RecruitingNot ApplicableNCT06382857

Effectiveness of a Microbiome-directed Food to Promote Programmatic and Sustained Nutritional Recovery Among Children With Uncomplicated Acute Malnutrition


Sponsor

Epicentre

Enrollment

7,356 participants

Start Date

May 2, 2024

Study Type

INTERVENTIONAL

Conditions

Summary

This study is an individually randomized controlled trial comparing microbiome-directed foods to standard nutritional therapy among children aged 6 to \< 24 months with uncomplicated acute malnutrition in terms of programmatic recovery by 12 weeks from admission and sustained recovery at 24 weeks from admission.


Eligibility

Min Age: 6 MonthsMax Age: 23 Months

Inclusion Criteria3

  • for children with Severe Acute Malnutrition (SAM): MUAC \< 115 mm and/or WLZ \< -3 and/or mild (+) or moderate (++) edema
  • for children with Moderate Acute Malnutrition (MAM): 115 mm ≤ MUAC \< 125 mm and/or -3 ≤ WHZ \< -2
  • Caregiver providing informed consent

Exclusion Criteria8

  • Medical complications requiring inpatient treatment, as identified by the national protocol
  • Not eating/lack of appetite (as informed by appetite test and investigator judgement)
  • Re-admission into the program within 2 months of previous default
  • for children with Severe Acute Malnutrition (SAM): Referral from inpatient care (therapeutic feeding center, TFC) or supplementary feeding program (SFP)
  • for children with Moderate Acute Malnutrition (MAM): Referral from SAM treatment (TFC or OTP)
  • Presence of congenital abnormality or underlying chronic disease that may affect growth or risk of infection
  • Known contraindication/ hypersensitivity/allergy to study interventions (chickpea/soy flour, banana, peanut)
  • Residence outside the study catchment area or in a non-fixed (e.g. nomadic) community

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Interventions

DIETARY_SUPPLEMENTMDF

MDF will be provided to children on a weekly basis for children with SAM and bi-weekly basis for children with MAM at the health center until programmatic recovery but not thereafter.

DIETARY_SUPPLEMENTRUTF

RUTF will be provided to all children on a weekly basis at the health center until programmatic recovery but not thereafter

DIETARY_SUPPLEMENTRUSF

RUSF will be provided on a biweekly basis at the health center until programmatic recovery but not thereafter


Locations(1)

Epicentre Niger

Maradi, Niger

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NCT06382857


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