NCT01821989

Brief Summary

Hypothesis: Orally ingested lactoferrin has effects on promotion of growth and differentiation of the immature gut; also it has immunomodulatory properties, so it will prevent serious infections in preterm infants. The aim of the study is to:

  • Evaluate the effectiveness of oral lactoferrin in prevention of neonatal sepsis.
  • Compare two dose regiment of lactoferrin supplementation.
  • Study effect of lactoferrin supplementation on serum iron stores. It is a prospective, randomized, double blind, placebo-controlled study, it will include 180 preterm neonates admitted to the Neonatal Intensive Care Units of of Ain Shams University Hospitals and Manshiet El Bakry Hospital.
  • Group A: Who will receive oral lactoferrin supplementation in a dose of 100 mg/day.
  • Group B: Who will receive oral lactoferrin supplementation in a dose of 150 mg/kg/ twice daily.
  • Group C (Controls): Who match the subjected neonates, will receive placebo in form of distilled water.

Trial Health

55
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
180

participants targeted

Target at P75+ for early_phase_1

Geographic Reach
1 country

1 active site

Status
unknown

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 27, 2013

Completed
5 days until next milestone

First Posted

Study publicly available on registry

April 1, 2013

Completed
2 months until next milestone

Study Start

First participant enrolled

June 1, 2013

Completed
2.6 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2016

Completed
Last Updated

May 12, 2014

Status Verified

May 1, 2014

Enrollment Period

2.6 years

First QC Date

March 27, 2013

Last Update Submit

May 8, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • Blood culture

    2 years

Secondary Outcomes (1)

  • Complete blood count with differential leucocytic count.

    2 years

Other Outcomes (1)

  • C reactive protein quantitative assay

    2 years

Study Arms (3)

Low Dose

ACTIVE COMPARATOR

Lactoferrin,dose of 100 mg/day.

Dietary Supplement: Lactoferrin

High Dose

EXPERIMENTAL

Lactoferrin, dose of 150 mg/kg/ twice daily.

Dietary Supplement: Lactoferrin

Control

PLACEBO COMPARATOR

Receive placebo in form of distilled water.

Dietary Supplement: Placebo

Interventions

LactoferrinDIETARY_SUPPLEMENT

dose of 100 mg/day

Low Dose
PlaceboDIETARY_SUPPLEMENT

in form of distilled water

Control

Eligibility Criteria

AgeUp to 28 Days
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Neonates with a birth weight between 500g and 2500g.
  • Neonates with a ≤ 36 weeks of gestation counting from the first day of the Last Menstrual Period.
  • Preterm neonates born in, or referred to the Neonatal Intensive Care Units of one of the participating hospitals in the first 48 hours of life.

You may not qualify if:

  • Neonates with underlying gastrointestinal problems that prevent oral intake.
  • Neonates with predisposing conditions that profoundly affect growth and development (chromosomal abnormalities, structural brain anomalies, severe congenital abnormalities).
  • Neonates with a family background of cow milk allergy.
  • Neonates who will not have the chance to complete the study time (who will be referred to another hospitals).
  • Neonates whose parents decline to participate.
  • Neonates with early onset sepsis.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Ain Shams University

Cairo, Abassia, Egypt

Location

MeSH Terms

Conditions

Neonatal Sepsis

Interventions

Lactoferrin

Condition Hierarchy (Ancestors)

SepsisInfectionsInfant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesSystemic Inflammatory Response SyndromeInflammationPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Serine EndopeptidasesEndopeptidasesPeptide HydrolasesHydrolasesEnzymesEnzymes and CoenzymesSerine ProteasesGlycoproteinsGlycoconjugatesCarbohydratesTransferrinsIron-Binding ProteinsCarrier ProteinsProteinsAmino Acids, Peptides, and ProteinsLactoglobulinsWhey ProteinsMilk ProteinsAnimal Proteins, DietaryDietary ProteinsGlobulinsMetalloproteins

Central Study Contacts

Mostafa AM Elmokadem, Master

CONTACT

Study Design

Study Type
interventional
Phase
early phase 1
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
neonatologist

Study Record Dates

First Submitted

March 27, 2013

First Posted

April 1, 2013

Study Start

June 1, 2013

Primary Completion

January 1, 2016

Last Updated

May 12, 2014

Record last verified: 2014-05

Locations