Enteral Administration of Docosahexaenoic Acid to Prevent Retinopathy of Prematurity

NCT ID: NCT02683317

Last Updated: 2020-07-17

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

Clinical Phase

NA

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-02-22

Study Completion Date

2017-10-31

Brief Summary

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The purpose of this study is to evaluate whether docosahexaenoic acid given by enteral feeding prevent retinopathy of prematurity and/or diminish its severity in preterm infants.

Detailed Description

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Preterm neonates who start receiving enteral feeding will receive the intervention with docosahexaenoic acid (DHA) since the first day and throughout 14 days, one dose per day.

The opthalmic evaluation will be done after 4-5 weeks after birth and followed until 42-45 corrected gestational age.

Conditions

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Retinopathy of Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Regarding the Study phase, the intervention was a nutraceutical, docosahexaenoic acid, derived from omega 3 fatty acid family.
Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Outcome Assessors

Study Groups

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DHA group

Experimental group will receive 75 mg of docosahexaenoic acid per kilo of baseline weight in one dose per day, administered by enteral feeding throughout 14 days.

Group Type EXPERIMENTAL

docosahexaenoic acid

Intervention Type DIETARY_SUPPLEMENT

Docosahexaenoic acid is a dietary supplement derived from algae.

Control group

Control group will receive sunflower oil, the excipient of the DHA in our intervention.

They will receive it once a day, administered by enteral feeding throughout 14 days.

Group Type SHAM_COMPARATOR

sunflower oil

Intervention Type DIETARY_SUPPLEMENT

Sunflower similar to the excipient used in experimental group

Interventions

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docosahexaenoic acid

Docosahexaenoic acid is a dietary supplement derived from algae.

Intervention Type DIETARY_SUPPLEMENT

sunflower oil

Sunflower similar to the excipient used in experimental group

Intervention Type DIETARY_SUPPLEMENT

Other Intervention Names

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n-3 long chain polyunsaturated fatty acid

Eligibility Criteria

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Inclusion Criteria

* Birth weight \< 1500 g
* Plan to feed by enteral way at a short term
* Written informed consent, signed by both parents.

Exclusion Criteria

* Congenital malformations that avoid enteral feeding
* immunosuppressor diseases
* Need for major surgery
* Persistent bleeding at any level
* Mother taking n-3 supplements and planning to breastfed
* Parents who decline the authorization for participating in the study
* Early discharge to other hospital outside the metropolitan area
Minimum Eligible Age

60 Minutes

Maximum Eligible Age

2 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Coordinación de Investigación en Salud, Mexico

OTHER_GOV

Sponsor Role lead

Responsible Party

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Mariela Bernabe García

Full Time Researcher

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Mariela Bernabe-Garcia, PhD

Role: PRINCIPAL_INVESTIGATOR

Instituto Mexicano del Seguro Social

Locations

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Unit of Research in Nutrition, Pediatric Hospital, Instituto Mexicano del Seguro Social

Mexico City, Mexico City, Mexico

Site Status

Countries

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Mexico

References

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Lopez-Alarcon M, Bernabe-Garcia M, Del Prado M, Rivera D, Ruiz G, Maldonado J, Villegas R. Docosahexaenoic acid administered in the acute phase protects the nutritional status of septic neonates. Nutrition. 2006 Jul-Aug;22(7-8):731-7. doi: 10.1016/j.nut.2006.04.002. Epub 2006 Jun 5.

Reference Type BACKGROUND
PMID: 16750345 (View on PubMed)

Lopez-Alarcon M, Bernabe-Garcia M, del Valle O, Gonzalez-Moreno G, Martinez-Basilea A, Villegas R. Oral administration of docosahexaenoic acid attenuates interleukin-1beta response and clinical course of septic neonates. Nutrition. 2012 Apr;28(4):384-90. doi: 10.1016/j.nut.2011.07.016. Epub 2011 Nov 12.

Reference Type BACKGROUND
PMID: 22079797 (View on PubMed)

Bernabe-Garcia M, Lopez-Alarcon M, Villegas-Silva R, Mancilla-Ramirez J, Rodriguez-Cruz M, Maldonado-Hernandez J, Chavez-Rueda KA, Blanco-Favela F, Espinoza-Garcia L, Lagunes-Salazar S. Beneficial Effects of Enteral Docosahexaenoic Acid on the Markers of Inflammation and Clinical Outcomes of Neonates Undergoing Cardiovascular Surgery: An Intervention Study. Ann Nutr Metab. 2016;69(1):15-23. doi: 10.1159/000447498. Epub 2016 Jul 9.

Reference Type BACKGROUND
PMID: 27394149 (View on PubMed)

Bernabe-Garcia M, Lopez-Alarcon M, Salgado-Sosa A, Villegas-Silva R, Maldonado-Hernandez J, Rodriguez-Cruz M, Rivas-Ruiz R, Chavez-Sanchez L, Blanco-Favela FA, Mancilla-Ramirez J, Gordillo-Alvarez V, Madrigal-Muniz O. Enteral Docosahexaenoic Acid Reduces Analgesic Administration in Neonates Undergoing Cardiovascular Surgery. Ann Nutr Metab. 2016;69(2):150-160. doi: 10.1159/000452227. Epub 2016 Nov 2.

Reference Type BACKGROUND
PMID: 27806350 (View on PubMed)

Bernabe-Garcia M, Villegas-Silva R, Villavicencio-Torres A, Calder PC, Rodriguez-Cruz M, Maldonado-Hernandez J, Macias-Loaiza D, Lopez-Alarcon M, Inda-Icaza P, Cruz-Reynoso L. Enteral Docosahexaenoic Acid and Retinopathy of Prematurity: A Randomized Clinical Trial. JPEN J Parenter Enteral Nutr. 2019 Sep;43(7):874-882. doi: 10.1002/jpen.1497. Epub 2019 Jan 6.

Reference Type RESULT
PMID: 30614004 (View on PubMed)

Other Identifiers

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R-2015-785-051

Identifier Type: -

Identifier Source: org_study_id

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