Effect of Intake in Bioactive Molecules From Natural or Pasteurised Milk on Gut Maturation in Very Premature Newborns
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Purpose
It seems important to correlate real consumption in bioactives molecules of natural milk versus pasteurized with gut maturation in very preterm infants during small enteral feeding protocol. This objective will be reached through a clinical trial.
| Condition | Intervention |
|---|---|
|
Premature Birth |
Other: blood samples , feces samples Other: blood samples, feces samples |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Intervention Model: Parallel Assignment Masking: Open Label |
| Official Title: | Effect of Intake in Bioactive Molecules From Natural or Pasteurised Milk on Gut Maturation in Very Premature Newborns |
- pasteurized milk [ Time Frame: 2 years ] [ Designated as safety issue: No ]infants born between 28 and 30 weeks of gestational age will receive small enteral feeding protocol with pasteurized milk
- natural milk [ Time Frame: 2 years ] [ Designated as safety issue: No ]infants born between 28 and 30 weeks of gestational age will receive small enteral feeding protocol with natural milk
| Estimated Enrollment: | 100 |
| Study Start Date: | February 2010 |
| Estimated Study Completion Date: | August 2012 |
| Estimated Primary Completion Date: | February 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Active Comparator: natural milk |
Other: blood samples, feces samples
After the 32nd week until the 36th week or the end of hospitalization,infants continued mother's native milk or received substitute.
|
| Experimental: pasteurized milk |
Other: blood samples , feces samples
After the 32nd week until the 36th week or the end of hospitalization,infants received mother's native milk or substitute.
|
Detailed Description:
One hundred infants born between 28 and 30 weeks of gestational age will be enrolled in our clinical trial in two neonatal units of Marseille; they will receive small enteral feeding protocol with natural or pasteurized milk (according to the Neonatology Department). Infants monitoring will be conducted from birth until 32 weeks of gestational age through extra-uterine growth, dietary type evolution and determination of gut maturation markers levels in blood (Triglycerides and Cholesterol, PUFA, GLP-2, I and L-FABP, Gastrin, Citrullin) and faeces (Calprotectine). We will also look for new biological markers of intestinal growth, via metabolomic approach. Consumption of bioactives molecules (PUFA, sphingomyelin, sCD14, insulin, leptin, lactoferrin, sphingomyelinase acid and BSSL activity) will be quantified in milk 24h-representative samples received by each newborn. The benefits on digestive tract physiology evolution due to the molecules consumption will be observed from the 32nd week until the 36th week or the end of hospitalization.
Eligibility| Ages Eligible for Study: | up to 1 Week |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Children whose term is understood(included) between 28 (27SA+6j past(over)) and 30 LIMITED COMPANIES (30 SA+6j).
- Children fed by digestive stimulation.
- Children in 1st day of food(supply)
- Term of certain child.
- Children not presenting a genic syndrome, an evolutionary neurological disease, a pathology malformative.
- Children among whom both holders of the parental authority are of more than 18 years old and are not major protected by the law or deprived of freedom.
- Children among whom the relatives(parents) or the legal representatives accepted the participation of their child in this study, and having signed a lit(enlightened) consent.
Exclusion Criteria:
- Children been born > 30 LIMITED COMPANIES and < 28 limited companies.
- Children presenting a genic syndrome, an evolutionary neurological disease, a pathology malformative.
- Children among whom the relatives(parents) or the legal representatives refused that their child participates in the study.
Contacts and Locations| Contact: CATHERINE GIRE | catherine.gire@ap-hm.fr |
| France | |
| Assistance Publique Hopitaux de Marseille | Recruiting |
| Marseille, France | |
| Contact: CATHERINE GIRE | |
| Principal Investigator: | CATHERINE GIRE | ASSITANCE PUBLIQUE HOPITAUX DE MARSEILLE |
| Principal Investigator: | CATHERINE GIRE | Assistance Publique Hopitaux De Marseille |
More Information
No publications provided
| Responsible Party: | Assistance Publique Hopitaux De Marseille |
| ClinicalTrials.gov Identifier: | NCT01177475 History of Changes |
| Other Study ID Numbers: | 2009-A00666-51, 2009 09 |
| Study First Received: | March 18, 2010 |
| Last Updated: | August 6, 2010 |
| Health Authority: | France: Afssaps - Agence française de sécurité sanitaire des produits de santé (Saint-Denis) |
Keywords provided by Assistance Publique Hopitaux De Marseille:
|
kidney-transplant recipients |
Additional relevant MeSH terms:
|
Premature Birth Obstetric Labor, Premature Obstetric Labor Complications Pregnancy Complications |
ClinicalTrials.gov processed this record on May 21, 2013