An extensively hydrolysed rice protein-based formula in the management of infants with cow's milk protein allergy: preliminary results after 1 month

Arch Dis Child. 2014 Oct;99(10):933-6. doi: 10.1136/archdischild-2013-304727. Epub 2014 Jun 9.

Abstract

Background: Guidelines recommend extensively hydrolysed cow's milk protein formulas (eHF) in the treatment of infants diagnosed with cow's milk protein allergy (CMPA). Extensively hydrolysed rice protein infant formulas (eRHFs) have recently become available, and could offer a valid alternative.

Methods: A prospective trial was performed to evaluate the clinical tolerance of a new eRHF in infants with a confirmed CMPA. Patients were followed for 1 month. Clinical tolerance of the eRHF was evaluated with a symptom-based score (SBS) and growth (weight and length) was monitored.

Results: Thirty-nine infants (mean age 3.4 months, range 0.5-6 months) diagnosed with CMPA were enrolled. All infants tolerated the eRHF and experienced a normal growth.

Conclusions: In accordance with current guidelines, this eRHF is tolerated by more than 90% of children with proven CMPA with a 95% CI, and is an adequate alternative to cow's milk-based eHF.

Trial registration number: ClinicalTrials.gov NCT01998074.

Keywords: Allergy; Gastroenterology; General Paediatrics; Nutrition.

Publication types

  • Clinical Trial
  • Multicenter Study

MeSH terms

  • Animals
  • Female
  • Follow-Up Studies
  • Humans
  • Immune Tolerance
  • Infant
  • Infant Formula*
  • Infant, Newborn
  • Male
  • Milk Hypersensitivity / diet therapy*
  • Milk Hypersensitivity / etiology
  • Milk Proteins / adverse effects*
  • Oryza
  • Plant Proteins, Dietary / administration & dosage*
  • Prospective Studies
  • Protein Hydrolysates / administration & dosage*

Substances

  • Milk Proteins
  • Plant Proteins, Dietary
  • Protein Hydrolysates

Associated data

  • ClinicalTrials.gov/NCT01998074