Human Milk Oligosaccharides, Gut Bifidobacterium, Vitamin D, and Infant Immunity
HMO-BIFIDI
Human Milk Oligosaccharides in Breast Milk and Its Relation to Gut Bifidobacterium, Vitamin D and Immune Modulation in Infants
1 other identifier
observational
100
1 country
1
Brief Summary
The goal of this observational study is to learn how certain natural sugar components in breast milk may be linked with vitamin D level, healthy gut bacteria, and immune markers in healthy breastfed infants. The study will include exclusively breastfeeding mothers and their healthy infants aged 1 to 2 months. The main questions it aims to answer are:
- Is this natural sugar in breast milk linked with the baby's vitamin D level?
- Is this natural sugar in breast milk linked with healthy gut bacteria?
- Is this baby's vitamin D level linked with healthy gut bacteria?
- Is this natural sugar linked with immune factors in breast milk? Participants will answer health questions from questionnaire, undergo a brief physical examination, allow breast milk and a small baby blood sample to be collected, and provide an baby stool sample. Researchers will test these samples in the laboratory and analyze the results to answer the research questions.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for all trials
Started Jul 2025
Shorter than P25 for all trials
1 active site
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 30, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
October 23, 2025
CompletedFirst Submitted
Initial submission to the registry
April 29, 2026
CompletedFirst Posted
Study publicly available on registry
May 6, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
May 30, 2026
ExpectedMay 6, 2026
April 1, 2026
3 months
April 29, 2026
April 29, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Analysis maternal Human Milk Oligosaccharides (HMO) and Breast Milk (BM) Bifidobacterium and their correlation to gut Bifidobacterium, serum vitamin D and immune regulatory status in infants
This outcome analyze the correlation between maternal human milk oligosaccharide (secretor status, 2FL' level), Breast Milk (BM) Bifidobacterium, gut Bifidobacterium, serum vitamin D and immune regulatory status in infants in infants aged 1 to 2 months.
At enrollment (single time point, cross-sectional assessment)
Secondary Outcomes (6)
Association between maternal HMO and infant gut Bifidobacterium
At enrollment (single time point, cross-sectional assessment)
Association between maternal HMO and infant vitamin D level
At enrollment (single time point, cross-sectional assessment)
Association between maternal HMO and breast milk immune markers
At enrollment (single time point, cross-sectional assessment)
Association between breast milk Bifidobacterium and infant gut microbiota
At enrollment (single time point, cross-sectional assessment)
Association between breast milk Bifidobacterium and infant vitamin D level
At enrollment (single time point, cross-sectional assessment)
- +1 more secondary outcomes
Eligibility Criteria
The population in this study was a group of breastfeeding mothers and their babies who came to visit immunization activities at integrated health posts/community health centers in Makassar City, Indonesia
You may qualify if:
- Maternal Subject :
- Women aged at least 18 years who are physically healthy;
- Have a healthy baby aged 1-2 months with a full-term gestational age (37-42 weeks) and a normal birth weight (2500-4000 grams);
- Exclusively breastfeeding;
- Agree to participate in this study by signing an informed consent form.
- Infant Subjects :
You may not qualify if:
- Maternal Subject :
- Currently participating in another clinical trial;
- Having a condition such as a breast abscess or other breast pathology;
- Currently taking medications for conditions that may affect breast milk, such as antibiotics;
- Subjects who cannot comply with the study protocol
- Infant Subjects:
- Currently participating in another clinical trial;
- Having a history of antimicrobial treatment (oral or parenteral antibiotics);
- Subjects are unable to comply with the research protocol.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Hasanuddin Universitylead
- DSM-Firmenich AGcollaborator
Study Sites (1)
Hasanuddin University
Makassar, South Sulawesi, 90245, Indonesia
Biospecimen
Breast milk, blood, feces
Study Officials
- PRINCIPAL INVESTIGATOR
Bahrul Fikri, MD, Ph.D
Department of Pediatrics, Faculty of Medicine, Hasanuddin University
- STUDY DIRECTOR
Andi Raisyiah Akrimah Imran, MD, MHA
Department of Public Health and Family Medicine, Faculty of Medicine, Hasanuddin University
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Lecturer and Pediatrician, Department of Pediatrics, Faculty of Medicine, Hasanuddin University
Study Record Dates
First Submitted
April 29, 2026
First Posted
May 6, 2026
Study Start
July 30, 2025
Primary Completion
October 23, 2025
Study Completion (Estimated)
May 30, 2026
Last Updated
May 6, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
No individual participant data will be made publicly available. The study is supported by commercial funding from DSM-Firmenich, and participant-level data are subject to confidentiality and data-sharing restrictions under the research collaboration agreement. Any data access or sharing would require prior written approval from DSM-Firmenich and must comply with applicable ethical and regulatory requirements.