Lactoferrin Prophylaxis in VLBW and Regulator T-cells
Oral Lactoferrin Prophylaxis to Prevent Sepsis and Necrotising Enterocolitis of Very Low Birth Weight Neonates in Neonatal Intensive Care Unit and Effect on T-regulatory Cells.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
-
Ankara, Turkey, 06500
- Ankara University School of Medicine Department of Pediatrics, NICU
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Inborn infants
- Gestational age < 32 weeks
- Birth weight < 1500 g
- Parental consent
Exclusion Criteria:
- Congenital abnormalities
- Severe perinatal asphyxia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Placebo Comparator: Placebo
In born VLBW infants with parental consent form signed will be given oral saline daily as placebo until discharge
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Bovine lactoferrin 200 mg/daily, given with either human milk or preterm formula
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Experimental: Lactoferrin
In born VLBW infants with parental consent form signed will be given oral bovine lactoferrin daily until discharge
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Bovine lactoferrin 200 mg/daily, given with either human milk or preterm formula
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
late onset sepsis
Time Frame: from birth to discharge from NICU
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The effect of oral Lactoferrin prophylaxis on the number of culture proven sepsis attacks in very low birth weight infants during their hospitalization in neonatal intensive care unit.
Sterile blood, urine and cerebrospinal fluid samples will be obtained in case of clinical symptoms of sepsis for culture.
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from birth to discharge from NICU
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Necrotising enterocolitis
Time Frame: from birth to discharge from NICU
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The effect of oral Lactoferrin prophylaxis on severe necrotising enterocolitis (NEC) (Bell's stage 2 and 3) in very low birth infants during the hospitalization period in Neonatal intensive care unit.
In case of feeding intolerance, abdominal distention and findings of ileus with clinical deterioration, patient will be evaluated for thrombocytopenia, metabolic acidosis, hyponatremia, blood in stool and radiological findings of NEC.
Staging will be performed with clinical, laboratory and radiological findings.
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from birth to discharge from NICU
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Effect on T regulatory cells
Time Frame: at discharge
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FOXP3 expression on CD4+CD25+ T cells
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at discharge
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Safety of lactoferrin in VLBW infants
Time Frame: during the oral use of lactoferrin
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the effect oral lactoferrin use on feeding tolerance, abdominal distension, vomiting and gastric residuals
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during the oral use of lactoferrin
|
|
duration of hospitalization
Time Frame: from birth to discharge from neonatal intensive care unit
|
the effect of oral lactoferrin on the duration of hospitalization
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from birth to discharge from neonatal intensive care unit
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Chair: Saadet Arsan, Prof, Anlara University Chief of Neonatology
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
- Digestive System Diseases
- Pathologic Processes
- Infections
- Systemic Inflammatory Response Syndrome
- Inflammation
- Gastrointestinal Diseases
- Infant, Newborn, Diseases
- Body Weight
- Gastroenteritis
- Intestinal Diseases
- Sepsis
- Birth Weight
- Enterocolitis
- Enterocolitis, Necrotizing
- Neonatal Sepsis
- Anti-Infective Agents
- Lactoferrin
Other Study ID Numbers
Other Study ID Numbers
- Lactoferrin
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