Can a simple feeding protocol help the tiniest babies thrive?
NCT ID NCT06765863
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether feeding very low birthweight or very preterm infants a standardized fortified human milk protocol in the NICU leads to better growth, less illness, and lower death rates compared to usual care. About 776 infants in India will take part. The key approach is adding a human milk fortifier to breast milk according to a strict guideline for at least 21 days.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- human milk fortifier (dietary supplement added to breast milk)
- What this could lead to
- If successful, this could establish a simple, scalable feeding protocol that helps fragile newborns grow better and face fewer complications in the NICU.
- What could go wrong
- This is a single-country trial with 776 infants, so results may not apply everywhere. The intervention is only given in the hospital, so benefits may not last after discharge.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 776 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Mar 2027
An estimate. End dates often move.
- Lead sponsor
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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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Up to 48 hours
- 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: * Very LBW (≤1.5kg)\* or very preterm (≤32 weeks) infants admitted to NICU at study facility within 24 hours of birth for in-born infants and up to 48 hours for out-born\*\* * Mother and infant alive during screening * Mother age 18+ years * Lives within catchment areas of the facility * Mother intends to stay in catchment area of the study facility for at least 3 months * At randomization: Infant receiving at least 60 mL/kg/day of human milk\*\*\* Exclusion Criteria: * Lives outside the defined catchment area * Congenital abnormalities or acquired conditions that interfere with feeding or placement of nasogastric/orogastric tube \[cleft lip/palate, toxoplasmosis, other agents, rubella, cytomegalovirus, and herpes (TORCH), Trisomy 21, congenital cardiac defect, neural tube defect, gastrointestinal tract anomalies, hydrocephalus, NEC\] * Severe birth asphyxia * Critically ill (i.e. not on enteral feeds) * Unknown date of birth and unknown gestational age
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
4 sites. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Ballari Medical College and Research Centre
RECRUITINGBallary, Karnataka, India
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JJM Medical College
RECRUITINGDavangere, Karnataka, India
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KLES Dr Prabhakar Kore Hospital & Medical Research Center
NOT_YET_RECRUITINGBelagavi, Karnataka, India
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Niloufer Hospital
RECRUITINGHyderabad, Telangana, India
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