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CTRI Number  CTRI/2025/02/081432 [Registered on: 27/02/2025] Trial Registered Prospectively
Last Modified On: 16/04/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Nutraceutical 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   A study comparing the effects of adding extra nutrients to breast milk early versus later on the growth of premature babies weighing less than 1500 grams. 
Scientific Title of Study   Effect of Early Fortification Versus Delayed Fortification of Human Milk on Anthropometric Parameters in Very Low birth Weight Infants: A Randomized Controlled Trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Sushil Kumar Choudhary 
Designation  Associate Professor 
Affiliation  All India Institute of Medical sciences, Jodhpur  
Address  Department of Neonatology, All India Institute of Medical sciences, Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  9013355932  
Fax    
Email  drsusil85@gmail.com   
 
Details of Contact Person
Scientific Query
 
Name  Dr Sushil Kumar Choudhary 
Designation  Associate Professor 
Affiliation  All India Institute of Medical sciences, Jodhpur  
Address  Department of Neonatology, All India Institute of Medical sciences, Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  9013355932  
Fax    
Email  drsusil85@gmail.com   
 
Details of Contact Person
Public Query
 
Name  Anilkumar J S 
Designation  Senior Resident 
Affiliation  All India Institute of Medical sciences, Jodhpur  
Address  Department of Neonatology, All India Institute of Medical sciences, Jodhpur

Jodhpur
RAJASTHAN
342005
India 
Phone  9008515133  
Fax    
Email  anilkumarjs1994@gmail.com   
 
Source of Monetary or Material Support  
All India Institute of Medical sciences, Jodhpur Pincode- 342005 India 
 
Primary Sponsor  
Name  All India Institute of Medical sciences Jodhpur  
Address  All India Institute of Medical sciences, Jodhpur Pincode 342005 India  
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NOT APPLICABLE   NOT APPLICABLE  
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Anilkumar J S  Neonatal intensive care unit   Tertiary care hospital based study. The Department of Neonatology All India Institute of Medical sciences, Jodhpur
Jodhpur
RAJASTHAN 
9008515133

anilkumarjs1994@gmail.com 
 
Details of Ethics Committee
Modification(s)  
No of Ethics Committees= 2  
Name of Committee  Approval Status 
Instituional ethics committee All India Institute of Medical sciences, Jodhpur   Approved 
Instituional ethics committee All India Institute of Medical sciences, Jodhpur   Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: P969||Condition originating in the perinatal period, unspecified, (2) ICD-10 Condition: P84||Other problems with newborn,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Fortification of human milk   This study aimed to compare early fortification (feed volume 80ml/kg/day) versus delayed fortification (120 ml/kg/day).  
Comparator Agent  FORTIFICATION OF HUMAN MILK  THIS STUDY AIMED TO COMPARE EARLY FORTIFICATION (FEED VOLUME 80ML/KG/DAY) WITH DALAYED FORIFICTION (120 ML/KG/DAY). 
 
Inclusion Criteria
Modification(s)  
Age From  0.00 Day(s)
Age To  28.00 Day(s)
Gender  Both 
Details  All inborn newborn admitted in NICU with Birth weight less than 1500 grams
Gestation more than or equal to 26 weeks 
 
ExclusionCriteria 
Details  Major congenital anomalies 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Time to regain birth weight (in days) and subsequent rate of weight gain (gram/kg/day) at 4 weeks of postnatal age or discharge whichever is earlier   Time to regain birth weight (in days) and subsequent rate of weight gain (gram/kg/day) at 4 weeks of postnatal age or discharge whichever is earlier  
 
Secondary Outcome  
Outcome  TimePoints 
increase in head circumference (cm/week) and length (cm/week) till discharge.  till discharge  
Correlation between total protein intake and time to regain birth weight in days , weight
gain velocity , head circumference cm/ week, length cm /week. 
till discharge  
Incidence of NEC stage 2 or more as per modified Bell’s stage.  till discharge  
Feed intolerance incidence  till discharge 
All cause mortality(In hospital)  till discharge  
Incidence of extrauterine growth restriction at discharge (number of infants with weight <
10th percentile for the index population) 
till discharge  
Incidence of ROP requiring treatment   Till discharge  
BPD incidence   till discharge  
 
Target Sample Size
Modification(s)  
Total Sample Size="98"
Sample Size from India="98" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 3 
Date of First Enrollment (India)   06/03/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  06/03/2025 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Open to Recruitment 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details
Modification(s)  
N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  

The current study aims to examine the effects of early fortification (initiating at 80 ml/kg/day) versus late fortification (initiating at 120 ml/kg/day) on the time taken to regain  birth weight in preterm infants and weight gain velocity pattern following that along with head circumference and length increments. Understanding this could enhance nutritional protocols in the NICU, supporting the growth and development of this vulnerable population.


 
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