Infloran® for Prevention of Necrotizing Enterocolitis

NCT ID: NCT01751477

Last Updated: 2015-04-22

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

COMPLETED

Total Enrollment

463 participants

Study Classification

OBSERVATIONAL

Study Start Date

2010-09-30

Study Completion Date

2012-10-31

Brief Summary

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Necrotizing enterocolitis (NEC) is one of the most devastating gastrointestinal emergencies in preterm neonates and a leading cause of death and morbidity.

The pathogenesis of NEC remains largely unclear, but it is widely considered as a multifactorial disease. Prematurity, enteral feeding, bacterial colonisation of the gut and intestinal ischemia have been proposed as major risk factors.

Probiotics may prevent NEC by improving the maturity and function of the gut mucosal barrier, modulating the immune system, promoting colonization of the gut with beneficial organisms and preventing colonization by pathogens.

A variety of clinical trials have evaluated the effect of different probiotic preparations on the occurrence of NEC in preterm infants. The results of recent metaanalyses suggest a benefit of probiotic bacteria in reducing the incidence of NEC and propose a change of practice.

The aim of the study is to evaluate the efficacy of the probiotic preparation Infloran® in reducing the incidence of NEC after implementation in clinical routine in preterm (\< 34 weeks gestational age) very low birth weight infants compared to a historical cohort.

Detailed Description

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Conditions

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Necrotizing Enterocolitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Probiotics (Infloran)

Very low birth weight Infants receiving 2 capsules/d Infloran starting in the first week of life

No interventions assigned to this group

Control

Very low birth weight Infants who did not receive Infloran (historical cohort)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Neonates admitted to the neonatal intensive care unit on day 1 of life
* Very low birth weight (\<1500 gram)
* Prematurity \< 34/0 weeks gestational age
* For group receiving probiotics: 230 infants born after the 20/Sep/2010 (i.e. date of introduction of Infloran in clinical routine)
* For control group (historical): 230 infants born before 2010

Exclusion Criteria

* Malformation of the gut (omphalocele, gastroschisis, intestinal atresia)
* Death before seven days of life, except due to NEC
* Transfer to another hospital before 37 weeks of corrected gestational age, except those who were transferred to a partner clinic using the same protocol for probiotic supplementation
* For group receiving probiotics: Infants who did not receive Infloran® starting in the first week of life or stopped before 34 weeks gestational age, except infants who developed NEC (reason for discontinuation of Infloran)
Maximum Eligible Age

7 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Wilheminenspital der Stadt Wien

UNKNOWN

Sponsor Role collaborator

Medical University of Vienna

OTHER

Sponsor Role lead

Responsible Party

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Andreas Repa

MD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Andreas Repa, MD

Role: PRINCIPAL_INVESTIGATOR

Medical University Vienna

Nadja Haiden, MD

Role: STUDY_DIRECTOR

Medical University Vienna

Margarita Thanhäuser, MD

Role: STUDY_CHAIR

Medical University Vienna

Locations

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Medical University Vienna

Vienna, , Austria

Site Status

Wilheminenspital der Stadt Wien

Vienna, , Austria

Site Status

Countries

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Austria

References

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Repa A, Thanhaeuser M, Endress D, Weber M, Kreissl A, Binder C, Berger A, Haiden N. Probiotics (Lactobacillus acidophilus and Bifidobacterium infantis) prevent NEC in VLBW infants fed breast milk but not formula [corrected]. Pediatr Res. 2015 Feb;77(2):381-8. doi: 10.1038/pr.2014.192. Epub 2014 Nov 25.

Reference Type RESULT
PMID: 25423074 (View on PubMed)

Related Links

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http://www.meduniwien.ac.at

Homepage Medical University Vienna

Other Identifiers

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MUV-Neo3

Identifier Type: -

Identifier Source: org_study_id

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