Intestinal Malabsorption, Premature Birth of Newborn
Conditions
Brief summary
The study will evaluate the effect of NTRA-2112 on intestinal malabsorption in preterm infants.
Detailed description
The study will assess the efficacy and safety of NTRA-2112 on intestinal malabsorption in preterm infants as compared to placebo
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male or female pre-term infant 26 and up to 32 weeks gestation. Gestational age matching (±2 weeks) between maternal dates and/or early antenatal ultrasound 2. Birth weight ≥ 500g 3. Singleton or twin birth
Exclusion criteria
1\. Complete enteral feeding
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numbers of Days to Achieve Complete Enteral Feeding | 28 days or discharge from hospital | Numbers of days to achieve full enteral feeding (NFE) is defined as: Number of Days to the first day of achieving enteral feeding of at least 150 ml/kg/day, which must be sustained for at least 3 consecutive days. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of Days to Achieve Discharge From Hospital or Readiness to Discharge | 28 days or discharge from hospital | Readiness for discharge from hospital is defined as achieving all of the below: * Infant weight ≥ 1800g * Stable body temperature * Capable of oral feeding (reached full enteral feeding and not dependent on PN) |
Countries
Belgium, France, Germany, Hungary, Israel, Italy, Netherlands, Spain, United Kingdom, United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| NTRA-2112 A NTRA-2112 A - Dose 1 To be administered orally with daily feed for 28 days or until discharge from hospital.
NTRA-2112 | 108 |
| NTRA-2112 B NTRA-2112 B - Dose 2 To be administered orally with daily feed for 28 days or until discharge from hospital.
NTRA-2112 | 94 |
| Placebo Placebo To be administered orally with daily feed for 28 days or until discharge from hospital.
Placebo | 98 |
| Total | 300 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 | FG002 |
|---|---|---|---|---|
| Overall Study | Discontinued from Treatment | 27 | 18 | 19 |
| Overall Study | Other | 4 | 4 | 3 |
Baseline characteristics
| Characteristic | NTRA-2112 A | NTRA-2112 B | Placebo | Total |
|---|---|---|---|---|
| Age, Customized 26-28 weeks | 49 Participants | 46 Participants | 51 Participants | 146 Participants |
| Age, Customized 29-32 weeks | 58 Participants | 48 Participants | 47 Participants | 153 Participants |
| Race (NIH/OMB) American Indian or Alaska Native | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Asian | 0 Participants | 0 Participants | 1 Participants | 1 Participants |
| Race (NIH/OMB) Black or African American | 6 Participants | 5 Participants | 6 Participants | 17 Participants |
| Race (NIH/OMB) More than one race | 24 Participants | 17 Participants | 22 Participants | 63 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Race (NIH/OMB) White | 78 Participants | 72 Participants | 69 Participants | 219 Participants |
| Region of Enrollment Belgium | 14 participants | 5 participants | 8 participants | 27 participants |
| Region of Enrollment Bulgaria | 3 participants | 1 participants | 2 participants | 6 participants |
| Region of Enrollment France | 4 participants | 10 participants | 12 participants | 26 participants |
| Region of Enrollment Germany | 3 participants | 2 participants | 2 participants | 7 participants |
| Region of Enrollment Hungary | 7 participants | 6 participants | 5 participants | 18 participants |
| Region of Enrollment Israel | 9 participants | 6 participants | 8 participants | 23 participants |
| Region of Enrollment Italy | 15 participants | 13 participants | 15 participants | 43 participants |
| Region of Enrollment Netherlands | 25 participants | 24 participants | 25 participants | 74 participants |
| Region of Enrollment Spain | 17 participants | 19 participants | 11 participants | 47 participants |
| Region of Enrollment United Kingdom | 5 participants | 3 participants | 5 participants | 13 participants |
| Region of Enrollment United States | 6 participants | 5 participants | 5 participants | 16 participants |
| Sex: Female, Male Female | 64 Participants | 51 Participants | 54 Participants | 169 Participants |
| Sex: Female, Male Male | 44 Participants | 43 Participants | 44 Participants | 131 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 5 / 108 | 1 / 88 | 4 / 97 |
| other Total, other adverse events | 91 / 108 | 70 / 88 | 81 / 97 |
| serious Total, serious adverse events | 15 / 108 | 10 / 88 | 19 / 97 |
Outcome results
Numbers of Days to Achieve Complete Enteral Feeding
Numbers of days to achieve full enteral feeding (NFE) is defined as: Number of Days to the first day of achieving enteral feeding of at least 150 ml/kg/day, which must be sustained for at least 3 consecutive days.
Time frame: 28 days or discharge from hospital
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| NTRA-2112 A | Numbers of Days to Achieve Complete Enteral Feeding | 9.3 Days | Standard Deviation 4.81 |
| NTRA-2112 B | Numbers of Days to Achieve Complete Enteral Feeding | 10.0 Days | Standard Deviation 6.09 |
| Placebo | Numbers of Days to Achieve Complete Enteral Feeding | 10.3 Days | Standard Deviation 5.1 |
Number of Days to Achieve Discharge From Hospital or Readiness to Discharge
Readiness for discharge from hospital is defined as achieving all of the below: * Infant weight ≥ 1800g * Stable body temperature * Capable of oral feeding (reached full enteral feeding and not dependent on PN)
Time frame: 28 days or discharge from hospital
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| NTRA-2112 A | Number of Days to Achieve Discharge From Hospital or Readiness to Discharge | 36.4 Days | Standard Deviation 16.26 |
| NTRA-2112 B | Number of Days to Achieve Discharge From Hospital or Readiness to Discharge | 33.8 Days | Standard Deviation 14.36 |
| Placebo | Number of Days to Achieve Discharge From Hospital or Readiness to Discharge | 36 Days | Standard Deviation 15.21 |