Enteral Feeding in Infants With Duct Dependant Lesions.

NCT ID: NCT05117164

Last Updated: 2022-07-20

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

NOT_YET_RECRUITING

Clinical Phase

NA

Total Enrollment

384 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-08-10

Study Completion Date

2026-12-31

Brief Summary

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This is a multicenter randomised controlled trial to assess whether standardised enteral feeding in newborns with duct dependenty congenital heart disease decreases the risk of necrotising enterocolitis (NEC). The investigators plan to include a total 384 infants. The study will be carried out in three level III hospitals in Poland. The primary end will be NEC and/or death. Secondary end points include weight gain, hospital length of stay, time required to reach full feeding.

Detailed Description

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Conditions

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Duct Dependent Lesions Necrotising Enterocolitis Death Growth

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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control group

Patients will receive enteral feeding based on the practice of the leading physician.

Group Type NO_INTERVENTION

No interventions assigned to this group

intervention

Infants will receive enteral feeding based on the following protocol.

Enteral nutrition Minimal enteral nutrition (MEN) will begin within 72 hours life at 10 to 20. mL/kg/day, via bolus gravity breast milk/donor human milk. MEN will not be included in the caloric goals.

Advancements in feeding will be set at 20-30 mL/kg/day, but not more than 10ml per feeding portion to reach a goal of 150ml/kg/day, but not than 120ml/kg/day cases of fluid restriction).

The goal will be to reach an overall daily caloric intake of minimum 100kcal/kg/d.

Group Type EXPERIMENTAL

enteral feeding as per predefined protocol

Intervention Type OTHER

Infants will receive enteral feeding based on the following protocol.

Enteral nutrition Minimal enteral nutrition (MEN) will begin within 72 hours life at 10 to 20. mL/kg/day, via bolus gravity breast milk/donor human milk. MEN will not be included in the caloric goals.

Advancements in feeding will be set at 20-30 mL/kg/day, but not more than 10ml per feeding portion to reach a goal of 150ml/kg/day, but not than 120ml/kg/day cases of fluid restriction).

The goal will be to reach an overall daily caloric intake of minimum 100kcal/kg/d.

Interventions

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enteral feeding as per predefined protocol

Infants will receive enteral feeding based on the following protocol.

Enteral nutrition Minimal enteral nutrition (MEN) will begin within 72 hours life at 10 to 20. mL/kg/day, via bolus gravity breast milk/donor human milk. MEN will not be included in the caloric goals.

Advancements in feeding will be set at 20-30 mL/kg/day, but not more than 10ml per feeding portion to reach a goal of 150ml/kg/day, but not than 120ml/kg/day cases of fluid restriction).

The goal will be to reach an overall daily caloric intake of minimum 100kcal/kg/d.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Duct dependent congenital heart disease
2. Term infants
3. Parental/legal guardian consent

Exclusion Criteria

1. Potential contradictions to early central feeding
2. Feeding intolerance
3. Hemodynamic instability
4. Death
5. \> 50% formula based enteral feeding
6. Birth weight less than 2500g
Minimum Eligible Age

1 Minute

Maximum Eligible Age

72 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Princess Anna Mazowiecka Hospital, Warsaw, Poland

OTHER

Sponsor Role lead

Responsible Party

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Joanna Seliga-Siwecka

Principal investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Renata Bokiniec, MD PhD

Role: STUDY_CHAIR

Medical University of Warsaw

Joanna Seliga-Siwecka, MD PhD

Role: STUDY_DIRECTOR

Medical University of Warsaw

Ariel Płotko

Role: PRINCIPAL_INVESTIGATOR

Medical University of Warsaw

Agata Wojcik-Sep

Role: PRINCIPAL_INVESTIGATOR

Medical University of Warsaw

Locations

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Department of Neonatology and Neonatal Intensive Care Warsaw Medical University

Warsaw, , Poland

Site Status

Princess Anna Mazowiecka Hospital

Warsaw, , Poland

Site Status

Countries

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Poland

Central Contacts

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Ariel Płotko, MD

Role: CONTACT

004822596136

Renata Bokiniec, MD PhD

Role: CONTACT

004822596155

Facility Contacts

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Joanna Seliga-Siwecka

Role: primary

References

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Seliga-Siwecka J, Plotko A, Wojcik-Sep A, Bokiniec R, Latka-Grot J, Zuk M, Furmanczyk K, Zielinski W, Chrzanowska M. Effect of standardized vs. local preoperative enteral feeding practice on the incidence of NEC in infants with duct dependent lesions: Protocol for a randomized control trial. Front Cardiovasc Med. 2022 Sep 8;9:893764. doi: 10.3389/fcvm.2022.893764. eCollection 2022.

Reference Type DERIVED
PMID: 36158805 (View on PubMed)

Other Identifiers

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CARDIOFEED

Identifier Type: -

Identifier Source: org_study_id

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