Feeding Intolerance
Conditions
Brief summary
To evaluate the use of a hypoallergenic infant formula containing an extensively hydrolyzed protein source for routine nutrition.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Premature infant 28 to 33 weeks gestational age, inclusive, at birth * Infant has never received enteral feedings or current enteral intake is less than 30 mL/kg/day * Birth weight is greater than or equal to 700g to 1750g * Appropriate birth weight for gestational age * Singleton or twin birth * Signed Informed consent
Exclusion criteria
* Infant's mother plans to exclusively breast feed * 5 minute APGAR score is less than or equal to 4 * Major surgery that required general anesthesia prior to randomization * Ventilator-dependent or requiring greater than 40% FiO2 on day of randomization * Grade III or IV intraventricular hemorrhage diagnosed prior to randomization * Infant is currently participating in another clinical study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Enteral intake (ml/kg/day) | Daily for 14 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Feeding Tolerance | Daily for 14 days | Gastric residuals, regurgitation(\>1 ml), fecal output (number of stools per day) |
| Respiratory status | Daily for 14 days | Apnea and/or bradycardia events, use of supplemental oxygen, use of mechanical ventilation |
| Gut Inflammation | Once at Study Day 14 | Fecal calprotectin, alpha and beta defensins, TNF alpha, gastric ultrasound |
| Body Weight (g) | Daily for 14 days | — |
| Date of hospital discharge | Once at hospital discharge | — |
| Growth | Study Days 1, 7, and 14 | length (cm) and head circumference (cm) |
| Confirmed or suspected sepsis or necrotizing enterocolitis | Daily for 14 days | — |
Countries
Italy