Very low birth weight infants Pregnancy and Childbirth Very low birth weight infants
Conditions
Interventions
Enteral glutamine supplementation in a dose of 0.3 g/kg/day between days three and 30 of life versus isonitrogenous placebo supplementation (alanine).
Sponsors
Vrije University Medical Centre (VUMC) (The Netherlands)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Infants with a gestational age less than 32 weeks and/or a birth weight less than 1500 g 2. Admitted to the level III Neonatal Intensive Care Unit (NICU) of the Vrije University Medical Centre (VUMC) 3. Written informed consent obtained from all parents
Exclusion criteria
Exclusion criteria: 1. Major chromosomal or congenital anomalies 2. Death less than 48 hours after birth 3. Transfer to another hospital less than 48 hours after birth 4. Admission from an extraregional hospital
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to full enteral feeding, defined as a feeding volume greater than or equal to 120 mL/kg/day. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Feeding tolerance: 1.1. Age at finishing parenteral nutrition 1.2. Days of no enteral feeding during study period 1.3. Necrotising enterocolitis 2. Infectious morbidity: 2.1. Serious infections 2.2. Number of infectious episodes 2.3. Cultured micro-organisms 3. Short-term outcomes: 3.1. Weight z scores at birth, day 30 and at discharge 3.2. Patent ductus arteriosus 3.3. Ventilatory support 3.4. Use of oxygen at postmenstrual age of 36 weeks 3.5. Intraventricular hemorrhage 3.6. Retinopathy of prematurity 3.7. Death 3.8. Age at discharge from NICU and at discharge home 4. Intestinal permeability, determined during the 30 day study period 5. Faecal flora, determined during the 30 day study period 6. Plasma Th1/Th2 cytokine concentrations, determined during the 30 day study period 7. Plasma amino acid profiles, determined during the 30 day study period | — |
Countries
Netherlands
Outcome results
None listed