Premature Infant Clinical Trial
Official title:
Feeding Tolerance and Growth of Preterm Infants Consuming a Supplement Containing Two Human Milk Oligosaccharides (HMOs): A Post-Market Study
The goal of this post-market study is to describe the effect of a liquid supplement containing 2 specific human milk oligosaccharides (HMOs), 2'-fucosyllactose [2'FL] and lacto-N-neotetraose [LNnT], on feeding tolerance, growth, and adverse events of special interest in preterm infants in a real-world setting.
Status | Recruiting |
Enrollment | 188 |
Est. completion date | February 28, 2026 |
Est. primary completion date | February 28, 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Days to 14 Days |
Eligibility | Inclusion Criteria: 1. Written informed consent has been obtained from at least one parent (or other legally acceptable representative [LAR], if applicable) 2. Infant's parent(s)/LAR is of legal age of majority, has parental authority, must understand the consent form and other relevant study documents, and is willing and able to fulfil the requirements of the study protocol 3. Infant gestational age is = 34 weeks as determined by the first day of the mother's last menstrual period or by fetal ultrasound 4. Infant birth weight = 2500g 5. Infant postnatal age = 14 days 6. Infant has tolerated trophic feeds (e.g., 10-15 mL/kg/day) for at least 24 hours but has not yet reached full enteral feeding Exclusion Criteria: 1. Infant is clinically unstable, for example: 1. Infant has hemodynamic instability as evidenced by clinical signs of sepsis, hypotension (MAP < 5th percentile for age for at least three hours), or is receiving vasopressor drugs 2. Infant has received an exchange transfusion within the past 48 hours 3. Infant has had an episode of severe asphyxia at birth (PH less than 7.0) 4. Infant has signs of necrotizing enterocolitis according to modified Bell staging criteria (stage IIA or higher) 2. Major congenital (e.g., heart disease, skeletal dysplasia, chondrodystrophy, gastrointestinal obstruction or atresia) or chromosomal abnormality (e.g., trisomy 21, Turner syndrome) 3. Infant has other medical condition that, in the judgement of the investigator, would make the child inappropriate for entry into the study 4. Participation in another interventional clinical study that may interfere with the results of this study |
Country | Name | City | State |
---|---|---|---|
Austria | Kepler Universitätsklinikum Linz | Linz | |
Germany | Evangelisches Waldkrankenhaus Spandau | Berlin-Spandau | |
Germany | Kinderklinik Darmstadt | Darmstadt | |
Germany | Wilhelmstift Hamburg | Hamburg | |
Germany | Uniklinik Heidelberg | Heidelberg | |
Germany | Klinikum Nürnberg | Nürnberg |
Lead Sponsor | Collaborator |
---|---|
Société des Produits Nestlé (SPN) |
Austria, Germany,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Feeding tolerance | Time to reach full enteral feeding rate of 150 mL/kg/day | From birth until achievement of full enteral feeding (1 to 3 weeks) | |
Primary | Feeding tolerance | Time to reach cessation of parenteral feeding | From birth until achievement of full enteral feeding (1 to 3 weeks) | |
Secondary | Gastrointestinal tolerance | Through data collected from neonatal unit records | From enrollment (baseline) until NICU discharge (V5), assessed up to 13 weeks | |
Secondary | Weight gain | Measured in kilograms per day | From enrollment (baseline) until NICU discharge (V5), assessed up to 13 weeks | |
Secondary | Length gain | Measured in centimeters per week | From enrollment (baseline) until NICU discharge (V5), assessed up to 13 weeks | |
Secondary | Head circumference gain | Measured in centimeters per week | From enrollment (baseline) until NICU discharge (V5), assessed up to 13 weeks | |
Secondary | Safety via reporting of adverse events (AEs) and serious adverse events (SAEs) | Type, incidence, severity, seriousness, and relation to HMO supplement consumption as well as concomitant medications and non-pharmacological treatments.
The incidence of specific illnesses of interest a. Necrotizing enterocolitis b Confirmed or suspected late-onset sepsis c. Bronchopulmonary dysplasia d. Retinopathy of prematurity |
From enrollment (baseline) until NICU discharge (V5), assessed up to 13 weeks |
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