NCT06810154

Brief Summary

The goal of this clinical trial is to evaluate whether multi-strain probiotics of lactobacillus and bifidobacterium can prevent necrotizing enterocolitis (NEC) in preterm infants born at less than 32 weeks of gestation. The main questions it aims to answer are:

  • Does the use of a multi-strain probiotic combination reduce the incidence of NEC in preterm infants?
  • Are there any adverse effects associated with the administration of this probiotic combination?

Trial Health

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Trial Health Score

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

Enrollment
2,170

participants targeted

Target at P75+ for phase_3

Timeline
25mo left

Started Jun 2025

Typical duration for phase_3

Geographic Reach
1 country

4 active sites

Status
not yet recruiting

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 Progress31%
Jun 2025May 2028

First Submitted

Initial submission to the registry

January 20, 2025

Completed
16 days until next milestone

First Posted

Study publicly available on registry

February 5, 2025

Completed
4 months until next milestone

Study Start

First participant enrolled

June 1, 2025

Completed
2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 30, 2027

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 30, 2028

Last Updated

February 5, 2025

Status Verified

January 1, 2025

Enrollment Period

2 years

First QC Date

January 20, 2025

Last Update Submit

January 30, 2025

Conditions

Keywords

ProbioticsNecrotizing enteroclitispreterm infants

Outcome Measures

Primary Outcomes (1)

  • Incidence of necrotizing enterocolitis (NEC

    NEC defined in CNN according to modified Bell's criteria.

    From date of randomization until the date of 34 weeks corrected gestational age or or date of death from any cause, whichever came first

Secondary Outcomes (4)

  • Survival

    From date of randomization until the date of 34 weeks corrected gestational age

  • Late-onset sepsis

    From date of randomization until the date of 34 weeks corrected gestational age or or date of death from any cause, whichever came first

  • Growth anthropometrics at 36 weeks corrected gestation

    at 36 weeks corrected age or discharge from level III NICU whichever occure first.

  • Time to achieve full enteral feed

    From date of randomization until the date of 34 weeks corrected gestational age or or date of death from any cause, whichever came first

Other Outcomes (1)

  • Probiotic sepsis

    birth to discharge from level III NICU or 34 weeks corrected age whichever comes first

Study Arms (2)

Control

NO INTERVENTION

Infants will not receive any probiotics.

Multi-strain probiotics

EXPERIMENTAL

Infants will be started on probiotics (Bifidobacterium and Lacticaseibacillus) within 24 hours of commencing enteral feeds.

Biological: Multi-strain probiotics

Interventions

Infants will be started on probiotics (Bifidobacterium and Lacticaseibacillus) with enetral feed.

Multi-strain probiotics

Eligibility Criteria

Age0 Hours - 72 Hours
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Infants born between \<32 0/7 weeks gestation.

You may not qualify if:

  • Major congenital or chromosomal abnormalities
  • Conditions affecting gastrointestinal systems that prohibit infants from starting on feed in the first 72 hours after birth.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Foothills Medical Center

Calgary, Alberta, T2Z 2G9, Canada

Location

Royal Alexandra Hospital

Edmonton, Alberta, Canada

Location

Children's and Women's health of Britch Columbia

Vancouver, British Columbia, Canada

Location

IWK

Halifax, Canada

Location

MeSH Terms

Conditions

Enterocolitis, Necrotizing

Condition Hierarchy (Ancestors)

EnterocolitisGastroenteritisGastrointestinal DiseasesDigestive System DiseasesIntestinal Diseases

Central Study Contacts

Belal N Alshaikh, MD, MSc

CONTACT

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
PREVENTION
Intervention Model
SEQUENTIAL
Model Details: A Stepped-Wedge Cluster Randomized Trial
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Principle investigator

Study Record Dates

First Submitted

January 20, 2025

First Posted

February 5, 2025

Study Start

June 1, 2025

Primary Completion (Estimated)

May 30, 2027

Study Completion (Estimated)

May 30, 2028

Last Updated

February 5, 2025

Record last verified: 2025-01

Locations