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Trial registered on ANZCTR
Registration number
ACTRN12611000419965
Ethics application status
Approved
Date submitted
12/03/2011
Date registered
21/04/2011
Date last updated
21/04/2011
Type of registration
Retrospectively registered
Titles & IDs
Public title
Early Versus Late Progression of Enteral Feeding in Very Low Birth Weight (VLBW) Infants.
A Randomized, Controlled, Multicenter Trial
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Scientific title
Early Versus Late Progression of Enteral Feeding in Very Low Birth Weight (VLBW) Infants.
A Randomized, Controlled, Multicenter Trial
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Secondary ID [1]
259773
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Nil
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Universal Trial Number (UTN)
U1111-1119-9168
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Nutrition of preterm infants
261355
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Condition category
Condition code
Diet and Nutrition
259514
259514
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0
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Other diet and nutrition disorders
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Reproductive Health and Childbirth
265664
265664
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0
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Complications of newborn
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
two different feeding'protocols: Infants with birth weight
between 750 and 1500 gr, consecutively admitted to the neonatal intensive care unit of the recruited Institutions were enrolled and randomly assigned to receive an early (Group A, <= 72h of life) or a late (Group B, >= 7
days of life) advancement of enteral feeding volume. A minimal enteral feeding (15 ml/kg/day of preterm formula) was started for all the infants within the first 24 hours of life. Daily advancement of enteral nutrition was <= 20 ml/kg.
Parenteral nutrition was administered until the infant was able to take 120 ml/kg of feeding enterally. this schedule will be applied until discharge the newborn
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Intervention code [1]
264207
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Treatment: Other
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Comparator / control treatment
Group B was considered as control group
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Control group
Active
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Outcomes
Primary outcome [1]
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time (days) from the start of feeding advancement to reaching full enteral feeds (FEF), consisting in 140 ml/kg/day in very low birth weights infants
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Assessment method [1]
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Timepoint [1]
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at one year after randomisation
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Secondary outcome [1]
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time to regain birth weight
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Assessment method [1]
273535
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Timepoint [1]
273535
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during the hospitalization
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Eligibility
Key inclusion criteria
Infants with birth weight between 750 and 1500 gr, consecutively admitted to the neonatal
intensive care unit of the recruited Institutions
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Minimum age
0
Hours
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Maximum age
24
Hours
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
major congenital abnormality including known chromosomal abnormality, twin-twin transfusion, significant multi-organ failure prior to trial entry, already received any enteral feeding
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
An independent researcher uses a computer-generated randomisation table based on blocks to assign infants to treatment A or B within day of life 1 to treatment’s group.
The researcher who carried out the analysis of the data was unaware of the assigned groups
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer-generated randomisation table based on blocks
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
1/06/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
120
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
3299
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Italy
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State/province [1]
3299
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Funding & Sponsors
Funding source category [1]
264651
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
264651
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Primary sponsor type
Hospital
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Name
Buon Consiglio Fatebenefratelli Hospital
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Address
Via A. Manzoni, 220 Naples
80123
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Country
Italy
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Secondary sponsor category [1]
263790
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Hospital
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Name [1]
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Villa Betania Evangelic Hospital
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Address [1]
263790
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Via Argine, Naples
80100
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Country [1]
263790
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Italy
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
266646
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Provincia Romana Fatebenefratelli's bioethical committee
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Ethics committee address [1]
266646
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Via Cassia, Rome 00123
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Ethics committee country [1]
266646
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Italy
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Date submitted for ethics approval [1]
266646
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01/02/2010
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Approval date [1]
266646
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15/03/2010
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Ethics approval number [1]
266646
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Summary
Brief summary
We aim to evaluate the effects of an “early” enteral feeding regimen, compared to one of “late” introduction of enteral feeds, in a group of very low birth weight infants. The timing of introduction and rate of progression of milk feeds is an area of clinical uncertainty with arguments in favour of both early and late introduction of enteral feeds. Early introduction may improve nutrition and growth, but may increase the risk of NEC. Conversely late introduction may be detrimental due to lack of stimulation of the gastrointestinal tract, resulting in villous atrophy and lack of hormone and enzyme production and may not reduce the incidence of NEC. Prolonged use of parenteral nutrition increases the risks of sepsis, cholestatic jaundice and vitamin and mineral deficiencies
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
32337
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Gennaro Salvia
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Address
15584
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Via A. Manzoni, 220 Naples 80123
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Country
15584
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Italy
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Phone
15584
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+39815981758
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Fax
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Email
15584
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[email protected]
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Contact person for scientific queries
Name
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Gennaro Salvia
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Address
6512
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Via A. Manzoni, 220 Naples 80123
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Country
6512
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Italy
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Phone
6512
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+39815981758
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Fax
6512
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Email
6512
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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