 year later.
Phase
Not applicable
Study type
Interventional
Enrollment
125
Allocation
Randomized
Ages
23 Weeks to 32 Weeks
Sex
All
01

Study summary

The goal of this clinical trial is to learn if the multisensory early oral administration of human milk (M-MILK) intervention helps infants who are born younger than 32 weeks gestational age (very preterm infants). The main question that this clinical trial aims to answer is: Does M-MILK improve stress regulation, support optimal neurodevelopment, and promote competent oral feeding skills in very preterm infants?

Researchers will compare M-MILK to the standard of care to see if M-MILK helps very preterm infants. Specifically, researchers will compare the differences in:

  • Cortisol levels
  • DNA methylation of the two stress related genes (NR3C1 and HSD11B2)
  • Neurodevelopment
  • Oral feeding skills Participants in the M-MILK group will receive standard of care plus M-MILK intervention, which starts on day 3 of life and continues until they begin their oral feeding. M-MILK will be provided by clinical research nurses, during the day shift, up to 4 times a day. Participants in the standard of care group will continue to receive their usual care.
02

Conditions studied

  • Infant, Premature, Diseases
03

In context

Infant, Premature, Diseases

88 studies on the registry are indexed under Infant, Premature, Diseases; 12 are open to participants now.

This study's planned enrollment of 125 is above the median of 63 across 57 interventional studies indexed under Infant, Premature, Diseases.

Browse Infant, Premature, Diseases studies →

Lead sponsor

Loyola University is the lead sponsor of 134 studies on the registry; 15 are open to participants now.

Of its 26 completed or terminated interventional studies of FDA-regulated products, 23 (88%) have results posted.

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

04

Who can participate

Ages eligible
23 Weeks to 32 Weeks
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Born at ≤ 32 weeks gestational age.
  • Receiving mother's own milk and/or donor human milk at the time of screening.

Exclusion criteria

Exclusion Criteria:

  • Receiving only formula.
  • Gastrointestinal defects, i.e., cleft lip or cleft palate.
  • Congenital cardiac defects requiring surgery.
  • Necrotizing enterocolitis.
  • Chromosomal abnormalities.
05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
125 participants (estimated)

Study arms

  • Experimental
    M-MILK Group

    Infants in the M-MILK group will receive M-MILK intervention and standard of care. M-MILK is implemented starting on day 3 of life, during the day shift, after every hands-on care, during the beginning of a full gavage feeding, and up to 4 times a day. Infants receive M-MILK in small droplets via a 1-ml syringe. M-MILK will cease upon oral feeding initiation. Infants will receive either mother's own milk or donor's milk based on availability. Infants may receive up to 1 mL of milk each time based on their cues and responses. The 1 mL volume intake is included as part of their oral caloric intake. M-MILK is provided by research nurses or parents.

    Other: Multisensory early oral administration of human milk

  • No intervention
    Control Group

    Infants in the Control group will receive standard of care.

Interventions

  • OtherMultisensory early oral administration of human milk

    M-MILK is implemented starting on day 3 of life, during the day shift, after every hands-on care, during the beginning of a full gavage feeding, and up to 4 times a day. Infants receive M-MILK in small droplets via a 1-ml syringe. M-MILK will cease upon oral feeding initiation. Infants will receive either mother's own milk or donor's milk based on availability. Infants may receive up to 1 mL of milk each time based on their cues and responses. The 1 mL volume intake is included as part of their oral caloric intake. M-MILK is provided by research nurses or parents.

    Also known as: M-MILK

06

What researchers measure

Primary outcomes

  1. Oral feeding Skills: EFS assessment total score at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  2. Oral Feeding Skills: EFS assessment total score at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks post-menstrual age (PMA). The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: 36 weeks postmenstrual age.

Secondary outcomes

  1. Stress Regulation: Salivary Cortisol at PO Initiation

    We will evaluate stress regulation, measured by salivary cortisol levels (μg/dL) at oral feeding (PO) initiation.

    Time frame: Up to 12 weeks after birth.

  2. Stress Regulation: Salivary Cortisol at 36 Weeks PMA

    We will evaluate stress regulation, measured by salivary cortisol levels (μg/dL) at 36 weeks PMA.

    Time frame: At 36 weeks postmenstrual age.

  3. Stress Regulation: Buccal Cell DNAm of NR3C1 Exon 1F Promoter at PO Initiation

    We will evaluate stress regulation, measured by buccal cell DNA methylation (DNAm) of NR3C1 Exon 1F promoter at oral feeding (PO) initiation. We anticipate to cover 33 CpG sites within the NR3C1 Exon 1F promoter. Methylation percentage (%) will calculated per CpG site (aligning with the human reference genome hg38).

    Time frame: Up to 12 weeks after birth.

  4. Stress Regulation: Buccal Cell DNAm of NR3C1 Exon 1F Promoter at 36 Weeks PMA

    We will evaluate stress regulation, measured by buccal cell DNA methylation (DNAm) of NR3C1 Exon 1F promoter at 36 weeks post-menstrual age (PMA). We anticipate to cover 33 CpG sites within the NR3C1 Exon 1F promoter. Methylation percentage (%) will calculated per CpG site (aligning with the human reference genome hg38).

    Time frame: At 36 weeks postmenstrual age.

  5. Stress Regulation: Buccal Cell DNAm of HSD11B2 Promoter at PO Initiation

    We will evaluate stress regulation, measured by buccal cell DNA methylation (DNAm) of HSD11B2 promoter at oral feeding (PO) initiation. We anticipate to cover 30 CpG sites within the HSD11B2 promoter. Methylation percentage (%) will calculated per CpG site (aligning with the human reference genome hg38).

    Time frame: Up to 12 weeks after birth.

  6. Stress Regulation: Buccal Cell DNAm of HSD11B2 Promoter at 36 Weeks PMA

    We will evaluate stress regulation, measured by buccal cell DNA methylation (DNAm) of HSD11B2 promoter at 36 weeks post-menstrual age (PMA). We anticipate to cover 30 CpG sites within the HSD11B2 promoter. Methylation percentage (%) will calculated per CpG site (aligning with the human reference genome hg38).

    Time frame: At 36 weeks postmenstrual age.

  7. Neurodevelopment: NNNS-II Attention score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  8. Neurodevelopment: NNNS-II Handling score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  9. Neurodevelopment: NNNS-II Self-Regulation 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  10. Neurodevelopment: NNNS-II Habituation score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  11. Neurodevelopment: NNNS-II Arousal score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  12. Neurodevelopment: NNNS-II Excitability score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  13. Neurodevelopment: NNNS-II Lethargy score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  14. Neurodevelopment: NNNS-II Hypertonicity score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  15. Neurodevelopment: NNNS-II Hypotonicity score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  16. Neurodevelopment: NNNS-II Nonoptimal Reflexes score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  17. Neurodevelopment: NNNS-II Asymmetric Reflexes score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  18. Neurodevelopment: NNNS-II Quality of Movement score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

  19. Neurodevelopment: NNNS-II Stress/Abstinence score 36 Weeks PMA

    We will evaluate neurodevelopment using the NeoNatal Neurobehavioral Scale (NNNS-II) at 36 weeks post-menstrual age (PMA). The NNNS-II provides a summary score for each of the 13 domain (attention, handling, self-regulation, habituation, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, quality of movement, and stress/abstinence). High-risk neurodevelopment is characterized by higher scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence, along with lower score in quality of movement, attention, self-regulation, habituation. Low-risk neurodevelopment is characterized by higher scores in attention, self-regulation, habituation, and quality of movement, along with lower scores in handling, arousal, excitability, lethargy, hypertonicity, hypotonicity, nonoptimal reflexes, asymmetric reflexes, and stress/abstinence.

    Time frame: At 36 weeks postmenstrual age.

Other outcomes

  1. Oral Feeding Skills: EFS assessment score for Respiratory Regulation at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  2. Oral Feeding Skills: EFS assessment score for Oral-motor Functioning at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  3. Oral Feeding Skills: EFS assessment score for Swallowing Coordination at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  4. Oral Feeding Skills: EFS assessment score for Engagement at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  5. Oral Feeding Skills: EFS assessment score for Physiologic Stability at PO Initiation

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at oral feeding (PO) initiation. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: Up to 12 weeks after birth.

  6. Oral Feeding Skills: EFS assessment score for Respiratory Regulation at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks PMA. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: At 36 weeks postmenstrual age.

  7. Oral Feeding Skills: EFS assessment score for Oral-motor Functioning at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks PMA. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: At 36 weeks postmenstrual age.

  8. Oral Feeding Skills: EFS assessment score for Swallowing Coordination at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks PMA. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: At 36 weeks postmenstrual age.

  9. Oral Feeding Skills: EFS assessment score for Engagement at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks PMA. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: At 36 weeks postmenstrual age.

  10. Oral Feeding Skills: EFS assessment score for Physiologic Stability at 36 Weeks PMA

    We will evaluate oral feeding skills using the Early Feeding Skills Assessment (EFS) at 36 weeks PMA. The EFS provides a summary score for each of the 5 subscale (respiratory regulation, oral-motor functioning, swallowing coordination, engagement, and physiologic stability), as well as a total summary score. Higher EFS summary scores indicate more competent oral feeding skills.

    Time frame: At 36 weeks postmenstrual age.

  11. Oral Feeding Skills: NeoEAT Total score at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  12. Oral Feeding Skills: NeoEAT score for Regulation at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  13. Oral Feeding Skills: NeoEAT score for Energy and Physiologic Stability at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  14. Oral Feeding Skills: NeoEAT score for Gastrointestinal Tract Function at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  15. Oral Feeding Skills: NeoEAT score for Sensory Responsiveness at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  16. Oral Feeding Skills: NeoEAT score for Compelling Symptoms of Problematic Feeding at 2 Months CA

    We will evaluate oral feeding skills using the Neonatal Eating Assessment Tool (NeoEAT-Bottle-feeding) at 2 months corrected age (CA). The NeoEAT-Bottle-feeding provides a summary score for each of the 5 subscale (regulation, energy and physiologic stability, gastrointestinal tract function, sensory responsiveness, and compelling symptoms of problematic feeding) and a total summary score. Lower NeoEAT-Bottle-feeding summary scores indicate more competent oral feeding skills.

    Time frame: At 2 months corrected age.

  17. Neurodevelopment: ASQ-3 Communication score at 2 Months CA

    We will evaluate neurodevelopment using the Ages and Stages Questionnaire (ASQ-3) at 2 months corrected age (CA). The 2-month ASQ-3 provides a summary score for each of the 3 domain (communication, gross motor, and personal-social skills). Higher summary scores indicate more optimal neurodevelopment.

    Time frame: At 2 months corrected age.

  18. Neurodevelopment: ASQ-3 Gross Motor score at 2 Months CA

    We will evaluate neurodevelopment using the Ages and Stages Questionnaire (ASQ-3) at 2 months corrected age (CA). The 2-month ASQ-3 provides a summary score for each of the 3 domain (communication, gross motor, and personal-social skills). Higher summary scores indicate more optimal neurodevelopment.

    Time frame: At 2 months corrected age.

  19. Neurodevelopment: ASQ-3 Personal-Social Skills score at 2 Months CA

    We will evaluate neurodevelopment using the Ages and Stages Questionnaire (ASQ-3) at 2 months corrected age (CA). The 2-month ASQ-3 provides a summary score for each of the 3 domain (communication, gross motor, and personal-social skills). Higher summary scores indicate more optimal neurodevelopment.

    Time frame: At 2 months corrected age.

07

Study locations

2 of 2 sites recruiting
08

References and documents

Publications

  • Griffith T, Janusek L, White-Traut R, Green SJ, Sachin A, Joyce C. Study Protocol for a Randomized Controlled Trial of Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants: Enhancing Stress Regulation, Neurodevelopment, and Oral Feeding Skills. Biol Res Nurs. 2026 Jul;28(3):464-478. doi: 10.1177/10998004261418708. Epub 2026 Jan 19. PubMed 41554032 ↗

Individual participant data

Plan to share: No — We do not plan to share IPD to ensure confidentiality and privacy participants. We have plans to share only de-identifiable data. Data will be shared in accordance with the NIH Data Sharing Policy. Data will be shared on reasonable request to Loyola University Chicago through a Data Use Agreement (DUA).

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 Nov 2025 (actual). Primary completion is estimated for May 2030, 54 months after the start.

Of 33 non-industry interventional studies with no phase under Infant, Premature, Diseases, half reached primary completion within 19 months of starting (the median), counting those still running; a quarter within 11 and three quarters within 29. This study's planned 54 months is above that.

Counting every sponsor, half of 33 studies reached it within 19 months; a quarter within 11 and three quarters within 29.

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

Registered
Sep 26, 2024
First posted
Oct 14, 2025
StartActual
Nov 3, 2025
Primary completionEst.
May 31, 2030
CompletionEst.
May 31, 2031
Last update
Jan 20, 2026
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 Jan 20, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07216664
Lead sponsor
Loyola University
Responsible party
Sponsor
First posted
Oct 14, 2025
Start date
Nov 3, 2025
Primary completion
May 31, 2030 (estimated)
Completion
May 31, 2031 (estimated)
Last update
Jan 20, 2026

Study contacts

Thao Griffith, PhD
Contact
tgriffith1@luc.edu
464-220-9825
Cara Joyce, PhD
Contact
cjoyce6@luc.edu
464-220-9521
Thao Griffith, PhD
principal investigator · Loyola University Chicago

Oversight

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

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