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ArticleTrials2024

Effects of prebiotics on microbial diversity and abundance in young children with acute malnutrition: study protocol for a multi-centered, double-blinded randomized controlled trial.

Javeria Saleem, Rubeena Zakar, Sanaullah Iqbal, Muhammad Arshad, Ruhma Shahzad, Munazza Batool, Muhammad Nawaz, Muhammad Salman Butt, Florian Fischer

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06155474 (Effects of Prebiotics on Metagenomic Diversity and Abundance in Young Children With Acute Malnutrition), 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.

NCT06155474 naunknown statusnot on this map

Effects of Prebiotics on Metagenomic Diversity and Abundance in Young Children With Acute Malnutrition: A Double-blinded Randomised Controlled Trial (PMAM)

TypeinterventionalSponsorUniversity of the PunjabRan2024 to 2024Enrolled200ConditionsChild MalnutritionArmsPrebiotic galacto-oligosaccharide (GOS) Powder, Starch Only, RUTF + Starch
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

9 authors.

Javeria SaleemDepartment of Public Health, University of the Punjab, Lahore, Pakistan.
Rubeena ZakarDepartment of Public Health, University of the Punjab, Lahore, Pakistan.
Sanaullah IqbalDepartment of Food Science and Human Nutrition, University of Veterinary and Animal Sciences, Lahore, Pakistan.
Muhammad ArshadCentre for Genomics and Systems Biology, New York University Abu Dhabi, Abu Dhabi, United Arab Emirates.
Ruhma ShahzadDepartment of Public Health, University of the Punjab, Lahore, Pakistan.
Munazza BatoolDepartment of Public Health, University of the Punjab, Lahore, Pakistan.
Muhammad NawazInstitute of Microbiology, University of Veterinary and Animal Sciences, Lahore, Pakistan.
Muhammad Salman ButtFaculty of Life and Health Sciences, Ulster University, Belfast, UK.
Florian FischerInstitute of Public Health, Charité - Universitätsmedizin Berlin, Berlin, Germany. florian.fischer1@charite.de.ORCID http://orcid.org/0000-0002-4388-1245

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe anti-inflammatory and antimicrobial benefits of prebiotics may present an affordable and cost-effective strategy for not only the prevention but also treatment of malnutrition. Therefore, the present trial has been designed with the aim to evaluate the role of prebiotics on the gut microbiome of severe acute malnourished (SAM) children.

methodsThe study is designed as a prospective, double-blinded, triple-armed, multi-centered randomized controlled trial, with 6-59 months old uncomplicated SAM children recruited to the experimental group receiving ready-to-use therapeutic food (RUTF) plus prebiotics and the active comparator group receiving RUTF plus starch for 2 months duration (8 weeks). Healthy children with matching age and gender will be recruited to placebo comparator group and will receive starch as a placebo during the study period. A total of 58 participants will be recruited to each arm with 1:1:1 allocation ratio following a pre-defined inclusion and exclusion criteria. The results of the gut microbiome diversity will serve as the primary outcome, while weight-for-height/length z-score, mid-upper-arm circumference, neurodevelopment assessment, and body mass accumulation will serve as the secondary outcome. Data collection and evaluations will be conducted at baseline and at the end of the trial (week 8), while the safety monitoring will be conducted at every second week. For analysis, the principles of intention-to-treat will be followed.

conclusionsConclusively, the results of the present trial would provide useful insights and high-quality data for the treatment and management of SAM children by evaluating the effect of RUTF plus prebiotic on the gut microbiome diversity of children, leading to medical evidence for designing the large-scale studies.

trial registrationThe present trial is registered at ClinicalTrials.gov with identifier No: NCT06155474 and registration date 4 December 2023.

Indexed as

Gastrointestinal MicrobiomePrebioticsSevere Acute MalnutritionChild DevelopmentChild, PreschoolDouble-Blind MethodFemaleHumansInfantMaleMulticenter Studies as TopicNutritional StatusProspective StudiesRandomized Controlled Trials as TopicTreatment OutcomePrebioticsGut microbiomePrebioticsRUTFSAM

Identifiers

PMID39593072
PMCPMC11590257

What Socratic holds

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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 Socratic graph.