Evidence map›Paper›PMID 26547414›Full record

Trial reportBMC pediatrics2015

Growth and tolerance of formula with lactoferrin in infants through one year of age: double-blind, randomized, controlled trial.

William H Johnston, Claude Ashley, Michael Yeiser, Cheryl L Harris, Suzanne I Stolz, Jennifer L Wampler, Anja Wittke, Timothy R Cooper

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01122654 (Growth and Tolerance of Cow Milk-Based Infant Formulas), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.7field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01122654 completednot on this map

Growth and Tolerance of Cow Milk-Based Infant Formulas

TypeobservationalSponsorMead Johnson NutritionRan2010 to 2011Enrolled405ConditionsBody Weight
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 48 citations in OpenAlex.

  1. Trial
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  8. Associations of human milk lactoferrin with measures of physical growth in very preterm infants.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Article
  9. Article
  10. Review
  11. Clinical research review: usefulness of bovine lactoferrin in child health.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2023
    Review
  12. Article
  13. The Lactoferrin Phenomenon-A Miracle Molecule.Molecules (Basel, Switzerland) · 2022
    Review
  14. Review
  15. Article
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  17. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

William H JohnstonBirmingham Pediatric Associates, 806 St Vincent's Drive, Birmingham, AL, 35205, USA. william.johnston@medsearchrx.com.
Claude AshleySoutheastern Pediatric Associates, 364 Honeysuckle Road, Dothan, AL, 36305, USA. drashley@sepeds.com.
Michael YeiserOwensboro Pediatrics, 2200 E. Parrish Avenue, Owensboro, KY, 42303, USA. Myeiser@owensboropediatrics.com.
Cheryl L HarrisClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA. cheryl.harris@mjn.com.
Suzanne I StolzClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA. suzanne.stolz@mjn.com.
Jennifer L WamplerClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA. jennifer.wampler@mjn.com.
Anja WittkeGlobal Research and Development, Mead Johnson Nutrition, Evansville, IN, 47721, USA. anja.wittke@mjn.com.
Timothy R CooperClinical Research, Department of Medical Affairs, Mead Johnson Nutrition, Evansville, IN, 47721, USA. timothy.cooper@mjn.com.
Mead Johnson (United States) · USOwensboro Health · USSoutheastern Retina Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHuman milk provides necessary macronutrients (protein, carbohydrate, fat) required for infant nutrition. Lactoferrin (Lf), a multifunctional iron-binding protein predominant in human milk, shares similar protein sequence, structure, and bioactivity with bovine Lf (bLf). This large-scale pediatric nutrition study was designed to evaluate growth and tolerance in healthy infants who received study formulas with bLf at concentrations within the range of mature human milk.

methodsIn this multi-center, double-blind, parallel-designed, gender-stratified prospective study 480 infants were randomized to receive a marketed routine cow's milk-based infant formula (Control; n = 155) or one of two investigational formulas with bLf at 0.6 g/L (LF-0.6; n = 165) or 1.0 g/L (LF-1.0; n = 160) from 14-365 days of age. Investigational formulas also had a prebiotic blend of polydextrose (PDX) and galactooligosaccharides (GOS) and adjusted arachidonic acid (ARA). The primary outcome was weight growth rate from 14-120 days of age. Anthropometric measurements were taken at 14, 30, 60, 90, 120, 180, 275, and 365 days of age. Parental recall of formula intake, tolerance, and stool characteristics was collected at each time point. Medically-confirmed adverse events were collected throughout the study period.

resultsThere were no group differences in growth rate (g/day) from 14-120 days of age; 353 infants completed the study through 365 days of age ( CONTROL: 110; LF-0.6: 127; LF-1.0: 116). Few differences in growth, formula intake, and infant fussiness or gassiness were observed through 365 day of age. Group discontinuation rates and the overall group incidence of medically-confirmed adverse events were not significantly different. From 30 through 180 days of age, group differences in stool consistency (P < 0.005) were detected with softer stools for infants in the LF-0.6 and LF-1.0 groups versus CONTROL.

conclusionCompared to the Control, infants who received investigational formulas with bLf and the prebiotic blend of PDX and GOS experienced a softer stooling pattern similar to that reported in breastfed infants. This study demonstrated routine infant formulas with bLf, a blend of PDX and GOS, and adjusted ARA were safe, well-tolerated, and associated with normal growth when fed to healthy term infants through 365 days of age.

trial registrationClinicalTrials.gov NCT01122654 . Registered 10 May 2010.

Indexed as

AnimalsCattleDietary SupplementsDouble-Blind MethodFemaleFollow-Up StudiesHumansInfantInfant FormulaInfant, NewbornLactoferrinMaleMilkPrebioticsProspective StudiesWeight GainLactoferrinPrebiotics

Identifiers

PMID26547414
PMCPMC4636804
OpenAlexW2140249696

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.