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The effect of intermittent bolus nasogastric milk feeding versus semi-continuous milk feeding in preterm infants on TOLerance.


- candidate number2444
- NTR NumberNTR885
- ISRCTNISRCTN42413683
- Date ISRCTN created8-feb-2007
- date ISRCTN requested7-feb-2007
- Date Registered NTR2-feb-2007
- Secondary IDsN/A 
- Public TitleThe effect of intermittent bolus nasogastric milk feeding versus semi-continuous milk feeding in preterm infants on TOLerance.
- Scientific TitleThe effect of intermittent bolus nasogastric milk feeding versus semi-continuous milk feeding in preterm infants on TOLerance.
- ACRONYMThe TOL-study
- hypothesisPremature infants born under 32 weeks tolerate bolus feeding better than semi-continuous nasogastric milk feeding, so that the number of days to reach full enteral feeding are less.
- Healt Condition(s) or Problem(s) studiedFeeding tolerance, Premature infants, Intermittent feeding, Semi-continuous feeding
- Inclusion criteria1. Admission to neonatal intensive care unit within 24 hrs after birth; 2. Gestational age under 32 weeks; 3. Birth weight less than 1750 grams.
- Exclusion criteria1. Simultaneous participation in another trial of which the intervention may influence this trials endpoints; 2. Congenital gastrointestinal obstructions like duodenal atresia, anal atresia, etc.; 3. Any disease entity known to encompass impaired growth other than small gestational age; 4. No informed consent.
- mec approval receivedyes
- multicenter trialno
- randomisedyes
- masking/blindingNone
- controlPlacebo
- groupParallel
- Type[default]
- Studytypeintervention
- planned startdate 5-feb-2006
- planned closingdate5-feb-2008
- Target number of participants250
- InterventionsBolus intermittent nasogastric feeding
- Primary outcomeTo assess the effect on both feeding regimes on feeding tolerance. Primary objective is days to reach full enteral feedings, defined as ¡İ 120 mL/kg/d.
- Secondary outcome1. Secondary objective is number of feeding interruptions, days on total parenteral nutrition and number of apnea episodes per day; 2. To assess somatic growth in both feeding regimes. To evaluate this variable, the following items will be used: days to regain birth weight, rates of weight gain, knemometry and head circumference; 3. To assess complications in both groups measured as catheter related sepsis and necrotizing enterocolitis.
- Timepoints
- Trial web site
- statusinclusion stopped: follow-up
- CONTACT FOR PUBLIC QUERIESProf. MD. PhD. J.B. Goudoever, van
- CONTACT for SCIENTIFIC QUERIESProf. MD. PhD. J.B. Goudoever, van
- Sponsor/Initiator Erasmus Medical Center, Sophia Children's Hospital
- Funding
(Source(s) of Monetary or Material Support)
Erasmus Medical Center, Sophia Children's Hospital
- PublicationsN/A
- Brief summaryPROTOCOL SYNOPSIS Title: the effect of intermittent bolus nasogastric milk feeding versus semi-continuous milk feeding in preterm infants on tolerance Objectives: to assess the effect of intermittent bolus nasogastric milk feeding versus semi-continuous milk feeding in preterm infants on feeding tolerance. Study design:single centre, randomized, prospective trial. Subject selection criteria: preterm infants with gestational age ¡Ü 32 weeks, birth weight < 1750 grams, inborn or admitted within 24 hrs after birth. Planned sample size: 250 infants. Test groups: 1. intermittent bolus feeding 2. semi-continuous feeding Main parameters of efficacy: number of days before full enteral nutrition is achieved, feeding tolerance Main parameters of safety: necrotizing enterocolitis (Bell¡¯s Stage II or more). Procedures: 250 infants are studied in two separate groups (125 per group). At study entry, the infants are randomly allocated to receive either intermittent bolus nasogastric feeding or semi-continuous nasogastric milk feeding. All infants are given minimal enteral feeding from day 1 as clinical condition permits. From day 2 increasing amounts of enteral nutrition will be given. During the study period, clinical condition, nutritional intake, and feeding tolerance are recorded daily. Anthropometric data will be obtained at day 1, day 7 and once weekly thereafter, until postnatal day 28. Statistical analysis: ANOVA for repeated measures. Mann-Whitney U test or student¡¯s t-test depending the distribution of the variable (non-normal/normal distribution of the variables).
- Main changes (audit trail)
- RECORD2-feb-2007 - 12-jul-2009


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