Administration of Arginine Supplementation in Preterm Infants

NCT ID: NCT01336998

Last Updated: 2011-04-18

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

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2009-06-30

Brief Summary

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Calprotectin is a cytosolic component of neutrophils .Fecal calprotectin(FC) is a useful marker for exacerbation of inflammatory bowel disease in children .FC may be a useful marker for necrotizing enterocolitis (NEC).

NEC is one of the most common ,deadliest and enigmatic intestinal problems encountered mostly in premature infants. The precise pathophysiology of NEC is unclear ,but major factors thought to play an important role include an immature intestine ,an inflammatory response to intestinal microbes,enteral feedings and intestinal ischemia-reperfusion injury.Diagnosis of NEC is not easy clinically and up to now there is not a simple laboratory test to differentiate NEC at an early stage from other conditions in the neonate.

Arginine is the substrate for NO production in the gut and its deficiency may cause vasoconstriction and gut injury and thus predispose to NEC. In previous studies arginine supplementation was found to reduce the incidence of NEC in premature infants but more studies are needed for the use of arginine supplementation for the prevention of NEC.

The investigators aim is to measure the fecal calprotectin in very low birth weight (VLBW) infants during the first month of life as an inflammatory marker of the bowel and evaluate whether premature infants receiving arginine supplements had lower calprotectin values compared to the premature infants that did not .

The investigators hypothesize that arginine supplementation in preterm infants reduces the inflammation of the gut which will be shown by the lower fecal calprotectin values of the premature infants receiving arginine supplementation.

Detailed Description

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Conditions

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Necrotizing Enterocolitis

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Interventions

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arginine

oral L-arginine supplementation 261mg/kg/day (1,5mmol/kg/day), one dose daily ,from the 3rd day of life until the 28th day of life

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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L-arginine Nutricia

Eligibility Criteria

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Inclusion Criteria

* preterm neonates born at Alexandra hospital during the study period
* \< 34 weeks gestational age
* \< 1500gr birth weight

Exclusion Criteria

* major congenital abnormalities
* inborn errors of metabolism
* parents not consent
Maximum Eligible Age

3 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Athens

OTHER

Sponsor Role collaborator

Alexandra Hospital, Athens, Greece

OTHER

Sponsor Role lead

Responsible Party

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Alexandra Hospital Athens Greece

Principal Investigators

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Kostalos Chistos, MD Phd

Role: STUDY_CHAIR

Alexandra Hospital neonatal intensive care unit

Locations

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Alexandra Hospital

Athens, Athens, Greece

Site Status

Countries

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Greece

Other Identifiers

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ALEXANDRA 9159

Identifier Type: -

Identifier Source: org_study_id

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