Diarrhea, Malnutrition, Other Nutritional Deficiencies
Conditions
Keywords
Malnutrition, pediatric, Brazil, alanyl-glutamine
Brief summary
This study will determine the effect of 7 days supplementation of alanyl-glutatime or glycine on the damaged intestinal barrier function on day 8 in children with persistent diarrhea or malnutrition.
Detailed description
The purpose of this study is to determine the effect of 7 days supplementation of alanyl-glutamine or glycine on the damaged intestinal barrier function, measured by lactulose/mannitol test on day 8, in children with persistent diarrhea or malnutrition; on diarrhea frequency and duration, weight gain, protein loss, intestinal inflammation, and lactoferrin excretion.
Interventions
DRUGAlanyl-glutamine
DRUGGlycine
Sponsors
National Institute of Allergy and Infectious Diseases (NIAID)
University of Virginia
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE
Eligibility
Sex/Gender
ALL
Age
3 Months to 3 Years
Healthy volunteers
No
Inclusion criteria
1. Children ages 3 to 36 months with a history of persistent diarrhea (3 or more unformed stools/day) for \>2 weeks or height-for-age Z-score (HAZ) less than negative 1, which is the median of HAZ score in children at HIAS. 2. Be an inpatient and willing to stay for 7 nights at HIAS. 3. Child´s parent or guardian must sign informed consent..
Exclusion criteria
1. Children exclusively breast-fed (Reason: The diet needs to be controlled in order to evaluate the study treatment effect) 2. Children who participated in the community study or any other study within the past two years (Reason: The children in the community study will have received glutamine.) 3. Children with suspected other illnesses as indicated by fever \>102º F at time of screening off antipyretics 4. Children with suspected systemic disease at the time of screening including but not limited to shock, meningitis, sepsis, pneumonia, tuberculosis, varicella 5. Severe malnutrition defined as HAZ \<-3 or WAZ \<-3.5 or any child weighing \<10 lbs. (4.5 kg) or any child with a weight-to-height ratio \<60% of the NCHS age adjusted norm.
Outcome results
None listed