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NCT Number: NCT05868408

Effect of Partially Hydrolyzed, Whey-based Infant Formulas on Growth and Tolerability in Healthy Term Infants

This study will assess the effect of partially hydrolyzed, whey-based infant formulas on growth and gastrointestinal tolerance in healthy term infants.

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Key information

Age range

0 day–28 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Biomedical Research Institute, Cavite City, Philippines

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Written informed consent has been obtained from at least one parent (or other legally acceptable representative [LAR]), if applicable)
  • Infant gestational age ≥37 completed weeks
  • Infant birth weight of ≥2.5 kg and ≤4.5 kg
  • Singleton birth
  • For Saudi: Infant postnatal age ≤28 days (date of birth = day 0); For Philippines: Infant postnatal age ≥ 14 days and ≤ 28 days (date of birth = day 0).
  • Mother has previously decided to fully formula-feed, and infant is no longer breastfeeding or receiving breast milk
  • Infant's parent(s)/LAR is of legal age of majority, must understand the informed consent form and other relevant study documents, and is willing and able to fulfill the requirements of the study protocol

Exclusion criteria

  • Chronic infectious, metabolic, genetic illness or other disease, including any condition that impacts feeding or growth
  • Major congenital or chromosomal abnormality known to affect growth (e.g., congenital heart disease, cystic fibrosis)
  • Maternal medical conditions known to affect infant growth (e.g., untreated preeclampsia or gestational diabetes)
  • Infants with special dietary needs other than standard infant formula
  • Infants with known (or symptoms suggestive of) cow's milk protein intolerance/allergy, or lactose intolerance or severe food allergies that impact diet
  • Child has other medical or psychiatric condition that, in the judgement of the investigator, would make the child inappropriate for entry into the study
  • Currently participating or having participated in another interventional clinical trial prior to enrollment

Treatment and study plan

Control Formula

Other

Infant formula made with intact protein - minimum 1.8g protein/100kcal

Experimental Formula 1

Other

Infant formula made with hydrolyzed protein - minimum 1.9g protein/100kcal

Experimental Formula 2

Other

Infant formula made with hydrolyzed protein - minimum 1.9g protein/100kcal

Primary outcomes

  1. Difference in growth in first 4 months of life between control and experimental groups

    Time frame: From enrollment to age 4 months

    To demonstrate that growth from enrollment to age 4 months of infants fed experimental formula 1 (EXPL1) or experimental formula 2 (EXPL2) is non-inferior to that of infants fed control formula (CTRL). This is measured by weight gain velocity (g/day).

  2. Equivalence in growth in first 4 months of life in experimental groups

    Time frame: From enrollment to age 4 months

    To demonstrate that growth from enrollment to age 4 months is equivalent between infants fed EXPL1 or EXPL2. This is measured by weight gain velocity (g/day).

Secondary outcomes

  1. Gastrointestinal (GI) tolerance

    Time frame: Enrollment and age 4, 6, and 12 months

    GI tolerance assessed using the Infant Gastrointestinal Symptom Questionnaire (IGSQ). IGSQ scores range from 13 to 65, with lower scores indicating lower GI symptom burden.

  2. Stooling pattern

    Time frame: Age 2 and 4 months

    Stool frequency and consistency assessed using a 3-day infant stool diary.

  3. Atopic dermatitis severity

    Time frame: Enrollment and age 4, 6, and 12 months

    Atopic dermatitis severity assessed using the Patient Oriented Eczema Measure (POEM). POEM scores range from 0 to 28, with lower scores indicating lower atopic dermatitis severity.

  4. Allergy-related symptoms

    Time frame: Enrollment and age 4, 6, and 12 months

    Allergy-related symptoms assessed using the Multi-Organ System Questionnaire for Infants (MOSQ-I). MOSQ-I scores range from 0 to 105, with lower scores indicating lower allergy-related symptom burden.

  5. Dietary intake

    Time frame: Age 6 months

    Total energy and macronutrient intake calculated from food recalls / diaries

  6. Weight

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Weight (g)

  7. Length

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Length (cm)

  8. Head circumference

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Head circumference (cm)

  9. Weight-for-age z-score

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Weight-for-age z-score based on World Health Organization (WHO) and Saudi Arabian growth charts.

  10. Weight-for-length z-score

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Weight-for-length z-score based on World Health Organization (WHO) and Saudi Arabian growth charts.

  11. Length-for-age z-score

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Length-for-age z-score based on World Health Organization (WHO) and Saudi Arabian growth charts.

  12. Head circumference-for-age z-score

    Time frame: Enrollment and age 1, 2, 3, 4, and 6 months

    Head circumference-for-age z-score based on World Health Organization (WHO) and Saudi Arabian growth charts.

Other outcomes

  1. Stool microbiota composition

    Time frame: Age 4 months

    Stool microbiota composition assessed using shotgun metagenomic analysis

  2. Stool microbiota metabolism

    Time frame: Age 4 months

    Stool organic acids and other metabolites

  3. Fecal peptides

    Time frame: Age 4 months

    Fecal milk-derived peptides

  4. Urinary metabolomic profile

    Time frame: Age 4 months

    Untargeted analysis of urine metabolites by H1-nuclear magnetic resonance (NMR) spectroscopy

Study contacts

Contact information is provided by the study sponsor or research team.

Qiaoji Li

CONTACT

[email protected]

+861087419794

Sponsors and collaborators

Lead sponsor

Société des Produits Nestlé (SPN)

Industry

Registry information

Official study title

Effect of Partially Hydrolyzed, Whey-based Infant Formulas on Growth and Tolerability in Healthy Term Infants: a Double-blind, Randomized, Controlled, Multi-arm Trial

Important dates

Study start
2023
Primary completion
2027
Study completion
2028
First posted
May 22, 2023
Registry last updated
Jul 15, 2026

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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