Cow's Milk Protein Hypersensitivity, Protein Allergy
Conditions
Brief summary
Cow Milk Allergy (CMA) occurs in 2 to 5 % of all infants. Reflux, regurgitation and vomiting are well recognised symptoms of CMA. The recommended treatment of CMA is an extensive hydrolysate. The North American Society of Pediatric Gastroenterology Hepatology and Nutrition (NASPGHAN) & the European Society of Pediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) reflux guidelines have no strict recommendations for the treatment of distressed infants with reflux, suspected of CMA. One of the preferred proposed options is to thicken an extensive hydrolysate . This study aims at evaluating the additional value of a thickened extensive hydrolysate in children suspected of CMA and presenting with frequent regurgitation.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* term born infants * Having a Vandenplas' score of regurgitation of at least 2 * With suspected diagnosis of CMA because of clinical history/symptoms (based on a Cow's Milk Protein hypersensitivity (CMPH) score of 10 or more) and/or positive Immunoglobulin E (IgE) testing, radioallergosorbent test (RAST) or skin prick test
Exclusion criteria
* Exclusively breast fed infants * Fed with an extensively hydrolysed formula or amino acid formula
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patient dropped out for intolerance | 1 month |
| Vandenplas' regurgitations score | 1 month |
Secondary
| Measure | Time frame |
|---|---|
| Cow's milk protein hypersensitivity score | 1 month |
| Growth (weight, height, head circumference) | 1 month |
| Number of daily regurgitations | 1 month |
Countries
Belgium, Greece, Kuwait, Lebanon, Slovenia