Status:

RECRUITING

Choline to Improve Malnutrition and Enhance Cognition

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

Project Peanut Butter

Kamuzu University of Health Sciences

Conditions:

Severe Acute Malnutrition

Cognitive Impairment

Eligibility:

All Genders

6-59 years

Phase:

NA

Brief Summary

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: \...

Detailed Description

Severe acute malnutrition (SAM) affects approximately 14 million children worldwide at any one time and has an annual incidence of 3-5x this number. SAM is defined by wasting (mid-upper arm circumfere...

Eligibility Criteria

Inclusion

  • 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

Exclusion

  • 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
  • developmental delay
  • presence of a chronic severe medical condition (other than TB and HIV), such as congenital heart disease

Key Trial Info

Start Date :

December 5 2023

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2026

Estimated Enrollment :

1500 Patients enrolled

Trial Details

Trial ID

NCT06154174

Start Date

December 5 2023

End Date

June 1 2026

Last Update

December 17 2025

Active Locations (10)

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Page 1 of 3 (10 locations)

1

Makhwira

Makhwira, Chikwawa, Malawi

2

Mitondo

Mitondo, Chikwawa, Malawi

3

Nkhate

Nkhate, Chikwawa, Malawi

4

Chipolonga

Chipolonga, Machinga, Malawi