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NCT03964454

BOOST: Breastfeeding Onset and Onward With Support Tools

Completed NA Results posted Last updated 4 July 2025
What this trial tests

NA trial testing WIC support + home-based individual support + Breastfeeding Incentives (SC+BFI) in Breastfeeding Duration in 168 participants. Completed in 31 May 2025.

Timeline
19 June 2019
Primary endpoint
18 April 2023
31 May 2025

Quick facts

Lead sponsorRTI International
PhaseNA
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingsingle
Primary purposetreatment
Enrollment168
Start date19 June 2019
Primary completion18 April 2023
Estimated completion31 May 2025
Sites2 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

RTI International — full company profile →

Who can join

Adults 18 to 44, female only, with Breastfeeding Duration. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Number of Participants Breastfeeding Their Infants at 1 Month Primary · 1 month

Identify breastfeeding behavior via standardized observational method: Identifying audible swallowing, regular suck/swallow/breathe pattern, or visible milk in the infant's mouth.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC+BFI)76
Standard Care as WIC Support + Home-based Individual Support (SC)74
Number of Participants Breastfeeding Their Infants at 3 Months Primary · 3 months

Identify breastfeeding behavior via standardized observational method: Identifying audible swallowing, regular suck/swallow/breathe pattern, or visible milk in the infant's mouth.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)59
Standard Care as WIC Support + Home-based Individual Support (SC)53
Number of Participants Breastfeeding Their Infants at 6 Months Primary · 6 months

Identify breastfeeding behavior via standardized observational method: Identifying audible swallowing, regular suck/swallow/breathe pattern, or visible milk in the infant's mouth.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)46
Standard Care as WIC Support + Home-based Individual Support (SC)33
Number of Participants Breastfeeding Their Infants at 9 Months Primary · 9 months

Identify breastfeeding behavior via standardized observational method: Identifying audible swallowing, regular suck/swallow/breathe pattern, or visible milk in the infant's mouth.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)26
Standard Care as WIC Support + Home-based Individual Support (SC)19
Number of Participants Breastfeeding Their Infants at 12 Months Primary · 12 months

Identify breastfeeding behavior via standardized observational method: Identifying audible swallowing, regular suck/swallow/breathe pattern, or visible milk in the infant's mouth.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)21
Standard Care as WIC Support + Home-based Individual Support (SC)15
Infant Weight Secondary · 3 months

Measured with a portable digital infant scale.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)6199± 1003
Standard Care as WIC Support + Home-based Individual Support (SC)5921± 886
Infant Weight Secondary · 6 months

Measured with a portable digital infant scale.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)8099± 1355
Standard Care as WIC Support + Home-based Individual Support (SC)7943± 1136
Infant Weight Secondary · 9 months

Measured with a portable digital infant scale.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)9310± 1591
Standard Care as WIC Support + Home-based Individual Support (SC)8948± 1151
Infant Weight Secondary · 12 months

Measured with a portable digital infant scale.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)10101± 1700
Standard Care as WIC Support + Home-based Individual Support (SC)10018± 1422
Infant Weight Secondary · 1 month

Measured with a portable digital infant scale.

GroupValue95% CI
WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC + BFI)4090± 687
Standard Care as WIC Support + Home-based Individual Support (SC)4241± 711

Adverse events — posted to ClinicalTrials.gov

Time frame: 12 months per participant. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

WIC Support + Home-based Individual Support + Breastfeeding Incentives (SC+BFI)
Serious: 0/85 (0%)
Deaths: 0/85
Standard Care as WIC Support + Home-based Individual Support (SC)
Serious: 5/83 (6%)
Deaths: 0/83

Serious adverse events (3 terms)

ReactionSystemWIC Support + Home-based I…Standard Care as WIC Suppo…
Hospitailzation of participantInjury, poisoning and procedural complications
Hospitalization of infantInfections and infestations
Infant deathGeneral disorders
Other adverse events (10 terms — click to expand)

ReactionSystemWIC Support + Home-based I…Standard Care as WIC Suppo…
DepressionPsychiatric disorders
COVID infectionInfections and infestations
Family death or separationSocial circumstances
Domestic abusePsychiatric disorders
HomelessnessPregnancy, puerperium and perinatal conditions
MiscarriagePregnancy, puerperium and perinatal conditions
ER visitInfections and infestations
Breast cancer or breast issueReproductive system and breast disorders
AccidentMusculoskeletal and connective tissue disorders
IncarcerationSocial circumstances

Most-reported serious reactions: Hospitailzation of participant, Hospitalization of infant, Infant death.

Data from ClinicalTrials.gov NCT03964454 adverse events section.

Sponsor's own description

This behavioral intervention trial will test whether a standard care breastfeeding intervention from the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program plus monthly financial incentives contingent on observed breastfeeding will improve breastfeeding duration among low-income mothers compared to a standard (WIC) care control. Investigators hypothesize that the standard care plus monthly contingent financial incentives intervention will promote longer breastfeeding duration, fewer infant health issues, and greater healthcare cost savings than the standard care (control) intervention.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Individual breastfeeding support with contingent incentives for low-income mothers in the USA: the 'BOOST (Breastfeeding Onset & Onward with Support Tools)' randomised controlled trial protocol.
    Washio Y, Collins BN, Hunt-Johnson A, Zhang Z, et al · · 2020 · cited 8× · PMID 32554737 · DOI 10.1136/bmjopen-2019-034510

Verify or expand the search:

Other recruiting trials for Breastfeeding Duration

Currently open trials in the same condition.

Other RTI International trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03964454.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing