Choline to Improve Malnutrition and Enhance Cognition

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age6-59
SponsorWashington University School of Medicine

About this trial

The goal of this clinical trial is to test adding choline to ready-to-use therapeutic food (RUTF) in children with severe acute malnutrition (SAM) in Malawi. The main question it aims to answer is:

\- Will the addition of a 500mg daily dose of choline to RUTF during treatment for SAM improve cognitive development among 6-59-month-old Malawian children compared with standard RUTF without added choline?

Eligibility criteria

Qualifiers

6-59 months of age

mid-upper arm circumference < 11.5 cm and/or weight-for-length z-score < -3 and/or presence of bilateral pedal pitting edema

willingness to comply with all study procedures and availability for the duration of the study, including no plan to move from the catchment area of a participating clinic

Disqualifiers

features of complicated SAM: inability to tolerate a 30g test dose of RUTF, breathing difficulties, mental status changes, sepsis, or physician/nursing clinical assessment that the child needs immediate hospitalization

participation in a separate feeding program within the past month

known allergy to study food ingredient (peanut, milk, fish)

intention to move away from catchment area within 9 months

Trial design

Treatments tested in this trial

  • C-RUTF (Ready-to-Use Therapeutic Food with added choline)
  • S-RUTF (Ready-to-Use Therapeutic Food without added choline)
  • Amoxicillin

Treatment groups

1,500 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Washington University School of Medicine

Lead sponsor

Project Peanut Butter

Collaborator

Kamuzu University of Health Sciences

Collaborator

Balchem Corporation

Collaborator