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. 2018 Oct 19;2018(10):CD003664. doi: 10.1002/14651858.CD003664.pub6

NCT01735123.

Trial name or title Early Dietary Intervention and later signs of beta‐cell Autoimmunity (EDIA)
Methods Randomised controlled trial.
Participants Inclusion criteria
  • Infants up to 12 months of age.

  • Infant's parents give signed consent to participate and their HLA genotype is eligible.


Exclusion criteria
  • Older sibling of the newborn infant included in the study.

  • Multiple gestation.

  • Parents unwilling or unable to feed the infant cow's milk‐based products for any reason (e.g. religious, cultural).

  • Gestational age of newborn infant less than 35 weeks.

  • Inability of the family to take part in the study (e.g. family had no access to the Study Centre or telephone).

  • Newborn infant has a recognisable severe illness such as those due to chromosomal abnormality, congenital malformation, respiratory failure needing assisted ventilation, enzyme deficiencies, etc.

  • Infant receiving any infant formula other than study formula or Nutramigen at the delivery hospital.

  • No HLA sample drawn before the age of 8 days.

Interventions Experimental: extensively hydrolysed casein formula.
Experimental: cow's milk‐based infant formula.
Outcomes Primary outcome measure: intestinal permeability determined at the age of 3, 6, 9 and 12 months with the lactulose/mannitol test.
Secondary outcome measure: serum metabolic profile.
Serum metabolic profile will be analysed with metabolomics at the age of 3, 6, 9 and 12 months.
 Other outcome measures: intestinal microbiome.
Starting date January 2013. Completion date August 2016.
Contact information Mikael Knip, MD; mikael.knip@helsinki.fi
Notes ClinicalTrials.gov Identifier: NCT01735123.