NCT02912585

Brief Summary

Infections are the main causes of morbidity and mortality in very low birth weight infants. Use of mother's own breast milk in feeding these babies is associated with a decreased risk of acquiring nosocomial infection. This protective effect is assigned to a plurality of immune components in human milk. However, clinical instability of the preterm newborn in the first days of life results in delayed initiation of enteral nutrition. Thus, alternative methods for colostrum administration have been investigated, such as oropharyngeal administration with evidence that would be safe and feasible to perform in children admitted to the NICU in the first hours of life. Objective: To evaluate the immune stimulatory effect of oropharyngeal administration of colostrum in the incidence of sepsis in very low birth weight preterm infants.

Trial Health

100
On Track

Trial Health Score

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

Enrollment
145

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jul 2013

Typical duration for not_applicable

Status
completed

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

Study Start

First participant enrolled

July 1, 2013

Completed
3 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2016

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

July 1, 2016

Completed
26 days until next milestone

First Submitted

Initial submission to the registry

July 27, 2016

Completed
2 months until next milestone

First Posted

Study publicly available on registry

September 23, 2016

Completed
Last Updated

September 23, 2016

Status Verified

September 1, 2016

Enrollment Period

3 years

First QC Date

July 27, 2016

Last Update Submit

September 22, 2016

Conditions

Keywords

colostrum

Outcome Measures

Primary Outcomes (2)

  • Incidence of late-onset sepsis

    Number of participants with late-onset sepsis

    an average of 3 months

  • Measurement of immunologic factors in urine and blood samples using enzyme-linked immunoassay (ELISA).

    ELISA Index of immunologic factors in urine and blood samples

    an average of 3 months

Study Arms (3)

Own mother's colostrum

EXPERIMENTAL

Oropharyngeal administration of own mother's colostrum.

Biological: Oropharyngeal administration of own mother's colostrum

Placebo

PLACEBO COMPARATOR

Oropharyngeal administration of sterile water.

Other: Oropharyngeal administration of sterile water (placebo)

Donor human milk

ACTIVE COMPARATOR

Oropharyngeal administration of donor human milk.

Biological: Oropharyngeal administration of donor human milk

Interventions

Also known as: OMC Group
Own mother's colostrum
Also known as: Placebo Group
Placebo
Also known as: DHM Group
Donor human milk

Eligibility Criteria

Age72 Hours - 5 Days
Sexall
Healthy VolunteersYes
Age GroupsChild (0-17)

You may qualify if:

  • Birth weight \< 1500 g and gestational age \< 34 weeks

You may not qualify if:

  • congenital anomalies
  • gastrointestinal disorders
  • maternal history of substance abuse or positive maternal HIV status.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Related Publications (1)

  • Ferreira DMLM, Oliveira AMM, de Leves DV, de Bem EB, Fatureto GG, Navarro NF, Afonso NG, Santiago FM, Mineo JR, Sopelete MC, Martinez FE, Bernardino Neto M, Abdallah VOS. Randomized Controlled Trial of Oropharyngeal Colostrum Administration in Very-low-birth-weight Preterm Infants. J Pediatr Gastroenterol Nutr. 2019 Jul;69(1):126-130. doi: 10.1097/MPG.0000000000002356.

MeSH Terms

Conditions

Health Behavior

Condition Hierarchy (Ancestors)

Behavior

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principal Investigator / Professor of Pediatrics / Head of Neonatology Division

Study Record Dates

First Submitted

July 27, 2016

First Posted

September 23, 2016

Study Start

July 1, 2013

Primary Completion

July 1, 2016

Study Completion

July 1, 2016

Last Updated

September 23, 2016

Record last verified: 2016-09

Data Sharing

IPD Sharing
Will not share