Appetite pill may help Tube-Fed kids switch to eating
NCT ID NCT03815019
First seen Jun 26, 2026 · Last updated Jun 26, 2026 · Updated 1 time
Summary
This study tested whether a drug called megestrol (an appetite stimulant) could help children aged 9 months to 9 years who rely on feeding tubes transition to eating by mouth. About 70 kids received either megestrol or a placebo, along with a 24-week behavioral feeding program. The main goal was to see if more children could get at least 90% of their calories from oral feeding.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- megestrol acetate (appetite stimulant)
- What this could lead to
- If it works, this could offer a safe, short-term medication to help children with feeding tubes learn to eat by mouth, reducing dependence on tube feeding.
- What could go wrong
- This is a small, completed phase 4 trial with only 70 participants, so results may not apply to all children. Megestrol can cause side effects like adrenal insufficiency, and the benefit may be modest.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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70 people
The number who actually took part.
- Started
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Aug 2019
- Finished
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Mar 2025
- Lead sponsor
-
Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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9 to 108 months
- Sex
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Anyone
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Males and females aged 9 months to 9y0m at the time of consent. 2. Able to obtain parental or legal guardian written informed consent from subjects as applicable by local laws and regulations. 3. Subjects must have a G or G/J tube. 4. Subjects must receive over 80% of their total daily calorie needs from a tube in order to be classified as tube dependent. 5. Subjects must have a ≥ 3 month history of feeding problems as identified by a diagnosis from a multidisciplinary feeding team, and must have permission from the physician on the team to ensure that they are medically stable enough to participate in a weaning study. 6. Subjects must possess the oral motor skills necessary for eating. Subjects must possess behavioral skills necessary for mealtimes. Exclusion Criteria: 1. Children receiving oral or inhaled steroids. 2. Parent has a known developmental delay or cognitive impairment that may make participation in the study difficult (children with these issues will not be excluded). 3. Children receiving intensive (defined as more than one session per month) behavioral feeding therapy with a licensed psychologist (previous behavioral feeding therapy is not an exclusion criterion; neither is current oral-motor, sensory, or speech therapy). 4. Children of non-English speaking parents.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Arnold Palmer Hospital for Children
Orlando, Florida, 32806, United States
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Boston Children's Hospital
Boston, Massachusetts, 02115, United States
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Children's Hospital of Philadelphia
Philadelphia, Pennsylvania, 19104, United States
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Children's Mercy Hospital
Kansas City, Missouri, 64108, United States
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Monroe Carell Jr. Children's Hospital at Vanderbilt
Nashville, Tennessee, 37232, United States
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Rady Children's Hospital - San Diego
San Diego, California, 92123, United States
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Rhode Island Hospital
Providence, Rhode Island, 02903, United States
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Riley Hospital for Children at IU Health
Indianapolis, Indiana, 46202, United States
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