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CompletedNCT01773902Updated May 15, 2018

Protein for Premies

An interventional study of High Dose Protein (Individualized) and High Dose Protein (Standardized) in Extreme Prematurity, sponsored by University Hospital Tuebingen. Completed at 1 site in Germany. Open to participants aged Up to 7 Days. Per ClinicalTrials.gov, last updated 2018-05-15.

Sponsored by University Hospital Tuebingen · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
Up to 7 Days
Sex
All
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Study summary

Although expressed breast milk is considered the optimal nutritional source for preterm infants, the macronutrient content is insufficient to enable optimal growth during neonatal intensive care. Optimal dose and optimal mode of administration (standardized or individualized) of enteral protein supplementation to very preterm infants have not been established.

This study aims to compare the effects on weight gain of different modes of enteral protein supplementation.

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Conditions studied

  • Extreme Prematurity

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In context

Premature Birth

2,554 studies on the registry are indexed under Premature Birth; 498 are open to participants now.

This study's planned enrollment of 60 is below the median of 84 across 1,689 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

University Hospital Tuebingen is the lead sponsor of 476 studies on the registry; 104 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 7 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • very preterm infants \<32 weeks gestation and \<1500g birth weight
  • > 100ml/kg/d of enteral feeding

Exclusion criteria

Exclusion Criteria:

  • missing informed consent
  • decision not to feed breast milk
  • congenital malformations
  • age > 7 days at study entry
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Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Outcomes assessor)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    High Dose Protein (Individualized)

    Protein supplementation according to breast milk content aiming for 4.5g/kg/d of enteral protein if \<1500g b.w. or 4.0g/kg/d of enteral protein if \>1500g b.w. until 1 week before discharge

    Dietary Supplement: High Dose Protein (Individualized)

  • Experimental
    High Dose Protein (Standardized)

    Protein supplementation independent of individual breast milk content using a new high-dose-protein breast milk fortifier until 1 week before discharge

    Dietary Supplement: High Dose Protein (Standardized)

  • Active comparator
    Standard protein supplementation

    Protein supplementation independent of individual breast milk content using a standard dose of a standard breast milk fortifier until 1 week before discharge

    Dietary Supplement: Standard Protein Supplementation

Interventions

  • Dietary supplementHigh Dose Protein (Individualized)

    Protein supplementation according to breast milk content aiming for 4.5g/kg/d of enteral protein if \<1500g b.w. or 4.0g/kg/d of enteral protein if \>1500g b.w. until 1 week before discharge

  • Dietary supplementHigh Dose Protein (Standardized)

    Protein supplementation independent of individual breast milk content using a new high-dose-protein breast milk fortifier until 1 week before discharge

  • Dietary supplementStandard Protein Supplementation

    Protein supplementation independent of individual breast milk content using a standard-dose-protein breast milk fortifier until 1 week before discharge

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What researchers measure

Primary outcomes

  1. Weight gain

    Time frame: From birth - to the end of study intervention (anticipated to be on average 1 week before discharge home at approx 37 weeks PMA)

Secondary outcomes

  1. Head circumference growth

    Time frame: From birth - to the end of study intervention (anticipated to be on average 1 week before discharge home at approx 37 weeks PMA)

Other outcomes

  1. Plasma amino acid profile

    Time frame: at 2 and 4 weeks after start of intervention

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Study locations

1 site
  • University Children's Hospital Tuebingen
    Tuebingen, 72076, Germany
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References and documents

Publications

  • Maas C, Mathes M, Bleeker C, Vek J, Bernhard W, Wiechers C, Peter A, Poets CF, Franz AR. Effect of Increased Enteral Protein Intake on Growth in Human Milk-Fed Preterm Infants: A Randomized Clinical Trial. JAMA Pediatr. 2017 Jan 1;171(1):16-22. doi: 10.1001/jamapediatrics.2016.2681. PubMed 27893064 ↗
  • Mathes M, Maas C, Bleeker C, Vek J, Bernhard W, Peter A, Poets CF, Franz AR. Effect of increased enteral protein intake on plasma and urinary urea concentrations in preterm infants born at < 32 weeks gestation and < 1500 g birth weight enrolled in a randomized controlled trial - a secondary analysis. BMC Pediatr. 2018 May 8;18(1):154. doi: 10.1186/s12887-018-1136-5. PubMed 29739389 ↗
  • Maas C, Franz AR, Shunova A, Mathes M, Bleeker C, Poets CF, Schleicher E, Bernhard W. Choline and polyunsaturated fatty acids in preterm infants' maternal milk. Eur J Nutr. 2017 Jun;56(4):1733-1742. doi: 10.1007/s00394-016-1220-2. Epub 2016 May 10. PubMed 27164830 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 15, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01773902
Lead sponsor
University Hospital Tuebingen
Responsible party
Axel Franz (PD Dr. med., University Hospital Tuebingen) — Principal investigator
First posted
Jan 23, 2013
Start date
Oct 2012
Primary completion
Dec 2014
Completion
Jul 2016
Last update
May 15, 2018

Study contacts

Axel Franz, MD
principal investigator · Universität Tübingen

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2018. You cannot join it, but the record below documents what was studied.

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