Premature Infant Disease
Conditions
Keywords
probiotics, premature infants, feeding tolerance
Brief summary
This application a phase II clinical trial to address the possible active mechanisms of probiotics and to obtain preliminary efficacy and safety data after the administration of a probiotic, Lactobacillus reuteri a population of premature infants. The hypothesis is that the exogenous supplementation Lactobacillus reuteri to premature infants will lead to clinical beneficial effects by modifying their intestinal microbiota and enhancing their intestinal immunological response.
Detailed description
The primary outcome days to achieve full feeds will be measure during the the first month of life Secondary outcomes will be measured at baseline (before intervention), 3 weeks after intervention, once intervention discontinued and at 6 months of live
Interventions
Lactobacillus reuteri DSM will be given at a dose of 1x108 colony forming units (CFU)/day
The placebo consists of an identical formulation except that the L. reuteri is not present.
Sponsors
Study design
Masking description
Administration of placebo
Intervention model description
Administration of probiotic Lactobacillus Reuteri
Eligibility
Inclusion criteria
* Preterm newborns admitted to the neonatal intensive care units with a birth weight 700-1500 g and who survive more than 3 days
Exclusion criteria
* Chromosomal anomalies. * Major congenital anomalies (complex cardiac anomalies, congenital hydrocephalus, renal dysplasia) * Congenital (e.g. jejunal atresia) and acquired (e.g. GI perforation) gastrointestinal pathology precluding oral feed and/or requiring major surgical or medical intervention * Parental refusal * Prior enrollment into a conflicting clinical trial
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time to reach full feeds | First 40 days after birth | Days to reach full feeds from the day feeds are started |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Intestinal colonization | 0-6 months after birth | PCR quantification of lactobacillus reuteri in the stools |
| Intestinal immunological response | 0-6 months | Quantification immunological markers in the stools |
Countries
Chile