Evidence map›Paper›PMID 35276889›Full record

Trial reportNutrients2022

Effects of an Extensively Hydrolyzed Formula Supplemented with Two Human Milk Oligosaccharides on Growth, Tolerability, Safety and Infection Risk in Infants with Cow's Milk Protein Allergy: A Randomized, Multi-Center Trial.

Yvan Vandenplas, Marta Żołnowska, Roberto Berni Canani, Siân Ludman, Zsuzsanna Tengelyi, Ana Moreno-Álvarez, Anne E N Goh, Maria Laura Gosoniu, Bridget-Anne Kirwan, Monika Tadi and 2 more

2 registry-linked trialsAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT03085134 nacompletednot on this map

Clinical Safety & Efficacy of a New Infant Formula With Specific Medical Purpose (FSMP) Containing 2 Human Milk Oligosaccharides (HMOs)

TypeinterventionalSponsorSociété des Produits Nestlé (SPN)Ran2017 to 2019Enrolled194ConditionsCow's Milk Protein AllergyArmsTest infant formula with HMOs, Control infant formula without HMOs
NCT07225153 narecruitingnot on this mapstarted 2025, after this paper: background citation

Goat Milk-Derived Formula Alternatives vs. Undiluted Goat Milk in Babies Unable to Exclusively Breastfeed: Analysis of Growth Metrics and Biological Markers

TypeinterventionalSponsorAga Khan UniversityRan2025 to 2026Enrolled15ConditionsMalnutrition (Calorie), Infant Nutrition Disorder, Growth Flatering, Gut MicrobiomeArmsGMDFA, Undiluted Goat Milk
3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Yvan VandenplasUZ Brussel KidZ Health Castle, Vrije Universiteit Brussel, 1090 Brussels, Belgium.ORCID 0000-0002-1862-8651
Marta ŻołnowskaCentrum Medyczne Plejady, 31-363 Kraków, Poland.
Roberto Berni CananiDepartment of Translational Medical Science, University Federico II, 80131 Naples, Italy.ORCID 0000-0002-5169-9574
Siân LudmanRoyal Devon and Exeter NHS Foundation Trust, Exeter EX2 5DW, UK.
Zsuzsanna TengelyiClinexpert Gyógycentrum, 1033 Budapest, Hungary.
Ana Moreno-ÁlvarezDepartment of Pediatrics, A Coruña University Hospital, 15006 A Coruña, Spain.ORCID 0000-0002-7211-1821
Anne E N GohKK Women's and Children's Hospital, Singapore 229899, Singapore.
Maria Laura GosoniuNestlé Research, 1800 Vevey, Switzerland.
Bridget-Anne KirwanSOCAR Research, 1260 Nyon, Switzerland.
Monika TadiNestlé Health Science, 1800 Vevey, Switzerland.
Ralf G HeineNestlé Health Science, 1800 Vevey, Switzerland.ORCID 0000-0002-3343-0379
Cinnamon Study Investigator Group

Funding

Nestlé Health Science, Vevey, Switzerland N/A
6 · The paper itself

Abstract

This randomized clinical trial (Registration: NCT03085134) assessed if an extensively hydrolyzed formula (EHF) supplemented with two human milk oligosaccharides (HMO) and reduced protein content (2.20 g/100 kcal) supports normal growth in infants with cow’s milk protein allergy (CMPA). Secondary outcomes were gastrointestinal tolerability, safety, and effect on infections. Nonbreastfed infants aged 0−6 months with CMPA were enrolled. Body weight, length, and head circumference were measured monthly for 4 months (primary study endpoint), after 6 months, and at the age of 12 months. Of 200 infants screened, 194 (mean age 3.2 months) were randomized. At the 4-month follow-up, daily weight gain for the test formula was noninferior to the control formula; p < 0.005. There were no significant group differences in anthropometric parameters. Both formulas were safe and well tolerated. Infants in the HMO group had a statistically significant reduction in the frequency of upper respiratory tract infections and a lower incidence of ear infections at 12 months (per protocol analysis). The relative risk of lower respiratory tract and gastrointestinal infections was reduced by 30−40%, but this was not statistically significant due to sample size limitations. In summary, the HMO-supplemented formula supports normal growth in infants with CMPA and suggests a protective effect against respiratory and ear infections in the first year of life.

Indexed as

Infant FormulaMilk HypersensitivityOligosaccharidesAnimalsBody WeightDietary SupplementsHumansInfantInfant, NewbornMilk, HumanOligosaccharides2′-fucosyllactosefood allergygastroenteritislacto-N-neotetraoseotitis mediarespiratory infectionwhey hydrolysate

Identifiers

PMID35276889
PMCPMC8839689

What OpenQuestion holds

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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.