Impact of Body Composition on Feeding in Large for Gestational Age Infants
Official title: Pilot Randomized Controlled Trial Comparing FFM-indexed Feeding vs. Standard Feeding in LGA Infants With Oral Feeding Difficulty and Disproportionate Body Composition.
Run by Nemours Children's Clinic · NCT04599010 · Data updated 2026-11-12
This study is testing if a special feeding plan based on body composition can help Large for Gestational Age infants with feeding difficulties.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 1 Week to 10 Weeks |
| Sex | All |
| Enrollment | 40 (estimated) |
| Sponsor | Nemours Children's Clinic Academic / other |
| Locations | 2 sites (Orlando, Florida and 1 other locations) |
| Status | Recruiting |
| Started | September 26, 2024 |
| Main results expected | July 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | May 27, 2026 |
| Trial ID | NCT04599010 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are LGA infants born at or after 35 weeks gestation who exhibit oral feeding difficulties and have a fat mass z-score greater than +1.0.
✕Probably not a fit
Patients who are on respiratory support, have significant neurological morbidities, or have major congenital anomalies may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This study investigates how body composition affects oral feeding difficulties in Large for Gestational Age (LGA) infants. Eligible infants will be randomly assigned to receive either a Fat-free mass (FFM)-indexed feeding regimen or standard feeding for up to two weeks. The FFM-indexed approach aims to optimize feeding volumes based on fat-free mass rather than total body weight. Body composition and appetite-regulating hormone levels will be measured at the beginning and end of the intervention, with follow-up assessments for growth and feeding difficulties until six months of age.
Why it matters
Potential benefit: If successful, this approach could improve oral feeding outcomes for LGA infants, potentially reducing feeding difficulties and enhancing growth.
How similar studies have gone: While this specific approach is innovative, similar studies have shown promise in addressing feeding difficulties in infants through tailored nutritional interventions.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * LGA infants with oral feeding difficulty born at ≥ 35 weeks gestation, with FM z-score \> +1.0 in body composition measurement Exclusion Criteria: * Infants on any respiratory support, Infants on enteral feeding duration \> 60 minutes due to hypoglycemia concerns, videofluoroscopic swallow study (VFSS) demonstrating unsafe swallowing function, GI surgical conditions, significant neurological morbidities, and major congenital, genetic syndromes/anomalies
Where it's running
-
Nemours Children's Hospital
Orlando, Florida, United States Recruiting -
Emory University
Atlanta, Georgia, United States Recruiting
Study contacts
- Principal investigator: Sreekanth Viswanathan, MD — Nemours Children's Clinic
- Study coordinator: Sreekanth Viswanathan, MD,MS
- Email: sreekanth.viswanathan@nemours.org
- Phone: 4076977603
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.