Status:

RECRUITING

Modified Dosage for Severe Acute Malnutrition

Lead Sponsor:

Action Against Hunger USA

Collaborating Sponsors:

University of Washington

Ethiopian Public Health Institute

Conditions:

Severe Acute Malnutrition

Eligibility:

All Genders

6-59 years

Phase:

NA

Brief Summary

Protocols for the community-based management of acute malnutrition (CMAM) have not changed significantly for more than 20 years, with relatively complex treatment protocols and persistent supply chain...

Eligibility Criteria

Inclusion

  • Age 6-59 months
  • Reside in the catchment area of the health post where the trial is to be conducted without plans to leave the area over the next year
  • Uncomplicated severe acute malnutrition, as defined by no signs of severe illness that would require referral to inpatient facility
  • Pass appetite test conducted at the time of enrollment
  • Consent for randomization into the study given by mother, father, and/or other primary caregiver
  • Mid-upper arm circumference less than 115 mm and/or nutritional edema
  • Weight-for-height Z-score (WHZ) less than -3

Exclusion

  • Complicated acute malnutrition with severe illness requiring transfer to a stabilization center or hospital for treatment. This includes, but is not limited to: a. Hypothermia b. High fever c. Signs of hypoglycemia d. Lethargy or altered mental status e. Moderate to severe dehydration f. Shock g. Other medical complications requiring hospitalization or higher-level medical evaluation
  • Treatment for acute malnutrition, either as an inpatient or outpatient, within the past 3 months
  • Known chronic medical illness such as severe cerebral palsy, severe congenital anomalies such as unrepaired congenital heart disease, Down syndrome, hydrocephalus, unrepaired cleft lip or palate, or other conditions that would be expected to contribute to difficulty feeding the prescribed amounts of therapeutic or supplementary food

Key Trial Info

Start Date :

September 25 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 25 2026

Estimated Enrollment :

2400 Patients enrolled

Trial Details

Trial ID

NCT06061484

Start Date

September 25 2023

End Date

September 25 2026

Last Update

July 16 2024

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Sekota

Sekota, Amhara, Ethiopia

2

Teltele

Teltelē, Oromiya, Ethiopia

3

Gode

Gode, Somali, Ethiopia