Early Human Milk Fortification After Early, Exclusive, Enteral Nutrition in Very Preterm Infants

NCT ID: NCT05525585

Last Updated: 2025-11-24

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

ACTIVE_NOT_RECRUITING

Clinical Phase

NA

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-11-17

Study Completion Date

2026-05-31

Brief Summary

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In this proposed clinical trial, the investigators will randomize 80 very preterm (VPT) infants to receive either early (between day 4 and 7) or delayed (between day 10 and 14) fortification and determine if providing early protein supplementation through early fortification results in higher FFM-for-age z scores and more diversity in the gut microbiome.

Detailed Description

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Conditions

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Prematurity Light-For-Dates Enteral Feeding Intolerance

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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Early human milk fortification (HMF) group

A human milk fortifier will be added to the feeds between days 4 to 7, after a total feeding volume greater than 120 ml/kg/day is achieved.

Group Type EXPERIMENTAL

Early HMF

Intervention Type DIETARY_SUPPLEMENT

Mom's milk or donor milk will be fortified between postnatal day 4 and 7

Delayed human milk fortification (HMF) group

A human milk fortifier will be added to the feeds between days 10 to 14, after a total feeding volume greater than 120 ml/kg/day is achieved.

Group Type ACTIVE_COMPARATOR

Delayed HMF

Intervention Type DIETARY_SUPPLEMENT

Mom's milk or donor milk will be fortified between postnatal day 10 and 14

Interventions

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Early HMF

Mom's milk or donor milk will be fortified between postnatal day 4 and 7

Intervention Type DIETARY_SUPPLEMENT

Delayed HMF

Mom's milk or donor milk will be fortified between postnatal day 10 and 14

Intervention Type DIETARY_SUPPLEMENT

Eligibility Criteria

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Inclusion Criteria

* Gestational age 29 to 33 weeks of gestation
* Birth weight \< 1800 g
* Postnatal age \< 96 hours

Exclusion Criteria

* Small for gestational age (\<5th percentile)
* Major congenital/chromosomal anomalies
* Terminal illness needing withhold or limit support
Minimum Eligible Age

1 Day

Maximum Eligible Age

4 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mead Johnson Nutrition

INDUSTRY

Sponsor Role collaborator

University of Alabama at Birmingham

OTHER

Sponsor Role lead

Responsible Party

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Ariel A. Salas

Associate Professor of Pediatrics

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ariel A. Salas, MD, MSPH

Role: PRINCIPAL_INVESTIGATOR

University of Alabama at Birmingham

Locations

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University of Alabama at Birmingham

Birmingham, Alabama, United States

Site Status

Countries

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United States

References

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Salas AA, Gunawan E, Jeffcoat S, Nguyen K. Early full enteral nutrition with fortified milk in very preterm infants: a randomized clinical trial. Am J Clin Nutr. 2025 May;121(5):1117-1123. doi: 10.1016/j.ajcnut.2025.02.019. Epub 2025 Feb 21.

Reference Type RESULT
PMID: 39986385 (View on PubMed)

Other Identifiers

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000538159

Identifier Type: OTHER_GRANT

Identifier Source: secondary_id

300009921

Identifier Type: -

Identifier Source: org_study_id

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