Trial Outcomes & Findings for Newborn Feeding and Infant Phenotype (NCT NCT02033005)

NCT ID: NCT02033005

Last Updated: 2022-11-15

Results Overview

Difference in total adipose tissue volume, measured using whole body magnetic resonance imaging.

Recruitment status

COMPLETED

Target enrollment

124 participants

Primary outcome timeframe

Between birth and 6-12 weeks age

Results posted on

2022-11-15

Participant Flow

Participants consisted of healthy, full term, appropriate weight-for-gestational age infants from 2 cohorts: recruited between November 1999 and October 2001 at the Hammersmith Hospital, and between March 2010 and May 2012 from the postnatal ward at Chelsea and Westminster Hospital.

Participant milestones

Participant milestones
Measure
Breastfed Infants
\>80% of feeds consisting of breast milk at both scanning points
Mixed-fed Infants
20%-80% of feeds consisting of breast milk.
Formula-fed Infants
\>80% of feeds consisting of formula milk at both scanning points
Overall Study
STARTED
80
9
35
Overall Study
COMPLETED
36
9
25
Overall Study
NOT COMPLETED
44
0
10

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Newborn Feeding and Infant Phenotype

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Breastfed Infants
n=36 Participants
\>80% of feeds consisting of breast milk at both scanning points
Mixed-fed Infants
n=9 Participants
20%-80% of feeds consisting of breast milk.
Formula-fed Infants
n=25 Participants
\>80% of feeds consisting of formula milk at both scanning points
Total
n=70 Participants
Total of all reporting groups
Age, Categorical
<=18 years
36 Participants
n=99 Participants
9 Participants
n=107 Participants
25 Participants
n=206 Participants
70 Participants
n=7 Participants
Age, Categorical
Between 18 and 65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Categorical
>=65 years
0 Participants
n=99 Participants
0 Participants
n=107 Participants
0 Participants
n=206 Participants
0 Participants
n=7 Participants
Age, Continuous
13 Days
n=99 Participants
2 Days
n=107 Participants
16 Days
n=206 Participants
13 Days
n=7 Participants
Sex: Female, Male
Female
11 Participants
n=99 Participants
4 Participants
n=107 Participants
15 Participants
n=206 Participants
30 Participants
n=7 Participants
Sex: Female, Male
Male
25 Participants
n=99 Participants
5 Participants
n=107 Participants
10 Participants
n=206 Participants
40 Participants
n=7 Participants
Region of Enrollment
United Kingdom
36 participants
n=99 Participants
9 participants
n=107 Participants
25 participants
n=206 Participants
70 participants
n=7 Participants
Weight
3.647 kg
STANDARD_DEVIATION 0.421 • n=99 Participants
3.332 kg
STANDARD_DEVIATION 0.478 • n=107 Participants
3.622 kg
STANDARD_DEVIATION 0.595 • n=206 Participants
3.598 kg
STANDARD_DEVIATION 0.500 • n=7 Participants
Length
0.533 m
STANDARD_DEVIATION 0.023 • n=99 Participants
0.510 m
STANDARD_DEVIATION 0.025 • n=107 Participants
0.523 m
STANDARD_DEVIATION 0.025 • n=206 Participants
0.527 m
STANDARD_DEVIATION 0.025 • n=7 Participants
Head circumference
36.5 cm
STANDARD_DEVIATION 1.4 • n=99 Participants
35.0 cm
STANDARD_DEVIATION 1.7 • n=107 Participants
36 cm
STANDARD_DEVIATION 1.6 • n=206 Participants
36.1 cm
STANDARD_DEVIATION 1.6 • n=7 Participants
Total adipose tissue
0.710 l
n=99 Participants
0.802 l
n=107 Participants
0.722 l
n=206 Participants
0.718 l
n=7 Participants
Total adipose tissue mass %
17.5 Percentage of mass
n=99 Participants
21.3 Percentage of mass
n=107 Participants
18.3 Percentage of mass
n=206 Participants
18.1 Percentage of mass
n=7 Participants
Superficial subcutaneous abdominal adipose tissue
0.098 Litres
n=99 Participants
0.110 Litres
n=107 Participants
0.103 Litres
n=206 Participants
0.101 Litres
n=7 Participants
Superficial subcutaneous non-abdominal adipose tissue
0.512 Litres
n=99 Participants
0.572 Litres
n=107 Participants
0.521 Litres
n=206 Participants
0.512 Litres
n=7 Participants
Deep subcutaneous abdominal adipose tissue
0.015 Litres
n=99 Participants
0.013 Litres
n=107 Participants
0.019 Litres
n=206 Participants
0.016 Litres
n=7 Participants
Deep subcutaneous non-abdominal adipose tissue
0.012 Litres
n=99 Participants
0.012 Litres
n=107 Participants
0.013 Litres
n=206 Participants
0.013 Litres
n=7 Participants
Internal abdominal adipose tissue
0.017 Litres
n=99 Participants
0.022 Litres
n=107 Participants
0.017 Litres
n=206 Participants
0.017 Litres
n=7 Participants
Internal non-abdominal adipose tissue
0.054 Litres
n=99 Participants
0.061 Litres
n=107 Participants
0.052 Litres
n=206 Participants
0.054 Litres
n=7 Participants
Total subcutaneous adipose tissue
0.633 Litres
n=99 Participants
0.718 Litres
n=107 Participants
0.654 Litres
n=206 Participants
0.644 Litres
n=7 Participants
Total internal adipose tissue
0.070 Litres
n=99 Participants
0.084 Litres
n=107 Participants
0.069 Litres
n=206 Participants
0.070 Litres
n=7 Participants
Intrahepatocellular lipid
0.662 Ratio of CH2 (methylene) to H2O (water)
n=99 Participants
1.126 Ratio of CH2 (methylene) to H2O (water)
n=107 Participants
1.197 Ratio of CH2 (methylene) to H2O (water)
n=206 Participants
0.949 Ratio of CH2 (methylene) to H2O (water)
n=7 Participants

PRIMARY outcome

Timeframe: Between birth and 6-12 weeks age

Population: Reduced participant number for this analysis represents missing data for some infants at one scan point

Difference in total adipose tissue volume, measured using whole body magnetic resonance imaging.

Outcome measures

Outcome measures
Measure
Breastfed
n=35 Participants
\>80% of feeds consisting of breastmilk at both scanning points
Mixed-fed Infants
n=9 Participants
20%-80% of feeds consisting of breast milk.
Formula-fed Infants
n=24 Participants
\>80% of feeds consisting of formula milk at both scanning points
Change in Total Adipose Tissue Volume
0.718 Litres
Interval 0.508 to 0.938
0.901 Litres
Interval 0.452 to 1.053
0.775 Litres
Interval 0.532 to 0.971

SECONDARY outcome

Timeframe: Between birth and 6-12 weeks age

Population: Reduced participant number for this analysis represents missing data for some infants at one scan point

Change in regional adipose tissue distribution (ratio of internal abdominal to total subcutaneous abdominal adipose tissue) measured using whole body magnetic resonance imaging

Outcome measures

Outcome measures
Measure
Breastfed
n=35 Participants
\>80% of feeds consisting of breastmilk at both scanning points
Mixed-fed Infants
n=9 Participants
20%-80% of feeds consisting of breast milk.
Formula-fed Infants
n=24 Participants
\>80% of feeds consisting of formula milk at both scanning points
Change in Regional Adipose Tissue Distribution Compared to Breastfed Infants.
-0.07 no unit (ratio)
Interval -0.09 to -0.02
-0.06 no unit (ratio)
Interval -0.08 to -0.02
-0.03 no unit (ratio)
Interval -0.07 to 0.01

SECONDARY outcome

Timeframe: Between birth and 6-12 weeks age

Population: Reduced number of participants due to missing intrahepatocellular lipid data in some cases

Change in intrahepatocellular lipid (IHCL) compared to breastfed infants, measured using in-vivo hepatic magnetic resonance spectroscopy

Outcome measures

Outcome measures
Measure
Breastfed
n=30 Participants
\>80% of feeds consisting of breastmilk at both scanning points
Mixed-fed Infants
n=4 Participants
20%-80% of feeds consisting of breast milk.
Formula-fed Infants
n=20 Participants
\>80% of feeds consisting of formula milk at both scanning points
Change in Intrahepatocellular Lipid Compared to Breastfed Infants.
1.192 ratio of CH2 to water
Interval 0.226 to 1.967
-0.054 ratio of CH2 to water
Interval -0.672 to 1.837
1.095 ratio of CH2 to water
Interval -0.28 to 1.746

Adverse Events

Breastfed Infants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Mixed-fed Infants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Formula-fed Infants

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr Chris Gale

Imperial College London

Phone: +44 (0) 2033153519

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place