- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02226263
Severe Necrotizing Enterocolitis in Preterm Newborns <1500g Using Probiotics (EPP)
Incidence of Severe Necrotizing Enterocolitis in Preterm Newborns <1500g Using Probiotics Lactobacillus Boucardii.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The investigators performed a clinical, randomized, double-blind trial in preterm infants <1500g from March 1, 2010 to February 28, 2012. Group A received enteral stimulation trophic five days and later increments 20ml/k/day of breast milk or formula for premature; the group B apart from the above the probiotic Lactobacillus acidophilus (boucardii strain) 1 X109 colonic forming unit (CFU)/ day for 4 weeks was added. Gastric tolerance, evolution, reason for discharge, and the development of Necrotizing enterocolitis was monitored. The diagnosis of Necrotizing enterocolitis was made by the treating physician according to Bell's criteria and was blinded to group assignments.The formulas were prepared by one of the investigators according to the group each patient was assigned. Using sterile technique, the probiotic with 1x109 (CFU) Lactobacillus acidophilus (boucardii strain) was added at a dose of 125 mg/ kg/dose twice daily for 4 weeks to fresh supplement breast milk or formula for preterm infants. In case of control group only breast milk or formula for preterm infants was used.
All formulas were labeled for each patient and were delivered to the nurse in charge of infant feeding at 9:00 and 21:00 h.
Characteristics of Sample size and statistical analysis:
Sample size showed that the investigators needed 190 total preterm infants, based on the expected 50% decrease in the incidence of severe necrotizing enterocolitis in preterm neonates who received probiotics compared with control group with α 0.05 and β 0.20. Student´s t test or Mann Whitney U test were performed for mean differences regarding the general characteristics in the two study groups, Chi square or Fisher´s test for differences in proportions for mortality and complications between groups.
Study Type
Enrollment (Actual)
Phase
- Phase 2
Contacts and Locations
Study Locations
-
-
Guanajuato
-
Leon, Guanajuato, Mexico, 37000
- Instituto Mexicano del Seguro Social
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- We studied 150 preterm newborns <1500gr who were recruited on the day that began enteral feeding according to the decision of the treating physician.
Exclusion Criteria:
- Preterm infants > 1500g with Apgar score <6 at 5 minutes, gastrointestinal malformations, fetopathies, patent ductus arteriosis with hemodynamic decompensation, asphyxia, and NEC suspected as classified by Bell were excluded from the study.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Single Group Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: probiotics Lactobacillus acidophilus boucardii strain.
Lactobacillus acidophilus boucardii strain was added at a dose of 125 mg/ kg/dose twice daily for 4 weeks .The probiotic presentation used was powder in an envelope with 160mg (Carnot ® Laboratories), scientific products, Mexico, (Registration Number 274M91SSA).
This was stored in a dry place at room temperature, avoiding sunlight.
|
Using sterile technique, the probiotic with 1x109 [CFU] Lactobacillus acidophilus boucardii strain was added at a dose of 125 mg/ kg/dose twice daily for 4 weeks to fresh supplement breast milk or formula for preterm infants.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of severe necrotizing enterocolitis in preterm newborns <1500g
Time Frame: 23 month
|
Group A received enteral stimulation trophic five days and later increments 20ml/k/day of breast milk or formula for premature; the group B apart from the above the probiotic Lactobacillus boucardii 1 X109 (CFU) / day for 4 weeks was added.
|
23 month
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Adverse effects with probiotic use in preterm newborns <1500g.
Time Frame: 23 month
|
The amount of food was increased slowly if tolerated according to the Clinical Practice Guidelines for enteral feeding preterm in our hospital, enteral feeding was interrupted if there was any sign of intolerance such as vomiting, presence of bile or blood content by probe orogastric, bloating, or bloody stools which were assessed and recorded daily.Our primary outcome was the presence of severe necrotizing enterocolitis (NEC) monitored by the Bell´s criteria; secondarily we evaluated the presence of sepsis diagnosed with clinical signs of systemic inflammatory response and positive blood culture.
|
23 month
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Diagnosis the Necrotizing Enterocolitis (NEC)
Time Frame: 23 month
|
Our primary outcome was the presence of severe (NEC) monitored by the Bell´s criteria; secondarily we evaluated the presence of sepsis diagnosed with clinical signs of systemic inflammatory response and positive blood culture,
|
23 month
|
Collaborators and Investigators
Investigators
- Principal Investigator: Guadalupe Gómez, M.D., Universidad de Guanajuato
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- R-2010-1002-12
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Infectious Diseases
-
Central Hospital, Nancy, FranceEnrolling by invitationInfectious; Spondylitis
-
National Institute of Allergy and Infectious Diseases...RecruitingOccupational Accidents | Incubation Period, Infectious DiseseUnited States
-
Invirsa, Inc.Biomedical Advanced Research and Development AuthorityRecruitingAcute Infectious KeratoconjunctivitisUnited States, Thailand
-
Groupe Hospitalier Diaconesses Croix Saint-SimonFondation Ophtalmologique Adolphe de RothschildCompletedArthritis, Infectious | Bone Diseases, InfectiousFrance
-
Carecubes, Inc.University of NebraskaCompletedInfectious DiseasesUnited States
-
King Saud Medical CityUnknown
-
BayerCompletedInfectious DiseasesItaly
-
Universidad de GuanajuatoAntisepsia CentralCompleted
-
LG Life SciencesCompleted
-
Cosmo Technologies LtdCompletedInfectious Diarrhoea
Clinical Trials on probiotics Lactobacillus acidophilus boucardii
-
Cairo UniversityCompleted
-
Coordinación de Investigación en Salud, MexicoCompleted
-
DaniscoCompleted
-
Vancouver Island Health AuthorityCanadian Society of Hospital Pharmacists; Jamieson Laboratories Ltd, CanadaTerminatedDiarrhea | Clostridium DifficileCanada
-
Pablo Román LópezCompleted
-
Huaqiu ZhangNot yet recruitingIschemia | Cognitive Impairment | Cerebrovascular Ischemia
-
Huaqiu ZhangNot yet recruitingCognitive Impairment | Ischemia; Cerebrovascular
-
Chang Gung Memorial HospitalGlac Biotech Co., LtdRecruiting
-
Bio-K Plus International Inc.JSS Medical Research Inc.CompletedDiarrhea | Clostridium InfectionsCanada
-
Groningen Research Institute for Asthma and COPDNumico Research Wageningen, the NetherlandsCompletedAtopic Dermatitis | Atopic Eczema | Infantile EczemaNetherlands