Effect of prebiotic or lactoferrin supplementation in formula on the gut flora of preterm infants

ISRCTN ISRCTN71737811
DOI https://doi.org/10.1186/ISRCTN71737811
Secondary identifying numbers 06-1179
Submission date
09/05/2008
Registration date
12/09/2008
Last edited
12/09/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Nutritional, Metabolic, Endocrine
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Dr Diny van Zoeren-Grobben
Scientific

Isala Clinics
Neonatal Unit
Dr. Van Heesweg 2
Zwolle
8025 AB
Netherlands

Phone +31 (0)38 424 7073
Email d.van.zoeren@isala.nl

Study information

Study designDouble-blind placebo-controlled randomised prospective cohort study
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific title
Study acronymVIPP prematuur
Study objectivesSupplementation of preterm formula with prebiotics or lactoferrin may improve the gut flora of preterm infants by promoting growth of apathogenic bacteria. These supplements may produce a gut flora resembling the gut flora of human milk-fed preterm infants and thereby improve their resistance against infections.

Furthermore lactoferrin reduces the availability and absorption of free iron and may thus reduce oxidative stress both locally in the gut and systemically.
Ethics approval(s)Ethcis approval received from the Medical Ethical Committee of the Isala Clinics according to article 16 WMO and to the International Conference on Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use/Good Clinical Practice (ICH/GCP) criteria on the 8th February 2007 (ref: 06.1179).
Health condition(s) or problem(s) studiedGut flora
InterventionTreatment consists of three types of preterm formula:
1. Standard preterm formula (frisolac prematuur) without addition of prebiotics
2. Standard preterm formula with addition of galacto-oligosaccharides (GOS); 0.8 g/100 ml (Vivinal Domo, The Netherlands. GOS 10 containing: galacto-oligosaccarides 28.5%, lactose 36%, glucose 9.5%, galactose 0.5%, proteins 17.5%, minerals 3.5%, fat 1.5%, moisture 3.0%)
3. Standard preterm formula with addition of dairy lactoferrin 1 mg/100 ml (Vivinal Domo, The Netherlands, containing lactoferrin 90 %, protein 97%, moisture 1.5%, minerals 1.5 %)

The therapy wil be started in the first week of life and therapy will be continued until 6 weeks after the start of full enteral feeds. Blood will be drawn at day 1, day 7, day of full enteral feeds and week 6 after establishment of full enteral feeds. Follow up wil be done at the age of 1 year corrected age.
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Prebiotic, lactoferrin
Primary outcome measure1. Composition of gut flora, evaluated at 6 weeks of full enteral feeds (at the end of the study feeding)
2. Incidence of infections, measured at 6 weeks of full enteral feeds
3. Oxidative stress and iron status, measured at 6 weeks of full enteral feeds
Secondary outcome measures1. Growth (head circumference, length, weight), measured at 6 weeks of full enteral feeds
2. Feeding tolerance (composition of faeces, crying pattern, discomfort, vomiting), measured at 6 weeks of full enteral feeds
3. Psychomotor development, taken at 1 year of age
Overall study start date01/04/2007
Completion date01/04/2009

Eligibility

Participant type(s)Patient
Age groupNeonate
SexBoth
Target number of participantsPreterm formula group: n = 60 (20 in each group). Human milk group: n = 20.
Key inclusion criteria1. Preterm infants: gestational age 26+0 to 35+6 weeks, either sex
2. Admitted to the Neonatal Intensive Care Unit (NICU) or High Care Unit of the hospital
Key exclusion criteria1. Birth weight less than 600 g
2. Life-threatening congenital malformations
3. No Dutch or English speaking parents
4. History of allergy in parents or siblings
Date of first enrolment01/04/2007
Date of final enrolment01/04/2009

Locations

Countries of recruitment

  • Netherlands

Study participating centre

Isala Clinics
Zwolle
8025 AB
Netherlands

Sponsor information

Royal Friesland Foods B.V. (The Netherlands)
Industry

c/o Dr R te Biesebeke
Enhanced Nutrition Specialist Unit
P. Stuyvesantweg 1
Leeuwarden
8937 AC
Netherlands

Website http://www.frieslandfoods.com/
ROR logo "ROR" https://ror.org/025mtxh67

Funders

Funder type

Industry

Royal Friesland Foods B.V. (The Netherlands)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan