The Use of High Bile-binding Foods to Reduce Upper Gastrointestinal Bile Acid Concentrations (Aim 1)

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
Age5-21
SponsorBoston Children's Hospital

About this trial

We will perform an acute physiology study comparing three different diets-an amino acid-based formula, a low bile acid-binding blenderized diet, or a high bile acid-binding blenderized diet administered through gastrostomy tube. We will determine the differences in gastric and salivary bile acid concentrations between participants over the 4 hour post-prandial timeframe.

Participants who regularly receive an amino acid-based formula will receive an amino acid-based formula during the study and participants who regularly receive a blenderized feed will receive a blenderized feed during the study. Only participants who regularly receive blenderized feeds will be randomized to receive either the high or low bile acid binding blenderized feed.

Eligibility criteria

Qualifiers

receive at least 80% of their nutritional needs by gastrostomy

receive either an amino acid-based formula, an International Dysphagia Diet Standardization Initiative level 4 commercial blend, or a home blend

can receive bolus feeds of 240 cc within 30 minutes or less

Disqualifiers

have received a fundoplication

receive post-pyloric feeds

require medication/flush administration during the four-hour study period

are allergic to any component of the study diets.

Trial design

Treatments tested in this trial

  • amino acid based formula (e.g. Elecare Jr)
  • low bile acid binding blenderized diet (e.g. Kate Farms)
  • high bile acid binding blenderized diet

Treatment groups

60 Participants
are divided into 3 treatment groups

Sponsors and collaborators