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Effectiveness of Small-Quantity vs Medium-Quantity Lipid-Based Nutrient Supplements for Prevention of Undernutrition in Children 6-24 Months

NCT07451951 · Status: RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 1508

Last updated 2026-08-12

No results posted yet for this study

Summary

Nutrition is essential for a child's growth, brain development, and protection from disease. While breastmilk provides the best nutrition for young infants, children older than six months may not get all the nutrients they need from breastmilk and regular foods alone. For this reason, some children receive special nutrient supplements to support healthy growth.

Lipid-based nutrient supplements (LNS) are one type of supplement that provides important vitamins and minerals. These supplements are used in many countries to help prevent undernutrition in young children. In Pakistan, the government-led multisectoral nutrition program under the social safety net program currently provides medium-quantity LNS to children starting at six months of age. However, it is not known whether a smaller-quantity LNS could provide similar benefits for children in this age group from under-resourced communities that have limited access to nutritious foods.

The goal of this trial is to learn whether small-quantity lipid-based nutrient supplements (SQ-LNS) work as well as medium-quantity lipid-based nutrient supplements (MQ-LNS) in preventing undernutrition in children aged 6 to 24 months.

The main questions this study aims to answer are:

* Does SQ-LNS work as well as MQ-LNS in supporting healthy growth, including reducing stunting, wasting, and underweight?
* Does SQ-LNS work as well as MQ-LNS in reducing anemia?

Researchers will compare SQ-LNS and MQ-LNS to see if SQ-LNS is as good as MQ-LNS in preventing undernutrition.

The study is being conducted in Dadu and Peshawar, Pakistan. Participants in Dadu will be followed until 24 months of age, while participants in Peshawar will be followed until 12 months of age.

Participants will:

* Receive either SQ-LNS or MQ-LNS once daily until 24 months of age (Dadu) or 12 months of age (Peshawar)
* Have their length, weight and mid-upper arm circumference (MUAC) measured monthly
* Have their blood screened for anemia at enrollment and at 12 and 24 months of age (Dadu) or at enrollment and 12 months of age (Peshawar)

Conditions

  • Undernutrition

Interventions

DIETARY_SUPPLEMENT

Medium-quantity lipid-based nutrient supplement (MQ-LNS)

50 g/day lipid-based nutrient supplement providing energy and essential micronutrients, administered daily for 6 months.

DIETARY_SUPPLEMENT

Small-quantity lipid-based nutrient supplement (SQ-LNS)

20 g/day lipid-based nutrient supplement providing energy and essential micronutrients, administered daily for 6 months.

Sponsors & Collaborators

  • United Nations World Food Programme (WFP)

    collaborator OTHER

  • Benazir Income Support Programme (BISP)

    collaborator OTHER

  • Aga Khan University

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Model
PARALLEL

Eligibility

Min Age
26 Weeks
Max Age
33 Weeks
Sex
ALL
Healthy Volunteers
Yes

Timeline & Regulatory

Start
2026-02-26
Primary Completion
2028-06-30
Completion
2028-12-31

Countries

  • Pakistan

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07451951 on ClinicalTrials.gov