Safety Issues, Tolerance, Very Low Birth Weight Infant
Conditions
Keywords
Lactoferrin/FOS Supplementation
Brief summary
This study will examine the safety and tolerability of supplementation with bovine lactoferrin with fructo-oligosaccharide a simple sugar in very low birth weight infants. Lactoferrin is a major whey protein in mother's milk and plays a role in promoting a mature and healthy gut. It also has antimicrobial and immunomodulation activities.
Detailed description
Aim 1: To evaluate the safety and tolerability of three different lactoferrin/FOS doses in preterm infants 1. Lactoferrin/FOS related adverse events and serious adverse events 2. Time reaching full feeds while receiving lactoferrin/FOS (120 ml/kg/day) 3. Episodes of not receiving enteral feedings for \> 24 hours once feeding is initiated Aim 2: To evaluate lactoferrin/FOS absorption and excretion 1. Examine lactoferrin/FOS levels in saliva, urine, plasma, and stool 2. Examine lactoferrin levels in materal and human donor milk Aim 3: To evaluate the effect of lactoferrin/FOS on the intestinal microbiome structure
Interventions
Bovine Lactoferrin/FOS 100mg/ml dissolved in sterile water
Sponsors
Study design
Intervention model description
Dose escalation design
Eligibility
Inclusion criteria
* \< 15 days of age and receiving enteral feedings * \< 1500 grams birth weight * \< 37 weeks gestation
Exclusion criteria
* Congenital bowel obstruction (esophageal, duodenal, small bowel or anal atresias, Hirschsprung disease, malrotation) * Known necrotizing enterocolitis or bowel perforation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Definitely related study solution serious adverse event | 30 days while receiving study solution |
Secondary
| Measure | Time frame |
|---|---|
| Day after birth to reach 120ml/kg of enteral feeds | 30 days while receiving study solution |
| Number of days not receiving any feedings after lactoferrin/FOS administration | 30 days while receiving study solution |