Efficacy Of Antenatal Maternal Supplementation With GOS/Inulin Prebiotics On Atopic Dermatitis Prevalence In High-Risk One-Year-Old Children

NCT ID: NCT03183440

Last Updated: 2021-06-16

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

376 participants

Study Classification

INTERVENTIONAL

Study Start Date

2018-02-13

Study Completion Date

2023-08-31

Brief Summary

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Allergies are increasing worldwide affecting 30-40% of the population. Among this, Atopic Dermatitis (AD) is the earliest and the most common manifestation of allergic diseases (prevalence 20%). Recent studies have shown that allergies were associated with a disruption of the gut microbial 'balance' suggesting that the use of nutritional intervention very early in life may restore an optimal pattern of microflora aiming at improving the host's health. So far, most human intervention studies have mainly focused on improving postnatal infant colonization. Our study will test the hypothesis that a maternal antenatal prebiotics (GOS/inulin) supplementation may be superior to placebo for AD prevention in high-risk children.

Detailed Description

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Study design :

Inclusion visit at 20 weeks of gestation :

* randomization
* start of supplementation (GOS/inulin or placebo)

Phone call at 24 weeks of gestation :

* checking tolerance
* checking observance

32 weeks of gestation visit :
* replenishment of prebiotics
* collect of AE

Day 1 : assessment of the Transepidermal Waterlos evaluated by a TEWAMETER

Delivery/per partum Visit

At M3 : The national recommendations for the dietary diversification of the child will be transmitted to the patients

At M6 : evaluation of AD prevalence by parents

At M12 : Pediatric dermatology consultation

* clinical exam of child
* the SCORAD
* the POEM questionnaire
* prevalence of AD
* skin prick tests
* FDQLI score
* assessment of the Transepidermal Waterlos evaluated by a TEWAMETER
* prevalence of food allergies

Conditions

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Dermatitis, Atopic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

TRIPLE

Participants Caregivers Investigators

Study Groups

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PREBIOTICS

188 pregnant women

Group Type EXPERIMENTAL

PREBIOTICS

Intervention Type DIETARY_SUPPLEMENT

women will daily take a mixture of Galacto-Oligo-Saccharide/inulin (ratio 9:1) from inclusion to delivery

PLACEBO

188 pregnant women

Group Type PLACEBO_COMPARATOR

PLACEBO

Intervention Type OTHER

women will daily take placebo (maltodextrin) from inclusion to delivery

Interventions

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PREBIOTICS

women will daily take a mixture of Galacto-Oligo-Saccharide/inulin (ratio 9:1) from inclusion to delivery

Intervention Type DIETARY_SUPPLEMENT

PLACEBO

women will daily take placebo (maltodextrin) from inclusion to delivery

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* pregnant women with an eutocic pregnancy before 20 weeks of gestation
* women with personal history of atopy diagnosed by a healthcare Professional
* Women accepting a complete avoidance of dietary supplements containing prebiotics or probiotics during study supplementation
* women accepting dermato-pediatric follow-up during the first year of life of the new-born (Phone calls at 24 weeks of gestation and 6 months of child and a consultation at 12 months of age)
* non Tobacco user women
* women over 18 years
* women without history of severe gestational diabetes

Exclusion Criteria

* women not giving up on intake of dietary supplements containing prebiotics or probiotics during study supplementation
* women refusing dermato-pediatric follow-up during the first year of the newborn
* ongoing allergy and/or intolerance to cow's milk proteins
* term \>21 weeks of gestation
Minimum Eligible Age

18 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Nantes University Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Angers

Angers, , France

Site Status WITHDRAWN

CHD Vendée

La Roche-sur-Yon, , France

Site Status NOT_YET_RECRUITING

CHU Nantes

Nantes, , France

Site Status RECRUITING

University Hospital

Rennes, , France

Site Status RECRUITING

Centre Hospitalo Universitaire

Toulouse, , France

Site Status RECRUITING

University Hospital

Tours, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Sebastien BARBAROT, Dr

Role: CONTACT

(0)240084086 ext. +33

Hélène AUBERT, Dr

Role: CONTACT

Facility Contacts

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Guillaume DUCARME

Role: primary

Vincent DOCHEZ

Role: primary

Delphine DUCHANOIS

Role: primary

References

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Cabridain C, Aubert H, Kaeffer B, Badon V, Boivin M, Dochez V, Winer N, Faurel-Paul E, Planche L, Riochet D, Maruani A, Perrotin F, Droitcourt C, Lassel L, Tching-Sin M, Rogers NK, Bodinier M, Barbarot S. Effectiveness of an antenatal maternal supplementation with prebiotics for preventing atopic dermatitis in high-risk children (the PREGRALL study): protocol for a randomised controlled trial. BMJ Open. 2019 Apr 20;9(4):e024974. doi: 10.1136/bmjopen-2018-024974.

Reference Type DERIVED
PMID: 31005913 (View on PubMed)

Other Identifiers

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RC16_0012

Identifier Type: -

Identifier Source: org_study_id

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