NCT03183440

Brief Summary

Allergies are increasing worldwide affecting 30-40% of the population. Among this, Atopic Dermatitis (AD) is the earliest and the most common manifestation of allergic diseases (prevalence 20%). Recent studies have shown that allergies were associated with a disruption of the gut microbial 'balance' suggesting that the use of nutritional intervention very early in life may restore an optimal pattern of microflora aiming at improving the host's health. So far, most human intervention studies have mainly focused on improving postnatal infant colonization. Our study will test the hypothesis that a maternal antenatal prebiotics (GOS/inulin) supplementation may be superior to placebo for AD prevention in high-risk children.

Trial Health

43
At Risk

Trial Health Score

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

Trial has exceeded expected completion date
Enrollment
376

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Feb 2018

Longer than P75 for not_applicable

Geographic Reach
1 country

6 active sites

Status
unknown

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

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 8, 2017

Completed
4 days until next milestone

First Posted

Study publicly available on registry

June 12, 2017

Completed
8 months until next milestone

Study Start

First participant enrolled

February 13, 2018

Completed
5.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2023

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2023

Completed
Last Updated

June 16, 2021

Status Verified

June 1, 2021

Enrollment Period

5.5 years

First QC Date

June 8, 2017

Last Update Submit

June 11, 2021

Conditions

Keywords

Atopic dermatitisPreventionPrebioticsPregnancy

Outcome Measures

Primary Outcomes (1)

  • atopic dermatitis prevalence at M12

    prevalence will be evaluated according to UK party working group criteria

    at 12 months of age

Secondary Outcomes (8)

  • atopic dermatitis prevalence at M6

    at 6 months of age

  • atopic dermatitis severity

    at 12 months of age

  • atopic dermatitis severity

    at 12 months of age

  • Quality of life of the child and his/her family

    at 12 months of age

  • Tolerance of the prebiotics in mothers

    from inclusion to delivery

  • +3 more secondary outcomes

Study Arms (2)

PREBIOTICS

EXPERIMENTAL

188 pregnant women

Dietary Supplement: PREBIOTICS

PLACEBO

PLACEBO COMPARATOR

188 pregnant women

Other: PLACEBO

Interventions

PREBIOTICSDIETARY_SUPPLEMENT

women will daily take a mixture of Galacto-Oligo-Saccharide/inulin (ratio 9:1) from inclusion to delivery

PREBIOTICS
PLACEBOOTHER

women will daily take placebo (maltodextrin) from inclusion to delivery

PLACEBO

Eligibility Criteria

Age18 Years+
Sexfemale
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • pregnant women with an eutocic pregnancy before 20 weeks of gestation
  • women with personal history of atopy diagnosed by a healthcare Professional
  • Women accepting a complete avoidance of dietary supplements containing prebiotics or probiotics during study supplementation
  • women accepting dermato-pediatric follow-up during the first year of life of the new-born (Phone calls at 24 weeks of gestation and 6 months of child and a consultation at 12 months of age)
  • non Tobacco user women
  • women over 18 years
  • women without history of severe gestational diabetes

You may not qualify if:

  • women not giving up on intake of dietary supplements containing prebiotics or probiotics during study supplementation
  • women refusing dermato-pediatric follow-up during the first year of the newborn
  • ongoing allergy and/or intolerance to cow's milk proteins
  • term \>21 weeks of gestation

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (6)

CHU Angers

Angers, France

WITHDRAWN

CHD Vendée

La Roche-sur-Yon, France

NOT YET RECRUITING

CHU Nantes

Nantes, France

RECRUITING

University Hospital

Rennes, France

RECRUITING

Centre Hospitalo Universitaire

Toulouse, France

RECRUITING

University Hospital

Tours, France

RECRUITING

Related Publications (2)

  • Barbarot S, Aubert H, Boivin M, Foureau A, Maruani A, Droitcourt C, Mazereeuw-Hautier J, Faurel-Paul E, Le Thuaut A, Tching-Sin M, Dochez V, Brosseau C, Bodinier M. Evaluation of antenatal prebiotic intake in infants at risk of atopy: the double-blind PREGRALL randomized clinical trial. Br J Dermatol. 2025 Nov 18:ljaf414. doi: 10.1093/bjd/ljaf414. Online ahead of print.

  • Cabridain C, Aubert H, Kaeffer B, Badon V, Boivin M, Dochez V, Winer N, Faurel-Paul E, Planche L, Riochet D, Maruani A, Perrotin F, Droitcourt C, Lassel L, Tching-Sin M, Rogers NK, Bodinier M, Barbarot S. Effectiveness of an antenatal maternal supplementation with prebiotics for preventing atopic dermatitis in high-risk children (the PREGRALL study): protocol for a randomised controlled trial. BMJ Open. 2019 Apr 20;9(4):e024974. doi: 10.1136/bmjopen-2018-024974.

MeSH Terms

Conditions

Dermatitis, Atopic

Interventions

Prebiotics

Condition Hierarchy (Ancestors)

Skin Diseases, GeneticGenetic Diseases, InbornCongenital, Hereditary, and Neonatal Diseases and AbnormalitiesDermatitisSkin DiseasesSkin and Connective Tissue DiseasesSkin Diseases, EczematousHypersensitivity, ImmediateHypersensitivityImmune System Diseases

Intervention Hierarchy (Ancestors)

Dietary FiberDietary CarbohydratesCarbohydratesPolysaccharides, BacterialPolysaccharidesFoodDiet, Food, and NutritionPhysiological PhenomenaDietary SupplementsFood and Beverages

Central Study Contacts

Hélène AUBERT, Dr

CONTACT

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
SPONSOR

Study Record Dates

First Submitted

June 8, 2017

First Posted

June 12, 2017

Study Start

February 13, 2018

Primary Completion

August 1, 2023

Study Completion

August 1, 2023

Last Updated

June 16, 2021

Record last verified: 2021-06

Locations