Prebiotics in the Prevention of Necrotizing Enterocolitis

NCT ID: NCT00437567

Last Updated: 2014-01-03

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

260 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-07-31

Study Completion Date

2014-07-31

Brief Summary

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Necrotizing enterocolitis (NEC) is the most common gastrointestinal catastrophe affecting 10-15% of premature neonates of \<1500 gm. NEC is a disease of the immature intestine, characterized by impaired mucosal barrier function leading to increased gut permeability. We have previously demonstrated a protective effect of probiotic administration against the development of NEC. Others have shown that prebiotics can stimulate natural production of bifidobacteria and lactobacillus in the preterm gut. We have therefore hypothesized that prophylactic administration of prebiotics would also provide protection against necrotizing enterocolitis in the premature neonate, without the potential for sepsis which has been reported on rare occasions with probiotics administration.

Detailed Description

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Specifically, we hope to demonstrate that fewer of the babies who are treated with galacto-oligosaccharides (GOS) will develop NEC as compared with controls.

Preterm neonates, \<1750 gm birth weight will potentially be candidates for study. They will be randomly assigned to receive one of two milk additives from the time enteral feeds are begun until 35 weeks post-conceptual age: prebiotics (GOS) or placebo (water). All infants will be followed prospectively for signs of feeding intolerance and/or development of NEC. These will be compared between the two groups.

Conditions

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Necrotizing Enterocolitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Prebiotics

Babies randomized to this arm will receive galacto-oligosaccharide supplements

Group Type ACTIVE_COMPARATOR

Galacto-oligosaccharide (GOS)

Intervention Type DIETARY_SUPPLEMENT

Treatment group to receive 1.3 gm/kg/day GOS from initiation of enteral feeds until 35 weeks post-conceptual age.

Placebo

Babies randomized to this arm will receive placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type OTHER

Similar quantity of sterile water to be added to milk

Interventions

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Galacto-oligosaccharide (GOS)

Treatment group to receive 1.3 gm/kg/day GOS from initiation of enteral feeds until 35 weeks post-conceptual age.

Intervention Type DIETARY_SUPPLEMENT

Placebo

Similar quantity of sterile water to be added to milk

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Preterm neonates
* \< 1750 gm birth weight

Exclusion Criteria

* Infants who are deemed unlikely to survive
* Infants with significant congenital malformations
* Infants with other gastrointestinal problems
Maximum Eligible Age

7 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shaare Zedek Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Cathy Hammerman

Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Cathy Hammerman, MD

Role: PRINCIPAL_INVESTIGATOR

Shaare Zedek Medical Center

Locations

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Shaare Zedek Medical Center

Jerusalem, , Israel

Site Status RECRUITING

Countries

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Israel

Central Contacts

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Cathy Hammerman, MD

Role: CONTACT

9722 666-6238

Alona Bin-nun, MD

Role: CONTACT

97250 868-5757

References

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Bin-Nun A, Bromiker R, Wilschanski M, Kaplan M, Rudensky B, Caplan M, Hammerman C. Oral probiotics prevent necrotizing enterocolitis in very low birth weight neonates. J Pediatr. 2005 Aug;147(2):192-6. doi: 10.1016/j.jpeds.2005.03.054.

Reference Type BACKGROUND
PMID: 16126048 (View on PubMed)

Other Identifiers

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SZMC/CH/32007

Identifier Type: -

Identifier Source: org_study_id

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