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Trial registered on ANZCTR
Registration number
ACTRN12606000281594
Ethics application status
Approved
Date submitted
29/06/2006
Date registered
5/07/2006
Date last updated
6/11/2018
Date data sharing statement initially provided
6/11/2018
Type of registration
Retrospectively registered
Titles & IDs
Public title
Infant fish oil study
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Scientific title
The immunomodulatory effects of omega-3 polyunsaturated fatty acids : role in allergy prevention
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Secondary ID [1]
296528
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nil known
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Universal Trial Number (UTN)
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Trial acronym
IFOS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Allergic disease
1256
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Condition category
Condition code
Inflammatory and Immune System
1342
1342
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0
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Allergies
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Children will be randomised to receive n-3 rich fish oil (280mg docosahexanoic acid [DHA]/day; 110mg eicosapentanoic acid [EPA]/day orally; Meg 3 Ocean Nutrition, Canada) daily for the first 6 months of life.
The capsules are identical in appearance. Peppermint flavour has been added to both fish oil and placebo capsules.
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Intervention code [1]
1183
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Prevention
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Comparator / control treatment
Placebo (olive oil, Ocean Nutrition, Canada) daily for the first 6 months of life.
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Control group
Placebo
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Outcomes
Primary outcome [1]
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Allergic sensitisation
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Assessment method [1]
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Timepoint [1]
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Assessed at 1, 2.5 and 5 years of age
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Primary outcome [2]
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Allergic disease
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Assessment method [2]
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Timepoint [2]
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Assessed at 1, 2.5 and 5 years of age
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Secondary outcome [1]
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Effects on immune development
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Assessment method [1]
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Timepoint [1]
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At 6 and 12 months of age.
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Eligibility
Key inclusion criteria
1) maternal asthma or hayfever, and atopy confirmed by skin testing (to common allergens); and 2) maternal age
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Minimum age
Not stated
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Maximum age
Not stated
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Infants will be excluded if: 1) their mother’s normal dietary intake exceeds 2 meals of fish per week 2) there are any significant pregnancy or neonatal complications including prematurity of < 36 weeks), or 3) parental smoking.
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation was concealed and involved contacting the holder of the allocation schedule who was "off-site".
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Eligible infants will be stratified by type of maternal atopy (asthma / other allergy), paternal atopic history and parity, and randomised to placebo or treatment groups. This will be performed by staff who are not involved in clinical or laboratory assessments.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 2
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/06/2005
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Actual
1/06/2005
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Date of last participant enrolment
Anticipated
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Actual
10/01/2010
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Date of last data collection
Anticipated
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Actual
1/06/2017
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Sample size
Target
360
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Accrual to date
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Final
420
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
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Government body
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Name [1]
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NHMRC
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Address [1]
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Country [1]
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Australia
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Funding source category [2]
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Commercial sector/Industry
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Name [2]
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VRI Biomedical
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Address [2]
1469
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Country [2]
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Australia
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Primary sponsor type
Individual
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Name
Prof Susan Prescott
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Address
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Country
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Secondary sponsor category [1]
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University
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Name [1]
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University of Western Australia
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Address [1]
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Country [1]
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
2851
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Princess Margaret Hospital
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Ethics committee address [1]
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Ethics committee country [1]
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Australia
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Date submitted for ethics approval [1]
2851
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Approval date [1]
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21/04/2005
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Ethics approval number [1]
2851
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1111/EP
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Summary
Brief summary
In this study we will compare the effects of fish oil (n=165) or placebo (n=165) in early infancy (from 0-6 months of age) on the risk of developing allergic sensitisation or allergic disease in early childhood. Both study groups will include children deemed to be at high risk of allergic disease (based on maternal allergy history).
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Trial website
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Trial related presentations / publications
Effects of prenatal n-3 fatty acid supplementation on offspring resolvins at birth and 12 years of age: a double-blind, randomised controlled clinical trial VHL See, E Mas, SL Prescott, LJ Beilin, S Burrows, AE Barden, ... British Journal of Nutrition 2017 118 (11), 971-980 Effects of postnatal omega-3 fatty acid supplementation on offspring pro-resolving mediators of inflammation at 6 months and 5 years of age: A double blind, randomized … VHL See, E Mas, SL Prescott, LJ Beilin, S Burrows, AE Barden, ... Prostaglandins, Leukotrienes and Essential Fatty Acids (PLEFA) 2017 126, 126-132 Does docosahexaenoic acid supplementation in term infants enhance neurocognitive functioning in infancy?AE Heaton, SJ Meldrum, JK Foster, SL Prescott, K Simmer Frontiers in human neuroscience 2013 7, 774 Effects of high-dose fish oil supplementation during early infancy on neurodevelopment and language: a randomised controlled trial SJ Meldrum, N D'Vaz, K Simmer, JA Dunstan, K Hird, SL Prescott British Journal of Nutrition 2012 108 (8), 1443-1454 Postnatal fish oil supplementation in high-risk infants to prevent allergy: randomized controlled trial N D’Vaz, SJ Meldrum, JA Dunstan, D Martino, S McCarthy, J Metcalfe, ... Pediatrics, peds. 2012; 2011-3104 Fish oil supplementation in early infancy modulates developing infant immune responses N D'vaz, SJ Meldrum, JA Dunstan, TF Lee-Pullen, J Metcalfe, BJ Holt, ... Clinical & Experimental Allergy 2012;42 (8), 1206-1216 The Infant Fish Oil Supplementation Study (IFOS): Design and research protocol of a double-blind, randomised controlled n- 3 LCPUFA intervention trial in term infants SJ Meldrum, N D'Vaz, J Dunstan, TA Mori, SL Prescott Contemporary clinical trials 2011; 32 (5), 771-778
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Prof Susan Prescott
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Address
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School of Paediatrics and Child Health
Princess Margaret Hospital
Subiaco, 6008 WA
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Country
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Australia
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Phone
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(618) 9340 8171
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Fax
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(618) 9388 2097
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Email
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[email protected]
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Contact person for scientific queries
Name
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Dr Jan Dunstan
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Address
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School of Paediatrics and Child Health
Princess Margaret Hospital
Subiaco 6008 WA
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Country
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Australia
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Phone
1300
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(618) 9388 8681
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Fax
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(618) 9388 2097
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
Effects of postnatal omega-3 fatty acid supplementation on offspring pro-resolving mediators of inflammation at 6 months and 5 years of age: A double blind, randomized controlled clinical trial.
2017
https://dx.doi.org/10.1016/j.plefa.2017.08.008
Embase
Direct infant UV light exposure is associated with eczema and immune development.
2019
https://dx.doi.org/10.1016/j.jaci.2018.08.037
Embase
A role for early oral exposure to house dust mite allergens through breast milk in IgE-mediated food allergy susceptibility.
2020
https://dx.doi.org/10.1016/j.jaci.2019.12.912
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Do infants of breast-feeding mothers benefit from additional long-chain PUFA from fish oil? A 6-year follow-up.
2020
https://dx.doi.org/10.1017/S000711452000135X
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Ovalbumin in breastmilk is associated with a decreased risk of IgE-mediated egg allergy in children.
2020
https://dx.doi.org/10.1111/all.14142
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Maternal peanut and egg consumption during breastfeeding randomized pilot trial.
2022
https://dx.doi.org/10.1111/pai.13845
N.B. These documents automatically identified may not have been verified by the study sponsor.
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