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NCT Number: NCT06361719

Efficacy of Two HMOs in Chinese Infants

This is a randomized, controlled, double-blind, intervention trial of healthy male and female term infants to evaluate the efficacy of the 2 HMOs on beneficially modulating the gut microbiota, gut maturation, gut barrier integrity, immune response, and other developmental outcomes in healthy Chinese infants. The trial consists of 2 randomized formula-fed groups, and a non-randomized breastfed reference group.

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Key information

Conditions

Age range

3 day–14 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

The International Peace Maternity & Child Health Hospital of China Welfare Institute

Shanghai, China

Location status: Recruiting

Location contact

Zhiwei Liu

CONTACT

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Healthy male and female infants of post-natal age of 3-14 days (date of birth = day 0), inclusive, at enrolment
  • Evidence of personally signed and dated informed consent document indicating that the infant's parent(s)/ legally accepted representatives LAR have been informed of all pertinent aspects of the trial.
  • Infants whose parent(s) have reached the legal age of majority in China.
  • Infants whose parent(s)/LAR are willing and able to comply with scheduled visits, and the requirements of the trial protocol.
  • Infants whose parent(s)/LAR can be contacted directly by telephone throughout the trial.
  • Infants whose parent(s)/LAR have a working freezer.
  • Singleton, healthy, full-term gestational birth (≥ 37 completed weeks of gestation), with a birth weight of ≥ 2.5 kg and ≤ 4.5 kg.
  • For the formula-fed groups: infant is exclusively consuming and tolerating a cow' s milk infant formula for at least 3 days prior to enrolment. The infant's mother has independently elected not to breastfeed.
  • For the breastfed reference group: infant has been exclusively consuming breastmilk since birth (small amounts of other feedings allowed during the first three days of life before breastfeeding is well-established) and the infant's mother has made the decision to continue exclusively breastfeeding until at least 3 months of age.

Exclusion criteria

  • Infants with conditions requiring infant feedings other than those specified in the protocol.
  • Infants receiving complementary foods or liquids defined as 4 or more teaspoons per day or approximately 20 g per day of complementary foods or liquids at or prior to enrolment.
  • Infants who have a medical condition or history that could increase the risk associated with trial participation or interfere with the interpretation of trial results, including: Evidence of major congenital malformations (e.g., cleft palate, extremity malformation). Documented or suspected systemic or congenital infections (e.g., human immunodeficiency virus, cytomegalovirus, syphilis). Previous or ongoing severe medical or laboratory abnormality (acute or chronic) which, in the judgment of the investigator, would make the infant inappropriate for entry into the trial.
  • Infants who are presently receiving or have received prior to enrolment probiotic supplements or any of the following: medication(s) or supplement(s) which are known or suspected to affect the following: fat digestion, absorption, and/or metabolism (e.g., pancreatic enzymes); stool characteristics and microbiota (e.g., oral and systemic antibiotics, glycerine suppositories, bismuth-containing medications, docusate, Maltsupex, or lactulose); growth (e.g. insulin or growth hormone); gastric acid secretion.
  • Currently participating or having participated in another clinical trial since birth.
  • Infant who has known or suspected cows' milk protein intolerance / allergy, lactose intolerance, soy intolerance / allergy.

Treatment and study plan

Experimental Group (EG)

Other

Starter infant formula will be administered to the participants orally, ad libtium to 6 months, after which they will transfer to a classical follow-up formula (non-trial formula) until the end of the trial (12 months of age).

Control group (CG)

Other

Starter infant formula will be administered to the participants orally, ad libtium to 6 months, after which they will transfer to a classical follow-up formula (non-trial formula) until the end of the trial (12 months of age).

Primary outcomes

  1. Bifidobacteria abundance in fecal samples

    Time frame: just prior to 3 months of age

    Bifidobacteria abundance using qPCR technology

Secondary outcomes

  1. Gut microbiota composition

    Time frame: From enrollment until 12 months of age

    Relative abundance of beneficial and potentially pathogenic species using next generation sequencing (NGS) technology

  2. Fecal metabolism

    Time frame: From enrollment until 12 months of age

    Fecal pH analyzed using HPLC as well as targeted or untargeted metabolomics profiling

  3. Fecal metabolism

    Time frame: From enrollment until 12 months of age

    Short chain fatty acids analyzed using HPLC as well as targeted or untargeted metabolomics profiling

  4. Fecal markers of intestinal immune health

    Time frame: From enrollment until 6 months of age

    Fecal secretory IgA measured by ELISA

  5. Fecal markers of gut barrier function

    Time frame: From enrollment until 6 months of age

    Calprotectin measured by ELISA

  6. Fecal markers of gut barrier function

    Time frame: From enrollment until 6 months of age

    α-1-antitrypsin measured by ELISA

  7. Fecal markers of gut barrier function

    Time frame: From enrollment until 6 months of age

    Lipocalin-2 measured by ELISA

  8. Fecal markers of inflammation

    Time frame: From enrollment until 6 months of age

    Levels of cytokines such as IL-1β measured by ELISA

  9. Fecal markers of inflammation

    Time frame: From enrollment until 6 months of age

    Levels of cytokines such as IFN-γ measured by ELISA

  10. Fecal markers of inflammation

    Time frame: From enrollment until 6 months of age

    Levels of cytokines such as TNF-α measured by ELISA

  11. Stool patterns

    Time frame: From enrollment until 14 days

    Stool frequency, consistency, and difficulty in passing stools assessed using a 1-day retrospective stool consistency diary (24-hr recall)

  12. Stool patterns

    Time frame: From enrollment until 12 months of age

    Stool frequency, consistency, and difficulty in passing stools assessed using a 3-day prospective collection recorded in the stool consistency diary.

  13. GI symptoms and behaviors

    Time frame: From enrollment until 6 months of age

    IGSQ-13 Questionnaire

  14. Immune competence

    Time frame: From enrollment until 12 months of age

    Pediatric Immune System Index score

  15. Infant sleep duration and night-time wakings per 24 hours

    Time frame: From enrollment until 6 months of age

    Brief infant sleep questionnaire (BISQ)

  16. Infant Health Related Quality of Life

    Time frame: From enrollment until 6 months of age

    Infant Toddler Quality of Life Questionnaire (ITQoL -SF47)

  17. Growth

    Time frame: From enrollment until 12 months of age

    Weight (g) and corresponding Z-scores

  18. Growth

    Time frame: From enrollment until 12 months of age

    Length (cm) and corresponding Z-scores

  19. Growth

    Time frame: From enrollment until 12 months of age

    Head circumference (cm) and corresponding Z-scores

  20. Growth

    Time frame: From enrollment until 12 months of age

    Weight gain and corresponding Z-scores

  21. Growth

    Time frame: From enrollment until 12 months of age

    Length gain, corresponding Z-scores

  22. Physical Examination

    Time frame: At enrollment and at 12 months of age

  23. Infant Illness

    Time frame: From enrollment until 12 months of age

    Infant Illness Diary

  24. Infant illness, infections and medication usage

    Time frame: From the time the informed consent form has been signed at enrollment infant age less than 3 days until 12 months of age

    AEs and Serious Adverse Events (SAEs)

  25. Medication use (type and duration)

    Time frame: From enrollment until 12 months of age

    Concomitant medication form and Infant Illness Diary

Other outcomes

  1. Formula feeding

    Time frame: From enrollment until 12 months of age

    Total quantity of milk consumed for formula-feeding

  2. Breastfeeding

    Time frame: From enrollment until 12 months of age

    The frequency of breastfeeding, duration and type of breastfeeding (exclusive, predominant, partial)

  3. Infant dietary pattern

    Time frame: From 6 months of age until 12 months of age

    3-day food diary

Study contacts

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

Sponsors and collaborators

Lead sponsor

Société des Produits Nestlé (SPN)

Industry

Registry information

Official study title

Efficacy of a Ready to Feed (RTF) Starter Liquid Infant Formula Containing 2'FL and LNnT in Chinese Infants: A Double-blind, Randomized Controlled Trial Including a Breastfed Reference Group

Important dates

Study start
2024
Primary completion
2026
Study completion
2027
First posted
Apr 12, 2024
Registry last updated
Nov 28, 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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