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Current clinical trials in paediatrics: Report of the ESPEN special interest group in paediatrics
R D Eveleens1, K Gerasimidis2, M Chourdakis3
1Department of Pediatrics and Pediatric Surgery, Intensive Care Unit, Erasmus Medical Centre - Sophia Children's Hospital, Rotterdam, The Netherlands.
Insights
This study analyzed 430 pediatric nutrition trials, finding most focus on specific diseases and obesity. Future research should prioritize well-controlled interventional studies in children
Area of Science:
- Pediatric Nutrition Research
- Clinical Trials in Children
- Global Health Studies
Background:
- The Special Interest Group (SIG) in Paediatrics presented current global research activities in pediatric nutrition at the 38th annual ESPEN congress.
- The presentation aimed to identify future research perspectives in the field of pediatric nutrition.
Purpose of the Study:
- To analyze the landscape of registered clinical nutrition trials in pediatrics worldwide.
- To identify key research areas and trends in pediatric nutrition.
- To provide recommendations for future research directions.
Main Methods:
- Conducted an extensive search of ClinicalTrials.gov for observational and interventional trials.
- Utilized search terms: "children nutrition," "paediatrics nutrition," and "children feeding."
- Analyzed 430 relevant trials after excluding duplicates and adult studies.
Main Results:
- A total of 430 pediatric nutrition trials were identified, with 69% being randomized controlled trials.
- The most researched topics were nutrition in specific diseases (98 studies) and obesity (92 studies), followed by premature infant nutrition (48 studies).
- The median estimated enrollment was 150 children per trial, with large-scale studies (>1000 participants) concentrated in North America, Africa, and Europe.
Conclusions:
- Current pediatric nutrition research is dominated by trials focusing on specific diseases and obesity.
- The SIG Paediatrics advocates for increased investment in well-controlled interventional trials in pediatric nutrition.
- Further research is encouraged to address critical gaps and advance the field of pediatric nutrition.
Background & Aims:
At the 38th annual ESPEN congress in The Hague, the Netherlands, the Special Interest Group (SIG) in Paediatrics presented data about current research activities in the field of paediatric nutrition which are performed worldwide and translated this to future research perspectives.
Methods:
Extensive search of all registered observational and interventional clinical trials in the database ClinicalTrials.gov using the search terms: children nutrition, paediatrics nutrition and children feeding.
Results:
A total of 717 studies were found; 173 were duplicates and 114 included adult participants and were therefore excluded. Hence, 430 remained for analysis, of which 69% were randomized controlled trials. The most investigated research topic was nutrition in specific diseases (n = 98), followed by obesity (n = 92), and studies including premature infants (n = 48). The overall median estimated enrolment of children in the trials was 150 children [IQR 50-365]. There were 44 studies in which >1000 participants will be enrolled and six studies with >10,000 participants. Studies including >1000 participants were primarily performed in North America (39%), Africa (27%), and Europe (16%).
Conclusions:
This SIG report showed that 430 clinical nutrition trials in paediatrics are registered and current research focusses primarily on specific diseases and obesity. The SIG paediatrics encourages future research to invest in well-controlled interventional trials.
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