Cohort of Premature Newborns for Charaterization of the Digestive Microbiota in Ulcerative Necrotizing Enterocolitis in Premature Infants

NCT ID: NCT04972734

Last Updated: 2024-01-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

400 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-07-02

Study Completion Date

2025-01-01

Brief Summary

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Compare the bacterial digestive microbiota during the stay in neonatal intensive care between a group of premature newborns developing a NEC (necrotizing enterocolitis) and a group of newborns free from NEC.

Detailed Description

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Monitoring of a cohort of premature newborns with constitution of a collection of biological samples.

follow-up of newborns from birth up to 37 weeks of amenorrhea. The medical care of children will not be affected by their participation in the research.

* Sampling of amniotic fluid at the time of rupture of the water bag
* Sampling of the blood contained in the umbilical cord after clamping and section of the cord
* Sampling of meconium during the first 24 hours of life in intensive care / neonatal / maternity ward
* Collection of a daily stool sample until the end of hospitalization and when a NEC occurs
* Sampling of gastric residues during an episode of NEC
* Taking a daily sample of the newborn's enteral food
* Sampling of 500 µL of additional blood weekly during the punctures made for the treatment
* Daily statement of constants
* Record of all complications related to prematurity (HIV, bronchodysplastic, sepsis)

* Blood analysis: CBC, platelets and CRP (data analyzed as part of the treatment). Specific analyzes for research will assess: the level of tryptase, IL4 and TLR4. The samples will be stored and analyzed in the immunology laboratory of the CHU Clermont Ferrand (Pr B. Evrard)
* Analysis of the meconium sample and each stool emitted during hospitalization, and during an episode of ECUN

Conditions

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Necrotizing Enterocolitis Premature Birth

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

OTHER

Blinding Strategy

NONE

Study Groups

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NEC

premature newborns developing a NEC

Group Type EXPERIMENTAL

premature newborns developing a NEC

Intervention Type BIOLOGICAL

weekly Blood sample and daily Stools sample during 12 weeks + Blood and stool sample during NEC

Healthy control

premature newborns without NEC

Group Type ACTIVE_COMPARATOR

premature newborns without NEC

Intervention Type BIOLOGICAL

weekly Blood sample and daily Stools sample during 12 weeks

Interventions

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premature newborns developing a NEC

weekly Blood sample and daily Stools sample during 12 weeks + Blood and stool sample during NEC

Intervention Type BIOLOGICAL

premature newborns without NEC

weekly Blood sample and daily Stools sample during 12 weeks

Intervention Type BIOLOGICAL

Eligibility Criteria

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Inclusion Criteria

* born prematurely \< 37 weeks of amenorrhea at the maternity ward of the CHU
* affiliated with a social security regime
* the holders of parental authority are able to give an informed consent to participate in the research

Exclusion Criteria

* fetal pathology
* newborns whose holders of parental authority are under guardianship or under the age of 18
* refusal of participation by holders of parental authority
Minimum Eligible Age

1 Minute

Maximum Eligible Age

2 Minutes

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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MEDIS Laboratory

UNKNOWN

Sponsor Role collaborator

QUAPA

UNKNOWN

Sponsor Role collaborator

ENTeRisk

UNKNOWN

Sponsor Role collaborator

University Hospital, Clermont-Ferrand

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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CHU Clermont-Ferrand

Clermont-Ferrand, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Lise Laclautre

Role: CONTACT

04 73 75 11 95

Facility Contacts

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Lise Laclautre

Role: primary

04 73 75 11 95

Other Identifiers

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RBHP 2021 PONS

Identifier Type: -

Identifier Source: org_study_id

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