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Completed

NCT Number: NCT04957992

BIG Study (Brain, Immune, and Gut Health Evaluation of Infants/Young Children Fed Infant Formula, and Later Supplemental Toddler Nutrition, With 5 Specific HMOs)

The purpose of this study is to evaluate the growth and development outcomes of infants fed a new infant formula and toddler drink through 24 months of age.

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Key information

Conditions

Age range

0 day–14 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

MedPharmics, LLC 3192, Phoenix, Arizona, United States

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Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participant is judged to be in good health as determined from participant's medical history
  • Participant is a singleton from a full-term birth with a gestational age of 37 - 42 weeks by parent report
  • Participant's birth weight was ≥ 2490 g (~5 lbs. 8 oz.)
  • Parent(s) confirm their intention to feed their infant the study product as the sole source of feeding from Study Visit 1 to 6 months of age, and as the sole milk beverage during the first 12 months of life
  • Parent(s) confirm their intention to feed the infant the assigned toddler drink from 12 months of life to 24 months of life as the primary milk beverage
  • Parent(s) confirm their intention not to administer vitamin or mineral supplements,(except for vitamin D supplements if instructed by their healthcare professional) from enrollment through the duration of the study
  • Parent(s) confirm their intention not to administer solid foods or juices to the infant from enrollment through 6 months of age unless recommended by the participant's HCP
  • Participant's parent(s) has voluntarily signed and dated an informed consent form (ICF), approved by an Institutional Review Board/Independent Ethics Committee (IRB/IEC) and provided Health Insurance Portability and Accountability Act (HIPAA) (or other applicable privacy regulation) authorization prior to any participation in the study
  • If parent(s) elect to feed the participant human milk, they confirm that their infant was fed human milk since birth and confirm their intention to exclusively feed human milk as the sole source of feeding through 6 months of age.
  • If parent(s) of human milk fed participant elect to supplement or wean, they confirm their intention to use the experimental supplemental/weaning formula and experimental toddler drink as the primary milk beverage.

Exclusion criteria

  • An adverse maternal, fetal or participant medical history that is thought by the investigator to have potential for effects on tolerance, growth, and/or development
  • Awareness of a positive drug screen (including but not limited to cocaine, heroin, or methamphetamine) in the mother or participant
  • Suspected maternal substance abuse including alcohol
  • Participant is taking and plans to continue medications (including over the counter (OTC), such as Mylicon® for gas), home remedies (such as juice for constipation), herbal preparations, prebiotics or probiotics, or rehydration fluids that might affect GI tolerance
  • Participant is in another study that has not been approved as a concomitant study by AN
  • Participant has been treated with antibiotics (except for topical antibiotics, eye drops) prior to enrollment
  • Participant has been treated with other medications (besides antibiotics) that in the opinion of the PI may affect growth, GI tolerance and/or development, prior to enrollment

Treatment and study plan

Control infant formula

Other

Ad libitum or as instructed by HCP, feeding period from enrollment to 12 months of age

Control Toddler Drink

Other

~ 16 fl oz per day as primary milk beverage; feeding period from 12 to 24 months of age

Experimental Infant Formula

Other

Ad libitum or as instructed by HCP, feeding period from enrollment to 12 months of age

Experimental Toddler Drink

Other

~ 16 fl oz per day as primary milk beverage; feeding period from 12 to 24 months of age

human milk

Other

Ad libitum or as instructed by HCP

Human Milk Supplemental Formula

Other

Ad libitum if consuming supplemented formula; feeding period up to 12 months of age

Human Milk Toddler Drink

Other

~16 fl oz per day if providing supplemental nutrition other than HM; feeding period from 12 to 24 months of age

Primary outcomes

  1. Growth

    Time frame: Study Day 1 to 6 Months of Age

    weight for age z-score

Secondary outcomes

  1. Incidence of respiratory infection between study groups

    Time frame: Study Day 1 to 24 Months of Age

    Adverse event reports

  2. Number of respiratory infection episodes between study groups

    Time frame: Study Day 1 to 24 Months of Age

    Adverse event reports

  3. Incidence of infection morbidity between study groups

    Time frame: Study Day 1 to 24 Months of Age

    Adverse event reports

  4. Number of episodes of infection morbidity between study groups

    Time frame: Study Day 1 to 24 Months of Age

    Adverse event reports

  5. Weight

    Time frame: Study Day 1 to 24 Months of Age

    Interval weight gain per day

  6. Length

    Time frame: Study Day 1 to 24 Months of Age

    Interval length gain per day

  7. Head Circumference

    Time frame: Study Day 1 to 24 Months of Age

    Interval head circumference gain per day

  8. Gastrointestinal Tolerance

    Time frame: Study Day 1 to 12 months of Age

    Parent completed diary

Other outcomes

  1. Formula Satisfaction Questionnaire

    Time frame: 28 Days of Age to 6 Months of Age

    Parent completed questionnaire; 12 questions with 5-point Likert scale questions scaled from positive to negative

  2. Toddler Drink Satisfaction Questionnaire

    Time frame: 18 Months of Age to 24 Months of Age

    Parent completed questionnaire; 12 questions with 5-point Likert scale questions scaled from positive to negative

  3. Infant Feeding and Stool Patterns Questionnaire

    Time frame: 28 Days of Age to 119 Days of Age]

    Parent completed questionnaire; 16, 5-point Likert scale questions, scaled from Always to Never

  4. Infant and Toddler Behavior Questionnaire

    Time frame: 119 Days of Age

    Parent completed questionnaire; 22 questions with 5-point Likert scale questions, scaled from Always to Never

  5. Product Intake

    Time frame: Study Day 1 to 24 Months of Age

    Parent completed intake diary

  6. Dietary Intake

    Time frame: 6 Months of Age to 24 Months of Age

    Parent completed 24-hour recall

  7. Stool Sample

    Time frame: Study Day 1 to 24 Months of Age

    Microbiota characterization; Subset of subjects

  8. Bayley™-4 Scale of Infant & Toddler Development IV

    Time frame: 12 Months of Age to 24 Months of Age

    Examiner rated assessment; Scores are totaled and compared to normative age group data and between groups; Subset of subjects

  9. MacArthur Communicative Developmental Inventory (CDI)/Words and Gestures and CDI)/Words and Sentences

    Time frame: 12 Months of Age to 24 Months of Age

    Parent completed questionnaire of Words and Gestures and Words and Sentences; Percentiles compared to normative group data and between groups

  10. Modified Home Short Form

    Time frame: 6 Months of Age to 24 Months of Age]

    Parent completed questionnaire; 8 questions related to the home environment adapted from the HSF compared between groups

  11. Medications

    Time frame: Study Day 1 to 24 Months of Age

    Medication usage including frequency and reason for use

  12. Adverse Events

    Time frame: Study Day 1 to 24 Months of Age

    Parent reported adverse events

  13. Health Resource Utilization

    Time frame: Study Day 1 to 24 Months of Age

    Number of visits

  14. Missed Parental Work Days

    Time frame: Study Day 1 to 24 Months of Age

    Parent reported number of days

  15. Blood Collection

    Time frame: 6 and 24 Months of Age

    Blood Immune Markers; Subset of subjects

Sponsors and collaborators

Lead sponsor

Abbott Nutrition

Industry

Registry information

Official study title

Infant Formula and Toddler Drink Feeding Intervention Through 24 Months of Age

Important dates

Study start
2021
Primary completion
2025
Study completion
2025
First posted
Jul 12, 2021
Registry last updated
Jun 27, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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