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Comparison of a Two Ready-to-use Supplementary Foods of Differing Protein Quality for the Treatment of MAM.

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The Washington University

Status

Completed

Conditions

Malnutrition

Treatments

Dietary Supplement: C-RUSF
Dietary Supplement: HIPRO RUSF

Study type

Interventional

Funder types

Other
Industry

Identifiers

NCT03549156
201805096

Details and patient eligibility

About

This is a prospective, randomised, double-blinded, controlled clinical effectiveness trial of two supplementary foods in the treatment of MAM. The setting will be 21 rural sites in southern Malawi. The participants will be 1800 children 6-59 months old with MAM, defined as mid-upper arm circumference (MUAC) ≥ 11.5 cm and < 12.5 cm and/or a weight-for-height Z-score (WHZ) between -2 and -3 without bipedal edema. Children will receive approximately 75 kcal/kg/d (314 kJ/kg/d) of one of two RUSFs in two-week rations for outpatient therapy of MAM. The two supplements will be a novel, locally produced peanut/dairy RUSFs, one with a high protein quality (HIPRO RUSF) or one with a standard protein quality, referred to as control RUSF (C-RUSF). The primary outcome measures will be recovery from MAM (achieving MUAC ≥ 12.5 cm and/or WHZ>-2 by 12 weeks) or failure (death, development of severe acute malnutrition, transfer to hospital for inpatient care, failure to recover from MAM by 12 weeks, default). Secondary outcome measures include rates of weight, height, and mid-upper-arm circumference (MUAC) gain, time to graduation, and adverse effects from the supplementary foods.

Enrollment

1,858 patients

Sex

All

Ages

6 to 59 months old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • MUAC < 12.5 cm and ≥ 11.5 cm
  • without bipedal edema

Exclusion criteria

  • simultaneously involved in another research trial or supplemental feeding program
  • developmentally delayed, have a chronic debilitating illness such as cerebral palsy
  • history of peanut or milk allergy

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

1,858 participants in 2 patient groups

C-RUSF
Active Comparator group
Description:
Control/Standard RUSF
Treatment:
Dietary Supplement: C-RUSF
HIPRO RUSF
Active Comparator group
Description:
New RUSF product
Treatment:
Dietary Supplement: HIPRO RUSF

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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