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Milk Fat Globule Membrane-Enhanced RUTF for Children With Severe Acute Malnutrition
Sponsor: Washington University School of Medicine
Summary
The goal of this clinical trial is to test the use of milk fat globule membrane (MFGM) in ready-to-use therapeutic food (RUTF) in children with severe acute malnutrition in Sierra Leone. The main questions it aims to answer are: * Will the inclusion of MFGM in RUTF for 6-59-month-old Sierra Leonean children with severe acute malnutrition improve their neurodevelopment? * Will the inclusion of MFGM in RUTF for 6-59-month-old Sierra Leonean children with severe acute malnutrition reduce its worst consequences: death, hospitalization, and remaining severely malnourished despite treatment? Researchers will compare the MFGM-containing RUTF to standard RUTF, which contains skim milk powder. Participants will: * undergo measurement of length, weight, mid-upper arm circumference, and nutritional edema assessment every two weeks during severe malnutrition treatment * be treated with either MFGM-RUTF or standard RUTF at a dose of 2 sachets per day for up to 12 weeks * undergo neurodevelopmental testing using the Malawi Developmental Assessment Tool at the end of SAM treatment and 6 months later * a subset of participants will undergo blood spot collection and stool sample collection
Official title: MFGM-EnhaNceD RUTF for Children With SAM
Key Details
Gender
All
Age Range
6 Months - 59 Months
Study Type
INTERVENTIONAL
Enrollment
1600
Start Date
2025-09-22
Completion Date
2027-12-01
Last Updated
2025-12-17
Healthy Volunteers
No
Interventions
MFGM-RUTF (milk fat globule membrane ready-to-use therapeutic food)
MFGM whey protein/fat concentrate powder used in place of skim milk powder in peanut paste-based ready-to-use therapeutic food meeting Codex Alimentarius specifications. There will be 10g of MFGM-containing whey protein/fat concentrate powder per 100g of MFGM-RUTF. Other ingredients and amounts per 100g: 9.5g rice flour, 5g whey permeate, 18.5g palm oil, 31g peanut paste, 22.1g sugar, 2.9g micronutrient mix, 1g fish oil.
S-RUTF (standard ready-to-use therapeutic food)
Standard peanut paste-based ready-to-use therapeutic food made with skim milk powder meeting Codex Alimentarius specifications. This RUTF is modeled on the most widely used recipe worldwide, containing per 100g: 19.5g skim milk powder, 9.3g palm oil, 7g canola oil, 31.3g peanut paste, 28g sugar, 1g soy flakes, 1g hydrogenated vegetable oil, and 2.9g micronutrient mix.
Amoxicillin
Oral amoxicillin tablets twice per day for 7 days dosed based on weight
Sulfadoxine (12.5 mg)/Pyrimethamine (250 mg)
Malaria chemoprophylaxis, dosed by weight, to be given every month during SAM treatment
Locations (10)
Bandajuma
Bandajuma, Pujehun, Sierra Leone
Bandasuma
Bandasuma, Pujehun, Sierra Leone
Bendu Malen
Bendu Malen, Pujehun, Sierra Leone
Gbondapi
Gbondapi, Pujehun, Sierra Leone
Jendema
Jendema, Pujehun, Sierra Leone
Potoru
Potoru, Pujehun, Sierra Leone
Sahn Malen
Sahn Malen, Pujehun, Sierra Leone
Taninahun
Taninahun, Pujehun, Sierra Leone
Zimmi
Zimmi, Pujehun, Sierra Leone
Static
Pujehun, Sierra Leone