Healthy Term BabiesPhase 3NCT01251783
A Prebiotic Agave Derivated Metlin & Metlos in Infant Formula
A Phase 3 study testing Infant Formula, Exclusively breast milk and Metlin+metlos+Lactobacillus GG in people with Healthy Term Babies, run by National Institute of Pediatrics, Mexico at 1 site in Mexico.
Trial summary
Objectives: To evaluate the safety; efficacy; bone mineral metabolism \& immunity changes of the use of Metlin \& Metlos added to the Infant Formula Study Design: Randomized, double blind, clinical, controlled trial, in 600 full-term infants of 15 ± 7 days randomized to recive formula with probiotics + Metlin +… Read more about this study
- Who is it for?
- Ages 15 to 30 daysHealthy volunteers can take part
- Conditions the study is for
- Healthy Term Babies
- What is being tested?
- Infant Formula, Exclusively breast milk and Metlin+metlos+Lactobacillus GG
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 600 participants
- Where
- 1 siteMexico
- Study dates
- Feb 2010to Oct 2010
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 15 to 30 days
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- Healthy term babies (37 to 42 weeks of gestationl age)
- Age 15 ± 7 days at admission
- Birth weight > 2,490 g.
- Negative history of formula intolerance (only randomized babies)
- Signed Informed Consent
Who cannot join
- Clinical evidence of chronic cardiac, respiratory, gastrointestinal, hematological or metabolic disease.
- Maternal medical history of diabetes (gestational diabetes was acceptable if the infant's birth weight was at or below the percentile 95; or 4153 g or 9 lbs 3 oz for girls or 4340 g or 9 lbs 9 oz for boys
- Tuberculosis, immunologic deficiency, infection disease or perinatal infections known to cause adverse effects in the fetus
- Participation in other study
- Inability of the father/mother or legal tutor to reed or comprehend the informed consent and the symtoms report diary, or
- The infant was part of multiple labor (twins, triplets, etc.)
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Double Blind, Randomized, Controlled Clinical Trial for Evaluate The Efficiency and Safety of a Fiber System From Agave, With Prebiotic Action, Metlin® and Metlos®, Incorporated to an Infant Formula for Term Newborn Babies
Objectives: To evaluate the safety; efficacy; bone mineral metabolism \& immunity changes of the use of Metlin \& Metlos added to the Infant Formula Study Design: Randomized, double blind, clinical, controlled trial, in 600 full-term infants of 15 ± 7 days randomized to recive formula with probiotics + Metlin + Metlos; formula with probiotics + Metlin; Formula with probiotics + Metlos; formula only with probiotics or formula without probiotics and prebiotics; having a totally breast feed group as control.). Outcomes variables were frequency of stools; bowel intolerance manifestations (abdominal distension, flatulency, regurgitations, vomiting); report of dermatological problems like eczema; changes on the intestinal microbiota; lipids profile (cholesterol, triglycerides, lipoproteins associated to cholesterol); anthropomorphic profile and somatic growth ( weight gain, stature, arm mean circumference, skin folds); bone mineral metabolism (high-speed bone ultrasonography); and changes in the immunity (changes in the concentrations of salivary IgA and the frequency of respiratory events suggestive of infection)]. Statistical analysis was made with STATA Ver. 11.0 for Mac. Safety and efficacy variables, were compared by Chi squared in the case of categorical variables or by ANOVA or Kruskall Wallis for the numeric variables. When convenient, a covariates adjustment was done by ANOVA or by multiple lineal regressions for continuous numerical outcomes or logistic regression for categoric outcomes. In all the hypothesis tests the p significant value of <0.05 were used.
- Conditions
- Healthy Term Babies
- Being tested
- Infant Formula, Exclusively breast milk, Metlin+metlos+Lactobacillus GG, Metlin + Lactobacillus GG, Metlos + lactobacillus GG
- Keywords
- term babies
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Infant FormulaDietary supplement
Only Infant Formula without Lactobacillus, Metlin OR Metlos
Exclusively breast milkDietary supplement
Children non randomized which mothers decided to feed them with exclusively breast milk
Metlin+metlos+Lactobacillus GGDietary supplement
A prebiotic Agave Derivated Metlin+Metlos (6g/L) + 0.3x107 UFC Lactobacillus GG
Metlin + Lactobacillus GGDietary supplement
A prebiotic Agave Derivated Metlin (6g/L) + 0.3x107 UFC Lactobacillus GG
Metlos + lactobacillus GGDietary supplement
A prebiotic Agave Derivated Metlos (6g/L) + 0.3x107 UFC Lactobacillus GG
Lactobacillus GGDietary supplement
An Infant Formula added with 0.3x107 UFC Lactobacillus GG with no Metlin or Metlos
| Study group | Role | What they receive |
|---|---|---|
| Infant Formula | Active comparator | Infant Formula without lactobaillus or Metlin or Metlos Receives: Dietary Supplement: Infant Formula |
| Fully breast milk | Active comparator | Group non randomized with fully breast milk Receives: Dietary Supplement: Exclusively breast milk |
| Metlin+Metlos+Lactobacillus GG | Experimental | Infant Formula added with Metlin+Metlos (6g/L) and Lactobacillus GG 0.3x107UFC Receives: Dietary Supplement: Metlin+metlos+Lactobacillus GG |
| Metlin+Lactobacillus GG | Active comparator | Infant Formula added with Metlin (6g/L) + Lactobacillus GG 0.3x107 UFC Receives: Dietary Supplement: Metlin + Lactobacillus GG |
| Metlos+Lactobacillus GG | Active comparator | Infant Formula added with Metlos (6g/L)+Lactobacillus GG 0.3x107UFC Receives: Dietary Supplement: Metlos + lactobacillus GG |
| Lactobacillus GG | Active comparator | Infant Formula added with Lactobacillus GG 0.3x107UFC without Metlin or Metlos Receives: Dietary Supplement: Lactobacillus GG |
What is being measured
The primary outcome is the main question the study is designed to answer.
Safety of Metlin & Metlos Aministration in Infant Formula
Safety of Metlin \& Metlos administration in infant formula was measured by means of the frequency of stools output reported daily by the mother or the keeper (nurse) during the whole study and by the presence gastrointestinal manifestations of intolerance (abdominal distension, flatulency, regurgitations, vomiting), or by the report of eczema type dermatological problems.
Measured: February 2010 to September 2010
Secondary outcomes (1)
Efficacy of Administration of Metlin & Metlos in Infant Formula
Efficacy of Metlin \& Metlos in Infant Formula was measured by means of the change on the intestinal micro flora; changes in the lipids profile (cholesterol, triglycerides, lipoproteins associated to cholesterol); changes in the anthropomorphic profile and somatic growth ( weight gain, stature, arm mean circumference, skin folds); bone mineral metabolism (bone ultrasonography); changes in the immunity (changes in the concentrations of salivary IgA) and reduction of respiratory events suggestive of infection.
Measured: February 2010 to September 2010
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Dec 2010 (estimated)
- Study startFeb 2010
- Primary completionMay 2010
- Study completionOct 2010
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (7)Papers the sponsor has linked to this study.
- Other trials for Healthy Term BabiesStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 600 participants (actual)
Sponsor and investigators
- Lead sponsor
- National Institute of Pediatrics, Mexico
- Sponsor type
- Other government
- Collaborators
- Nekutli S.A. de C.V.
- Investigators
- Gabriel Lopez-Vealzquez, PhD, Study director, National Insitute of Pediatrics, MexicoPedro Gutierrez-Castrellon, MD, MSc, DSc, Principal investigator, National Institute of Pediatrics, Mexico
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01251783
- Sponsor's protocol ID
- Metlin&MetlosChildren
- Status last verified
- Dec 2010
- First submitted
- 1 Dec 2010
- Last updated
- 2 Dec 2010
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Leach JD, Sobolik KD. High dietary intake of prebiotic inulin-type fructans in the prehistoric Chihuahuan Desert. Br J Nutr. 2010 Jun;103(11):1558-61. doi: 10.1017/S0007114510000966. Epub 2010 Apr 26.
PubMed 20416127Gomez E, Tuohy KM, Gibson GR, Klinder A, Costabile A. In vitro evaluation of the fermentation properties and potential prebiotic activity of Agave fructans. J Appl Microbiol. 2010 Jun;108(6):2114-21. doi: 10.1111/j.1365-2672.2009.04617.x. Epub 2009 Nov 4.
PubMed 19941629Lopez MG, Mancilla-Margalli NA, Mendoza-Diaz G. Molecular structures of fructans from Agave tequilana Weber var. azul. J Agric Food Chem. 2003 Dec 31;51(27):7835-40. doi: 10.1021/jf030383v.
PubMed 14690361Gruber C, van Stuijvenberg M, Mosca F, Moro G, Chirico G, Braegger CP, Riedler J, Boehm G, Wahn U; MIPS 1 Working Group. Reduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants. J Allergy Clin Immunol. 2010 Oct;126(4):791-7. doi: 10.1016/j.jaci.2010.07.022. Epub 2010 Sep 15.
PubMed 20832848Sazawal S, Dhingra U, Hiremath G, Sarkar A, Dhingra P, Dutta A, Verma P, Menon VP, Black RE. Prebiotic and probiotic fortified milk in prevention of morbidities among children: community-based, randomized, double-blind, controlled trial. PLoS One. 2010 Aug 13;5(8):e12164. doi: 10.1371/journal.pone.0012164.
PubMed 20730056Sabater-Molina M, Larque E, Torrella F, Zamora S. Dietary fructooligosaccharides and potential benefits on health. J Physiol Biochem. 2009 Sep;65(3):315-28. doi: 10.1007/BF03180584.
PubMed 20119826Lopez-Velazquez G, Parra-Ortiz M, Mora Ide L, Garcia-Torres I, Enriquez-Flores S, Alcantara-Ortigoza MA, Angel AG, Velazquez-Aragon J, Ortiz-Hernandez R, Cruz-Rubio JM, Villa-Barragan P, Jimenez-Gutierrez C, Gutierrez-Castrellon P. Effects of Fructans from Mexican Agave in Newborns Fed with Infant Formula: A Randomized Controlled Trial. Nutrients. 2015 Oct 29;7(11):8939-51. doi: 10.3390/nu7115442.
PubMed 26529006
Study at a glance
From the registry record, last updated by the sponsor on 2 Dec 2010. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Double Blind, Randomized, Controlled Clinical Trial for Evaluate The Efficiency and Safety of a Fiber System From Agave, With Prebiotic Action, Metlin® and Metlos®, Incorporated to an Infant Formula for Term Newborn Babies
- ClinicalTrials.gov ID
- NCT01251783
- Acronym / sponsor ID
- Metlin&MetlosChildren
- Conditions
- Healthy Term Babies
- Keywords
- term babies
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 600 participants (actual)
- Lead sponsor
- National Institute of Pediatrics, MexicoOther government
- Collaborators
- Nekutli S.A. de C.V.
- Study start
- Feb 2010
- Primary completion
- May 2010 (actual)
- Study completion
- Oct 2010 (actual)
- First posted
- 2 Dec 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Objectives: To evaluate the safety; efficacy; bone mineral metabolism \& immunity changes of the use of Metlin \& Metlos added to the Infant Formula Study Design: Randomized, double blind, clinical, controlled trial, in 600 full-term infants of 15 ± 7 days randomized to recive formula with probiotics + Metlin + Metlos; formula with probiotics + Metlin; Formula with probiotics + Metlos; formula only with probiotics or formula without probiotics and prebiotics; having a totally breast feed group as control.). Outcomes variables were frequency of stools; bowel intolerance manifestations (abdominal distension, flatulency, regurgitations, vomiting); report of dermatological problems like eczema; changes on the intestinal microbiota; lipids profile (cholesterol, triglycerides, lipoproteins associated to cholesterol); anthropomorphic profile and somatic growth ( weight gain, stature, arm mean circumference, skin folds); bone mineral metabolism (high-speed bone ultrasonography); and changes in the immunity (changes in the concentrations of salivary IgA and the frequency of respiratory events suggestive of infection)]. Statistical analysis was made with STATA Ver. 11.0 for Mac. Safety and efficacy variables, were compared by Chi squared in the case of categorical variables or by ANOVA or Kruskall Wallis for the numeric variables. When convenient, a covariates adjustment was done by ANOVA or by multiple lineal regressions for continuous numerical outcomes or logistic regression for categoric outcomes. In all the hypothesis tests the p significant value of <0.05 were used.
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 6
| Arm | Type | Receives |
|---|---|---|
| Infant Formula | Active comparator | Dietary Supplement: Infant FormulaInfant Formula without lactobaillus or Metlin or Metlos |
| Fully breast milk | Active comparator | Dietary Supplement: Exclusively breast milkGroup non randomized with fully breast milk |
| Metlin+Metlos+Lactobacillus GG | Experimental | Dietary Supplement: Metlin+metlos+Lactobacillus GGInfant Formula added with Metlin+Metlos (6g/L) and Lactobacillus GG 0.3x107UFC |
| Metlin+Lactobacillus GG | Active comparator | Dietary Supplement: Metlin + Lactobacillus GGInfant Formula added with Metlin (6g/L) + Lactobacillus GG 0.3x107 UFC |
| Metlos+Lactobacillus GG | Active comparator | Dietary Supplement: Metlos + lactobacillus GGInfant Formula added with Metlos (6g/L)+Lactobacillus GG 0.3x107UFC |
| Lactobacillus GG | Active comparator | Dietary Supplement: Lactobacillus GGInfant Formula added with Lactobacillus GG 0.3x107UFC without Metlin or Metlos |
Who may qualify
- Ages
- 15 to 30 days
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (5 listed)
- Healthy term babies (37 to 42 weeks of gestationl age)
- Age 15 ± 7 days at admission
- Birth weight > 2,490 g.
- Negative history of formula intolerance (only randomized babies)
- Signed Informed Consent
Key exclusion criteria (6 listed)
- Clinical evidence of chronic cardiac, respiratory, gastrointestinal, hematological or metabolic disease.
- Maternal medical history of diabetes (gestational diabetes was acceptable if the infant's birth weight was at or below the percentile 95; or 4153 g or 9 lbs 3 oz for girls or 4340 g or 9 lbs 9 oz for boys
- Tuberculosis, immunologic deficiency, infection disease or perinatal infections known to cause adverse effects in the fetus
- Participation in other study
- Inability of the father/mother or legal tutor to reed or comprehend the informed consent and the symtoms report diary, or
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Infant FormulaOnly Infant Formula without Lactobacillus, Metlin OR Metlos | Dietary supplement | Infant Formula |
| Exclusively breast milkChildren non randomized which mothers decided to feed them with exclusively breast milk | Dietary supplement | Fully breast milk |
| Metlin+metlos+Lactobacillus GGA prebiotic Agave Derivated Metlin+Metlos (6g/L) + 0.3x107 UFC Lactobacillus GG | Dietary supplement | Metlin+Metlos+Lactobacillus GG |
| Metlin + Lactobacillus GGA prebiotic Agave Derivated Metlin (6g/L) + 0.3x107 UFC Lactobacillus GG | Dietary supplement | Metlin+Lactobacillus GG |
| Metlos + lactobacillus GGA prebiotic Agave Derivated Metlos (6g/L) + 0.3x107 UFC Lactobacillus GG | Dietary supplement | Metlos+Lactobacillus GG |
| Lactobacillus GGAn Infant Formula added with 0.3x107 UFC Lactobacillus GG with no Metlin or Metlos | Dietary supplement | Lactobacillus GG |
Primary outcome
Safety of Metlin & Metlos Aministration in Infant Formula
Time frame: February 2010 to September 2010
Safety of Metlin \& Metlos administration in infant formula was measured by means of the frequency of stools output reported daily by the mother or the keeper (nurse) during the whole study and by the presence gastrointestinal manifestations of intolerance (abdominal distension, flatulency, regurgitations, vomiting), or by the report of eczema type dermatological problems.
1 secondary outcome
Efficacy of Administration of Metlin & Metlos in Infant Formula
Time frame: February 2010 to September 2010
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 2 Dec 2010.
- Background: PubMed 20416127Leach JD, Sobolik KD. High dietary intake of prebiotic inulin-type fructans in the prehistoric Chihuahuan Desert. Br J Nutr. 2010 Jun;103(11):1558-61. doi: 10.1017/S0007114510000966. Epub 2010 Apr 26.
- Background: PubMed 19941629Gomez E, Tuohy KM, Gibson GR, Klinder A, Costabile A. In vitro evaluation of the fermentation properties and potential prebiotic activity of Agave fructans. J Appl Microbiol. 2010 Jun;108(6):2114-21. doi: 10.1111/j.1365-2672.2009.04617.x. Epub 2009 Nov 4.
- Background: PubMed 14690361Lopez MG, Mancilla-Margalli NA, Mendoza-Diaz G. Molecular structures of fructans from Agave tequilana Weber var. azul. J Agric Food Chem. 2003 Dec 31;51(27):7835-40. doi: 10.1021/jf030383v.
- Background: PubMed 20832848Gruber C, van Stuijvenberg M, Mosca F, Moro G, Chirico G, Braegger CP, Riedler J, Boehm G, Wahn U; MIPS 1 Working Group. Reduced occurrence of early atopic dermatitis because of immunoactive prebiotics among low-atopy-risk infants. J Allergy Clin Immunol. 2010 Oct;126(4):791-7. doi: 10.1016/j.jaci.2010.07.022. Epub 2010 Sep 15.
- Background: PubMed 20730056Sazawal S, Dhingra U, Hiremath G, Sarkar A, Dhingra P, Dutta A, Verma P, Menon VP, Black RE. Prebiotic and probiotic fortified milk in prevention of morbidities among children: community-based, randomized, double-blind, controlled trial. PLoS One. 2010 Aug 13;5(8):e12164. doi: 10.1371/journal.pone.0012164.
- Results publication: PubMed 20119826Sabater-Molina M, Larque E, Torrella F, Zamora S. Dietary fructooligosaccharides and potential benefits on health. J Physiol Biochem. 2009 Sep;65(3):315-28. doi: 10.1007/BF03180584.
- Derived from this study: PubMed 26529006Lopez-Velazquez G, Parra-Ortiz M, Mora Ide L, Garcia-Torres I, Enriquez-Flores S, Alcantara-Ortigoza MA, Angel AG, Velazquez-Aragon J, Ortiz-Hernandez R, Cruz-Rubio JM, Villa-Barragan P, Jimenez-Gutierrez C, Gutierrez-Castrellon P. Effects of Fructans from Mexican Agave in Newborns Fed with Infant Formula: A Randomized Controlled Trial. Nutrients. 2015 Oct 29;7(11):8939-51. doi: 10.3390/nu7115442.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Gabriel Lopez-Vealzquez, PhD study director
National Insitute of Pediatrics, Mexico
Pedro Gutierrez-Castrellon, MD, MSc, DSc principal investigator
National Institute of Pediatrics, Mexico
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Infant Formula, Exclusively breast milk and Metlin+metlos+Lactobacillus GG in people with Healthy Term Babies, run by National Institute of Pediatrics, Mexico at 1 site in Mexico.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 2 Dec 2010. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Mexico. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Safety of Metlin & Metlos Aministration in Infant Formula (time frame: February 2010 to September 2010). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01251783, which also lists 7 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Dec 2010.