- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03472170
Clinical Trial for Valuation of the Effectiveness of Lactoferrine in the Prevention of Sepsis in New Premature Born. Bimonitorization of the Antinflammatory Mechanisms, Antioxidants and the Intestinal Microbiote. (LACTOPREM)
Study Overview
Status
Conditions
Detailed Description
Study Type
Enrollment (Anticipated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Antonio Miguel Luque Pineda
- Phone Number: 00 34 957 011 040
- Email: uicec@imibic.org
Study Contact Backup
- Name: María Dolores Ordoñez, MD
- Email: mdordonezdiaz@gmail.com
Study Locations
-
-
-
Córdoba, Spain, 14004
- Recruiting
- Hosìtal Universitario Reina Sofia
-
Contact:
- María Dolores Ordoñez, MD
- Email: mdordonezdiaz@gmail.com
-
Principal Investigator:
- María Dolores Ordoñez, MD
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Both groups will include male or female children born preterm with birth weight ≤ 1500 g and / or EG ≤ 32 weeks. All tutors of patients, must sign the informed consent.
Exclusion Criteria:
- In both groups those subjects who do not meet the age and weight established at birth, have> 72 hours of life at the time of inclusion, who do not sign informed consent or who have the following morbidities will be discarded: 1) Early sepsis or vertical; 2) Gastrointestinal congenital anomalies; 3) Chromosomopathies; 4) Congenital anomalies and / or genetic diseases without survival expectations; 5) Severe perinatal hypoxia.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental Arm
The nutritional supplement used will be bovine lactoferrin, a product marketed according to the regulations of the European Union, and approved by the European Food Safety Agency (EFSA) in 2012, and by the American Agency for Food and Drug Administration ( FDA) in 2013. It will be acquired after purchase from Dicofarm® (Rome, Italy). The Hospital Pharmacy Service will provide the established dose of lactoferrin, according to the administration schedule of 150 mg / kg / day (maximum 300 mg / day). The treatments will be administered in liquid form, in the least amount possible. The administration of lactoferrin will be carried out enterally, orally or by nasogastric tube. The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the NB with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before. |
The pharmacy service of the hospital will provide the established dose of lactoferrin, according to the regimen of administration of 150 mg / kg / day (maximum 300 mg / day), as well as that of placebo.
Both treatments will be administered in liquid form, in the least amount possible.
Both the administration of lactoferrin and placebo will be carried out enterally, orally or by nasogastric tube.
The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the newborns with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before.
|
Placebo Comparator: Control Arm
Placebo with similar visual and taste characteristics to the nutritional supplement of bovine lactoferrin. It will be administered in liquid form, in the least amount possible. The administration of placebo will be carried out enterally, orally or by nasogastric tube. The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the NB with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before. |
Enteral administration of placebo with similar visual and gustatory characteristics in the first 72 hours of life, and for 4 weeks (6 weeks in the RN ≤ 1000 gr and / or EG ≤ 28 weeks).
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Incidence of proven and probable late sepsis
Time Frame: 12 months
|
To evaluate the efficacy of enteral administration of bovine lactoferrin (bLf) in the reduction of probable late sepsis or microbiologically proven in preterm infants with birth weight ≤ 1500 gr and / or gestational age ≤ 32 weeks.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Perinatal history and demographic characteristics
Time Frame: At baseline.
|
Description of the perinatal history and demographic characteristics in the subjects of two intervention groups (lactoferrin vs placebo).
|
At baseline.
|
Morbidities
Time Frame: From 72 hours until 4 weeks after birth
|
Assess the possible differences between the two groups with respect to the following morbidities: Global mortality and / or attributable to late sepsis before hospital discharge
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From 72 hours until 4 weeks after birth
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Adverse effects
Time Frame: From 72 hours until 4 weeks after birth and in every visit (months 3, 6, 12 y 24 after hospital discharge).
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Evaluation of the safety of the administration of lactoferrin by monitoring possible adverse effects.
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From 72 hours until 4 weeks after birth and in every visit (months 3, 6, 12 y 24 after hospital discharge).
|
Parameters of inflammation and oxidative stress
Time Frame: 0-24 hours of life, 7-10 days, 14-17 days of life, and one last extraction at the end of treatment, at 28-31 days
|
Biomonitoring parameters of inflammation and oxidative stress in both groups, comparing possible differences.
|
0-24 hours of life, 7-10 days, 14-17 days of life, and one last extraction at the end of treatment, at 28-31 days
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Intestinal microbiota
Time Frame: Before and after treatment
|
Study and compare the composition of the intestinal microbiota between both groups.
Its modification will be assessed before and after treatment, and the implication of its distortion in late sepsis.
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Before and after treatment
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Subgroups evaluation
Time Frame: At the end of the trial.
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Analyze the results based on subgroups established by gestational age, birth weight, type of feeding and etiology of sepsis.
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At the end of the trial.
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Anthropometric parameters and neurodevelopment
Time Frame: At 2 years of corrected age
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Evaluation of anthropometric parameters and neurodevelopment at 2 years of corrected age.
|
At 2 years of corrected age
|
Collaborators and Investigators
Investigators
- Principal Investigator: María Dolores Ordoñez, Maimónides Biomedical Research Institute of Córdoba
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Anticipated)
Study Completion (Anticipated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FCO-LAC-2016-01
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
The individual participant data will be available.
Individual parcicipant data that underlie the results reportes in this article, after deidenttification (text, tables, figures and appendices)
The other documents that will be available: study protocol, Statistical Analysis Plan, Informed Consent Form.
With whom? Researchers who provide a methodologically sound proposal.
For what types of analyses? for individual participant data meta-analysis.
IPD Sharing Time Frame
IPD Sharing Access Criteria
IPD Sharing Supporting Information Type
- STUDY_PROTOCOL
- SAP
- ICF
- CSR
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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