Evidence map›Paper›PMID 42744366›Full record

Trial reportBMJ open2026

CanDo (Canadian Donor Milk) randomised controlled trial: pasteurised human donor milk supplementation in the well-baby unit - protocol.

Maryam Razaghi, Deborah L O'Connor, Jyotsna Shah, Tom Leibson, Kim Dart, Nicole Da Silva, Erica O'born, Alex Kiss, Debbie Stone, Sharon Unger

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06315127 (The CanDo), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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.

NCT06315127 naactive not recruitingnot on this map

The CanDo (Canadian Donor Milk) Trial: Pasteurized Human Donor Milk Supplementation in the Well-baby Unit

TypeinterventionalSponsorMount Sinai Hospital, CanadaRan2024 to 2026Enrolled112ConditionsSmall for Gestational Age at Delivery, Gestational Diabetes, type1diabetes, Type2diabetesArmsHuman donor milk, Formula
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Maryam RazaghiDepartment of Nutritional Sciences, Temerty Faculty of Medecine, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-3801-2029
Deborah L O'ConnorDepartment of Nutritional Sciences, Temerty Faculty of Medecine, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0001-6331-091X
Jyotsna ShahPaediatrics, Sinai Health, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-1289-1299
Tom LeibsonPaediatrics, Sinai Health, Toronto, Ontario, Canada.
Kim DartDepartment of Obstetrics and Gynaecology, Women's and Infants Health Program, Sinai Health, Toronto, Ontario, Canada.
Nicole Da SilvaPaediatrics, Sinai Health, Toronto, Ontario, Canada.
Erica O'bornRogers Hixon Ontario Human Milk Bank, Sinai Health, Toronto, Ontario, Canada.
Alex KissInstitute of Health Policy, Management and Evaluation, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0009-0008-3373-4939
Debbie StoneRogers Hixon Ontario Human Milk Bank, Sinai Health, Toronto, Ontario, Canada.
Sharon UngerDepartment of Nutritional Sciences, Temerty Faculty of Medecine, University of Toronto, Toronto, Ontario, Canada sharon.unger@iwk.nshealth.ca.ORCID http://orcid.org/0000-0001-8091-5742

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMother's milk is the gold standard for feeding newborns. Despite lactation support while in hospital, supplementation rates remain high in Canadian well-baby units at 35-50%. When supplementation is needed, the choice between formula milk and pasteurised human donor milk (donor milk) remains uncertain with a lack of clinical trials to inform this practice. This study aims to compare the effect of supplementing mother's milk with donor milk versus formula in infants at higher risk for supplementation (infants of diabetic mothers, infants born small for gestational age or with a birth weight less than 2.5 kg and late preterm infants born between 35 METHODS AND ANALYSIS: This is an ongoing, open-label, single-centre, randomised controlled trial conducted at Mount Sinai Hospital, Toronto, Canada. A total of 112 infants (56 per group) will be randomised to receive donor milk or infant formula as a supplement to mother's milk during their initial hospital stay, when supplementation is deemed necessary by the family and/or healthcare team. The primary outcome is exclusive human milk feeding at 4 months of age. Secondary outcomes include any or exclusive human milk feeding at 1, 2 and 3 months; infant growth and health indicators and breastfeeding self-efficacy. Exploratory outcomes encompass infant temperament; parental mental health (assessed using the State-Trait Anxiety Inventory and Edinburgh Postnatal Depression Scale); milk cortisol concentrations; and informal milk sharing comparing donor milk and formula supplementation. Follow-up includes monthly telephone assessments and a virtual or in-person visit at 4 months post partum. Data will be analysed using intention-to-treat principles. ETHICS AND DISSEMINATION: The CanDo trial has received ethics approval from the Mount Sinai Hospital Research Ethics Board and the University of Toronto. Results will be disseminated through peer-reviewed journals, conference presentations and stakeholder engagement with hospital and public health decision-makers. Findings will address a critical evidence gap regarding the use of donor milk supplementation in well-baby units and may inform future clinical practice and policy in newborn feeding. TRIAL REGISTRATION NUMBER: NCT06315127.

Indexed as

Breast FeedingInfant FormulaMilk, HumanCanadaFemaleHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaInfant, PrematureMalePasteurizationResearch DesignClinical TrialInfantPAEDIATRICS

Identifiers

PMID42744366
PMCPMC13583780

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.