Probiotics Reduce Incidence of Necrotizing Enterocolitis for Very Low Birth Weight Infants
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Purpose
We investigate the efficacy of probiotics in reducing the incidence and severity of necrotizing enterocolitis (NEC) for very low birth weight (VLBW) infants.A prospective, masked, multi-center randomized control trial will be conducted level III neonatal center to evaluate the beneficial effects of probiotics for NEC among VLBW (<1500 g) infants. VLBW infants who start to feed enterally are eligible and are randomized into 2 groups after parental informed consents were obtained. Infants in the study group are fed with Infloran (Lactobacillus acidophilus and Bifidobacterium bifidus) with breast or formula milk twice daily for 6 weeks. Infants in the control group are fed with breast or formula milk alone. The clinicians caring for the infants are blinded to the group assignment. The primary outcome measurement is death or NEC (≧stage 2).
| Condition | Intervention | Phase |
|---|---|---|
|
Enterocolitis, Necrotizing |
Dietary Supplement: infloran |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Outcomes Assessor) Primary Purpose: Prevention |
| Official Title: | Phase 2 Study of Oral Probiotics Reduce the Incidence and Severity of Necrotizing Enterocolitis for Very Low Birth Weight Infants -Multi-Center Randomized Control Trial |
- The primary outcome measurement was death or NEC (≧stage 2) [ Time Frame: From April 1, 2005 to May 30, 2007 ]
- Secondary outcome were culture proved sepsis, chronic lung disease, periventricular leukomalacia (PVL) , weight gain per week, duration of TPN, lengthy of stay, cost effective analysis. [ Time Frame: From April 1, 2005 to May 30, 2007, ]
| Enrollment: | 217 |
| Study Start Date: | February 2005 |
| Study Completion Date: | June 2007 |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 2
Study arm was fed with probiotics as infloran 125mg/kg/dose twice daily by adding it to breast milk or mixed feeding (breast and formula) for 6 weeks; the control arm was fed with breast milk or mixed feeding without probiotics.
|
Dietary Supplement: infloran
Study group was fed with probiotics as infloran 125mg/kg/dose twice daily by adding it to breast milk or mixed feeding (breast and formula) for 6 weeks;
Dietary Supplement: infloran
Study group was fed with infloran [Lactobacilli acidophilus (CFU 109 NCDO 1748, obtained from the National Collection of Dairy Organisms)] and Bifidobacteria bifidum [(CFU 109, NCDO 1453 obtained from the National Collection of Dairy Organisms)]; Laboratorio Farmaceutico S.I.T S.r.I ITALY] 125mg/kg/dose twice daily by adding it to breast milk or mixed feeding (breast and formula) for 6 weeks;
|
Show Detailed Description
Eligibility| Ages Eligible for Study: | up to 3 Weeks |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
Inclusion Criteria:
- Preterm VLBW infants (birth weight < 1500 gm) who are enterally fed are eligible for the trial.
Exclusion Criteria:
- Preterm VLBW infants who have severe asphyxia (stage III), fetal chromosome anomalies, fetal cyanotic congenital heart disease, congenital intestine atresia, gastroschisis and omphalocele are excluded.
Contacts and Locations| Taiwan | |
| Department of Pediatrics, Children Hospital, China Medical University, Taichung, Taiwan | |
| Taichung,, Taiwan, 404 | |
| Study Chair: | HUNG-CHIH LIN, MD | Department of Pediatrics, Children Hospital, China Medical University, Taichung, Taiwan |
More Information
No publications provided by China Medical University Hospital
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| ClinicalTrials.gov Identifier: | NCT00540033 History of Changes |
| Other Study ID Numbers: | DMR94-IRB-14 |
| Study First Received: | October 3, 2007 |
| Last Updated: | October 4, 2007 |
| Health Authority: | Taiwan: Department of Health |
Keywords provided by China Medical University Hospital:
|
probiotics necrotizing enterocolitis preterm very low birth weight infants (VLBW) |
Additional relevant MeSH terms:
|
Birth Weight Enterocolitis Enterocolitis, Necrotizing Body Weight Signs and Symptoms |
Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Intestinal Diseases |
ClinicalTrials.gov processed this record on June 17, 2013