About this trial
This study aims to assess the evolution of functional gastrointestinal disorders (FGIDs) in infants fed with a new infant formula, using the Gastrointestinal (GI) and gastroesophageal reflux (GER) (GIGER) scale through an interventional, open-label, non-comparative multicenter study.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Infants born at 35 weeks or more of gestational age
Infants up to 4 months of age
Disqualifiers
Exclusively or partially breastfed infants (i.e. > 2 breast feeds per day) with maternal willingness to continue breastfeeding
Diversified infants or whose parents intend to start diversification within the first 2 weeks of the study
Use of antibiotics at inclusion visit (V0) and within 7 days before the inclusion visit (V0)
The willingness to take additional pre-, probiotics or thickening agents during the study
Trial design
Single group
Treatments tested in this trial
New infant formula
Dietary supplementThe new formula will be given to infants during the 4-month study period.
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline of the Gastrointestinal and Gastroesophageal Reflux (GIGER) scale score
The main outcome will be the evolution of the sum score of the Gastrointestinal and Gastroesophageal Reflux (GIGER) scale (Pados et al., 2021). The GIGER score varies from 0 to 180 being the worst.
Secondary outcomes
Evolution of FGIDs (regurgitations, colic and constipation)
FGIDs such as regurgitation, colic and constipation will be assessed according to adapted Rome IV criteria. The improvement and complete resolution timeframe of each FGID present at inclusion and/or occurring during the study will be determined.
Regurgitation frequency
The number of daily regurgitation episodes and the daily volume of regurgitation will be assessed on average over the last 3 days. The frequency of regurgitations away from meals and of continuous regurgitations of small volumes after feeding will be assessed on average over the last 3 days via a 4-point scale \[Never; Rarely; Often; Always\].
Regurgitation severity
The regurgitation severity will be assessed using the adapted Vandenplas regurgitation score (from 0 to 6 being the worst) (Vandenplas et al., 1994) over the last 3 days preceding each visit.
Stool frequency and consistency in non constipated infant
If the infant is not constipated at inclusion and during the study, the average main stool consistency will be assessed based on the BITSS scale (Brussels Infant and Toddler Stool Scale) as well as the daily average number of stools over the last 3 days. The BITTS scale is a reliable instrument to assess stools of non-toilet trained children. It consists of 7 color photographs of diapers containing stools from infants and toddlers categorized as Hard, Formed, Loose, or Watery (Huysentruyt et al., 2019).
Sponsors and contacts
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United Pharmaceuticals
Lead sponsor
Axiodis CRO
Collaborator