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Compleat® Pediatric Peptide 1.5 and Compleat® Peptide 1.5 made with real fruit and vegetable ingredients are associated with reductions in GI intolerance symptoms, reductions in healthcare resource utilization and cost savings

Compleat Pediatric Peptide 1.5 and Compleat Peptide 1.5 product packaging with fruit and vegetable ingredients

A retrospective, observational study of 91 children and 82 adults in the post-acute care setting associates these unique plant-based formulas with reduced GI intolerance symptoms, reduced healthcare resource utilization and cost savings up to 6 months post-hospital discharge compared to the 6 months prior to hospital discharge.

Results statistically significant (p≤0.05) unless otherwise noted with p-value. 6-month post-discharge vs prior 6-month period:
*children, 43% reduction; adults, 42% reduction   †children, 39% lower; adults, 29% lower   ‡children, 27% reduction (p=0.0515); adults 40% reduction   ◊adjusted for age, gender, and comorbidity index score

Research Summary

Reductions in Gastrointestinal Intolerance, Healthcare Resource Utilization and Cost Associated with a Plant Based Peptide Enteral Formula with Fruit and Vegetable Ingredients: Retrospective Analysis of Children and Adults in Post Acute Care

A Research Summary based on Minor, G et al. Nutrition and Dietary Supplements. 2025;17:63-72. │ Published on May 29, 2025

Why Was This Study Done?

Peptide-based enteral nutrition (EN) formulas have demonstrated benefits on gastrointestinal (GI) intolerance symptoms and reduced healthcare resource utilization (HCRU) in acute and post-acute care settings. There is also a growing interest in EN formulas with real fruit and vegetable ingredients for improved GI tolerance and health economic related outcomes. However, there is a paucity of research on peptide-based EN formulas that also include fruit and vegetable ingredients.

This study examined clinical outcomes (i.e., GI intolerance symptoms), HCRU and costs associated with a plant-based peptide EN formula containing fruit and vegetable ingredients.

How Was This Study Performed?

Children (age 1–13 years) and adults (age ≥ 14 years) prescribed a plant-based peptide EN formula with fruit and vegetable ingredients (Compleat® Pediatric Peptide 1.5, Compleat® Peptide 1.5, Nestlé HealthCare Nutrition, US, respectively) in a post-acute care setting, with a history of formula use for at least 5 days, were included in analysis. GI intolerance symptoms, HCRU and costs were compared 6-months pre hospital discharge and up to 6-months post-hospital discharge.

Study Design

  • Retrospective
  • Observational
  • De-Identified US medical and pharmacy claims data
  • Period between January 2020 and December 2022

Patients

Children
91 children, mean age 5.5 (±3) years
Common comorbidities:
congenital conditions (73%), developmental delays (60%), GI conditions (57%)
Adults
82 adults, mean age 49 (±20.5) years
Common comorbidities:
cancer (39%), chronic pulmonary disease (29%), paraplegia/hemiplegia (24%), mild liver disease (24%)

Study Results

A plant-based peptide EN formula with fruit and vegetable ingredients was associated with reduction in GI intolerance symptoms, HCRU, and adjusted healthcare costs.

Outcomes

Any GI Intolerance Symptoms
% Patients
56%
↓ 43%
32%
Children
 
79%
↓ 42%
46%
Adults
 

Pre-Discharge

 

6-Months Post Discharge

Inpatient Visits
% Patients
38%
↓ 39%
23%
Children
 
63%
↓ 29%
45%
Adults
 

Pre-Discharge

 

6-Months Post Discharge

Mean Total Adjusted HCRU Costs
Mean Adjusted Costs
$459K
↓ 27%
(p=0.0515)
$333K
Children
 
$650K
↓ 40%
$387K
Adults
 

Pre-Discharge

 

6-Months Post Discharge

Results statistically significant (p≤0.05) unless otherwise noted with p-value.   ◊adjusted for age, gender, and comorbidity index score

Limitations and Future Directions

  • Observed outcomes are based on retrospective design, and the use of real-world evidence/claims data can only demonstrate association.
  • Future research comparing use of plant-based peptide EN formula to other formulas is needed.
 
Conclusions

Use of a plant-based peptide EN formula with fruit and vegetable ingredients was associated with significant reductions in GI intolerance symptoms, HCRU and associated costs. These data support use as a well-tolerated option for EN in children and adults requiring EN support in a post-acute care setting.

USE UNDER MEDICAL SUPERVISION