[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100527931":3},{"organization":4,"armGroups":7,"interventions":21,"overallOfficials":35,"centralContacts":39,"locations":44,"responsibleParty":107,"collaborators":109,"id":117,"slug":26,"hasResults":118,"nctId":119,"briefTitle":120,"officialTitle":120,"acronym":121,"eligibilityCriteria":122,"healthyVolunteers":118,"sex":123,"minAge":124,"maxAge":125,"enrollmentInfo":126,"targetDuration":26,"studyType":129,"phases":130,"briefSummary":132,"conditions":133,"keywords":26,"overallStatus":47,"whyStopped":26,"lastUpdateSubmitDate":138,"lastUpdatePostDateStruct":139,"startDateStruct":142,"completionDateStruct":144,"leadSponsor":146,"locationsCount":147},{"fullName":5,"class":6},"Washington University School of Medicine","OTHER",[8,15],{"label":9,"type":10,"description":11,"interventionNames":12},"C-RUTF (Ready-to-Use Therapeutic Food with added choline)","EXPERIMENTAL","A daily dose of 500mg choline will be added to RUTF. 2 sachets (daily dose) of RUTF will provide approximately 1000 Kcal, 14g of protein, 28g of fat, and 1 RDA of 14 micronutrients.",[13,14],"Dietary Supplement: C-RUTF (Ready-to-Use Therapeutic Food with added choline)","Drug: Amoxicillin",{"label":16,"type":17,"description":18,"interventionNames":19},"S-RUTF (Ready-to-Use Therapeutic Food without added choline)","ACTIVE_COMPARATOR","A daily dose of 5mg choline will be added to RUTF for masking. 2 sachets (daily dose) of RUTF will provide approximately 1000 Kcal, 14g of protein, 28g of fat, and 1 RDA or 14 micronutrients.",[20,14],"Dietary Supplement: S-RUTF (Ready-to-Use Therapeutic Food without added choline)",[22,27,30],{"type":23,"name":9,"description":24,"armGroupLabels":25,"otherNames":26},"DIETARY_SUPPLEMENT","Choline added to peanut paste-based ready-to-use therapeutic food meeting Codex Alimentarius specifications",[9],null,{"type":23,"name":16,"description":28,"armGroupLabels":29,"otherNames":26},"Standard peanut 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Peanut Butter",{"name":113,"class":6},"Kamuzu University of Health Sciences",{"name":115,"class":116},"Balchem Corporation","INDUSTRY","100527931",false,"NCT06154174","Choline to Improve Malnutrition and Enhance Cognition","CHIME-SAM","Inclusion Criteria:\n\n* 6-59 months of age\n* mid-upper arm circumference \\\u003C 11.5 cm and\u002For weight-for-length z-score \\\u003C -3 and\u002For presence of bilateral pedal pitting edema\n* willingness to comply with all study procedures and availability for the duration of the study, including no plan to move from the catchment area of a participating clinic\n\nExclusion Criteria:\n\n* features of complicated SAM: inability to tolerate a 30g test dose of RUTF, breathing difficulties, mental status changes, sepsis, or physician\u002Fnursing clinical assessment that the child needs immediate hospitalization\n* participation in a separate feeding program within the past month\n* known allergy to study food ingredient (peanut, milk, fish)\n* intention to move away from catchment area within 9 months\n* developmental delay\n* presence of a chronic severe medical condition (other than TB and HIV), such as congenital heart disease","ALL","6 Months","59 Months",{"count":127,"type":128},1500,"ESTIMATED","INTERVENTIONAL",[131],"NA","The goal of this clinical trial is to test adding choline to ready-to-use therapeutic food (RUTF) in children with severe acute malnutrition (SAM) in Malawi. The main question it aims to answer is:\n\n\\- Will the addition of a 500mg daily dose of choline to RUTF during treatment for SAM improve cognitive development among 6-59-month-old Malawian children compared with standard RUTF without added choline?",[134,135,136,137],"Severe Acute Malnutrition","Cognitive Impairment","Wasting","Kwashiorkor","2026-03-16",{"date":140,"type":141},"2026-03-17","ACTUAL",{"date":143,"type":141},"2023-12-05",{"date":145,"type":128},"2026-11",{"name":5,"class":6},10]