[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"kwashiorkor\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:kwashiorkor":76},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,43],{"id":9,"slug":4,"hasResults":10,"nctId":11,"briefTitle":12,"officialTitle":12,"acronym":13,"eligibilityCriteria":14,"healthyVolunteers":10,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":18,"targetDuration":4,"studyType":21,"phases":22,"briefSummary":24,"conditions":25,"keywords":4,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":31,"lastUpdatePostDateStruct":32,"startDateStruct":35,"completionDateStruct":37,"leadSponsor":39,"locationsCount":42},"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":19,"type":20},1500,"ESTIMATED","INTERVENTIONAL",[23],"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?",[26,27,28,29],"Severe Acute Malnutrition","Cognitive Impairment","Wasting","Kwashiorkor","RECRUITING","2026-03-16",{"date":33,"type":34},"2026-03-17","ACTUAL",{"date":36,"type":34},"2023-12-05",{"date":38,"type":20},"2026-11",{"name":40,"class":41},"Washington University School of Medicine","OTHER",10,{"id":44,"slug":4,"hasResults":10,"nctId":45,"briefTitle":46,"officialTitle":47,"acronym":48,"eligibilityCriteria":49,"healthyVolunteers":10,"sex":15,"minAge":16,"maxAge":17,"enrollmentInfo":50,"targetDuration":4,"studyType":21,"phases":52,"briefSummary":53,"conditions":54,"keywords":56,"overallStatus":30,"whyStopped":4,"lastUpdateSubmitDate":68,"lastUpdatePostDateStruct":69,"startDateStruct":71,"completionDateStruct":73,"leadSponsor":75,"locationsCount":42},"100582940","NCT06869850","Milk Fat Globule Membrane-Enhanced RUTF for Children With Severe Acute Malnutrition","MFGM-EnhaNceD RUTF for Children With SAM","MEND-SAM","Inclusion Criteria:\n\n* 6-59 months of age\n* Reside within the catchment area of a participating clinic\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 30 g test dose of RUTF, breathing difficulties, mental status changes, sepsis, diarrhea with severe dehydration, and\u002For physician\u002Fnursing clinical assessment that the child needs immediate hospitalization\n* Participation in a separate therapeutic feeding program within the past month\n* Known allergy to study food ingredient (peanut, milk, fish)\n* Clinically evident developmental delay (most often determined based on research nursing assessment of physical appearance, movement, and informal discussion with caregiver)\n* Presence of a chronic severe medical condition (other than tuberculosis and HIV), such as congenital heart disease",{"count":51,"type":20},1600,[23],"The goal of this clinical trial is to test the use of milk fat globule membrane (MFGM) in ready-to-use therapeutic food (RUTF) in children with severe acute malnutrition in Sierra Leone. The main questions it aims to answer are:\n\n* Will the inclusion of MFGM in RUTF for 6-59-month-old Sierra Leonean children with severe acute malnutrition improve their neurodevelopment?\n* Will the inclusion of MFGM in RUTF for 6-59-month-old Sierra Leonean children with severe acute malnutrition reduce its worst consequences: death, hospitalization, and remaining severely malnourished despite treatment?\n\nResearchers will compare the MFGM-containing RUTF to standard RUTF, which contains skim milk powder.\n\nParticipants will:\n\n* undergo measurement of length, weight, mid-upper arm circumference, and nutritional edema assessment every two weeks during severe malnutrition treatment\n* be treated with either MFGM-RUTF or standard RUTF at a dose of 2 sachets per day for up to 12 weeks\n* undergo neurodevelopmental testing using the Malawi Developmental Assessment Tool at the end of SAM treatment and 6 months later\n* a subset of participants will undergo blood spot collection and stool sample collection",[26,27,29,55],"Severe Wasting",[57,58,59,60,61,62,63,64,65,66,67],"severe acute malnutrition","severe wasting","kwashiorkor","milk fat globule membrane","neurodevelopment","phospholipids","ganglioside","dairy fat","malawi developmental assessment tool","Sierra Leone","ready-to-use therapeutic food","2025-12-16",{"date":70,"type":34},"2025-12-17",{"date":72,"type":34},"2025-09-22",{"date":74,"type":20},"2027-12-01",{"name":40,"class":41},""]