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NCT Number: NCT06053112

The Trial of a New Infant Formula in Healthy Term Chinese Infants

The aim of this randomized, controlled, multi-center, double-blind study of healthy term infants is to test the safety and efficacy of a new infant formula with a specific blend of six human milk oligosaccharides. The primary objective of the trial is to demonstrate the safety of the new infant formula supplemented by comparing the growth of infants randomized to the experimental formula versus the control formula from enrollment to the age of 4 months. The study has an interventional phase up to 6 months of age including 5 visits followed by an observational phase up to 12 months of age for a subgroup of the first 50 breastfed infants and the first 110 formula-fed infants including 2 additional visits.

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This study is active but is not currently recruiting participants.

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Key information

Conditions

Age range

Up to 14 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Affiliated Hospital of Jining Medical College, Jining, China

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Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • Evidence of personally signed and dated informed consent indicating that the infant's both parents/legally acceptable representative(s) (LAR(s)), as per local regulation, have been informed of all pertinent aspects of the study.
  • Parents/LAR(s) of infants have reached the legal age of majority in China.
  • Parents/LAR(s) of infants are willing and able to comply with scheduled visits, and the requirements of the study protocol and can be contacted directly by telephone throughout the study.
  • At enrollment visit, infant post-natal age is ≤14 days (date of birth = day 0)
  • Healthy term infant (≥37 weeks of gestation).
  • Infant birth weight was ≥2500g and ≤4000g.
  • For formula-fed groups, infant is exclusively consuming and tolerating a cow' s milk infant formula since at least 3 days prior to enrollment. Its parents/LAR(s) have 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 its parents/LAR(s) have made the decision to continue exclusively breastfeeding until at least 4 months of age.

Exclusion criteria

  • Conditions requiring infant feedings other than those specified in the protocol.
  • Medical condition or history that could increase the risk associated with study participation or interfere with the interpretation of study results, including:
  • Evidence of major congenital malformations (e.g., cleft palate, extremity malformation).
  • Suspected or documented 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 investigators, would make the infant inappropriate for entry into the study. Of note, infants who are normally healthy but at the time of enrollment suffering from acute illness in a minor condition which are common in infancy and do not require some of the exclusionary medication mentioned below can be enrolled.
  • Presently receiving or have received prior to enrollment any 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 gut microbiota (e.g., oral, or 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 interventional clinical trial since birth.

Treatment and study plan

New infant formula with 6 HMOs blend

Other

Infants are fed with HMO formula from the date of enrollment to the age of 6 months, exclusive formula feeding until the age of 4 months.

Standard infant formula without 6 HMOs blend

Other

Infants are fed with standard formula from the date of enrollment to the age of 6 months, exclusive formula feeding until the age of 4 months.

Primary outcomes

  1. Weight gain (g/day) between enrollment and the age of 4 months

    Time frame: until the age of 4 months

Secondary outcomes

  1. Fecal secretory IgA (mg/g dry feces) at the age of 4 months corrected for baseline values

    Time frame: until the age of 4 months

  2. Weight (g) at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  3. Body length (cm) at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  4. Body length gain (cm/week) at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  5. Head circumference (cm) at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  6. Head circumference gain (cm/week) at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  7. Weight-for-age WHO growth standard z-scores at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  8. Length-for-age WHO growth standard z-scores at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  9. Weight-for-length WHO growth standard z-scores at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  10. Head-circumference-for-age WHO growth standard z-scores at the ages of 42 days, 3 months, 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  11. Weight gain (g/day) between enrollment and the age of 6 months and 12 months respectively

    Time frame: until the age of 12 months

  12. Stool pattern, GI symptoms and GI-related behaviors recorded in the retrospective 1-day questionnaire at baseline and in the prospective 3-day GI Symptom and Behavior Diary for 3 days prior to the age of 42 days, 3 months, 4 months, 6 months

    Time frame: until the age of 6 months

  13. Fecal microbiome composition, diversity, community type assessed by NGS sequencing at baseline, the age of 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  14. Fecal acetic acid, propionic acid, butyric acid, isobutyric acid, valeric acid, isovaleric acid, and total short chain fatty acids at baseline, the age of 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  15. Fecal pH at baseline, the age of 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

  16. Fecal secretory IgA (mg/g dry feces) at the age of 6 months corrected for baseline values

    Time frame: until the age of 6 months

Other outcomes

  1. Faecal markers of immune health and gut inflammation and barrier integrity at baseline, the age of 4 months, 6 months and 12 months respectively

    Time frame: until the age of 12 months

    calprotectin, α-1-antitrypsin, lipocalin-2, claudin-3, cathelicidin, α-defensin and β-defensin assessed by ELISA

  2. Illnesses and infections based on standard AE/SAE reporting

    Time frame: until the age of 12 months

  3. Medication use based on standard AE/SAE reporting

    Time frame: until the age of 12 months

  4. Breastmilk composition assessed by HPLC at baseline, the age of 42 days, 4 months and 6 months respectively

    Time frame: until the age of 6 months

Sponsors and collaborators

Lead sponsor

Junlebao Dairy Group Co., Ltd.

Industry

Collaborators

  • Merieux NutriSciences (China)

Registry information

Official study title

Safety and Efficacy of Infant Formula Containing a Specific Blend of Six Human Milk Oligosaccharides: A Double-blind, Randomized, Controlled Trial

Acronym: HexaHMO

Important dates

Study start
2023
Primary completion
2026
Study completion
2026
First posted
Sep 25, 2023
Registry last updated
Mar 17, 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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