CClinicalTrials.gg
TerminatedNCT01788761Updated Oct 11, 2018

The Effects of Probiotic Supplementation on Extremely Low Birthweight Infants

An interventional study of Probiotic Supplemented Group and Control Group in Feeding Tolerance, sponsored by Mercy Health System. Terminated at 1 site in United States. Open to participants aged Up to 14 Days. Per ClinicalTrials.gov, last updated 2018-10-11.

Sponsored by Mercy Health System · Not applicable, Interventional, and Supportive care

Phase
Not applicable
Study type
Interventional
Enrollment
133
Allocation
Randomized
Ages
Up to 14 Days
Sex
All
01

Study summary

This is a research study that will look at the effects of giving two nutritional supplements on extremely low birth infants (infants weighing less than 1000 grams or weighing less than approximately 2 lbs 3 1/2 ounces at birth). The nutritional supplements that will be studied are Culturelle for Kids/Culturelle Kids and Align. They are nutritional supplements that each contain a different probiotic. In this study the investigators will mainly be looking at the effect that these supplements may have on how well babies tolerate their feedings and how long they require supplemental intravenous fluids for nutritional support. The investigators will also, however, look at many other factors such as rate of growth, rates of infection, survival rate and the length of time the infant needs to be in the hospital. The investigators will also look at its effect on conditions/complications of prematurity such as bronchopulmonary dysplasia and chronic lung disease (chronic diseases of the lung associated with prematurity), necrotizing enterocolitis and intestinal perforations (serious diseases of the infant's intestines), retinopathy of prematurity (eye disease associated with prematurity), intracranial hemorrhage (bleeding into the brain) and patent ductus arteriosus (a blood vessel connecting two main blood vessels coming out of the heart that does not close spontaneously (by itself).

Read the detailed description

The purpose of this research study is to investigate the effect of the administration of the nutritional supplements, Culturelle for Kids/Kids Culturelle in combination with Align, containing the Probiotics Lactobacillus GG and Bifidobacterium Infantis, on feeding tolerance (as determined by the number of days infant is without enteral feedings due to feeding intolerance, number of days infant requires supplemental hyperalimentation/intravenous fluids for nutritional support and number of days to achieve full enteral feedings) in high risk extremely low birth weight infants.

02

Conditions studied

  • Feeding Tolerance

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Keywords

  • Probiotics
  • Feeding Tolerance
  • Extremely Low Birthweight Infants
03

In context

Birth Weight

445 studies on the registry are indexed under Birth Weight; 36 are open to participants now.

This study's enrollment of 133 is above the median of 110 across 297 interventional studies indexed under Birth Weight.

Browse Birth Weight studies →

Lead sponsor

Mercy Health System is the lead sponsor of 2 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
Up to 14 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Birthweight between 500-999 grams
  • Apgar score greater than or equal to 3 at 5 minutes
  • Infant free from any known major congenital anomalies or chromosomal/genetic anomalies
  • Infant without any known cyanotic or complex congenital heart disease
  • Infant NPO or on trophic enteral feedings than have been started less than 24 hours previously
  • Infant without prior history of necrotizing enterocolitis or gastrointestinal perforation
  • Infant without previous exposure to probiotics
  • Infant that will be ready to start trophic feedings within the first 14 days of life
  • Infant less than or equal to 14 days of age
  • Infant born to HIV negative mother
  • Written informed consent obtained from mother

Exclusion criteria

Exclusion Criteria:

  • Infant born to HIV positive mother
  • Infant with history of prior probiotic exposure
  • Infant greater than 14 days of age
  • Infant on enteral feedings for greater than 24 hours
  • Infant with major congenital anomaly/chromosomal or genetic anomaly
  • Infant with cyanotic/complex congenital heart disease
  • Infant with previous gastrointestinal perforation/necrotizing enterocolitis
  • 5 minute Apgar score \< 3
05

Study design

Phase
Not applicable
Primary purpose
Supportive care
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
133 participants (actual)

Study arms

  • Experimental
    Probiotic Supplemented Group

    500,000,0000 cells of Lactobacillus GG (utilizing either Culturelle for Kids or Kids Culturelle preparation) and 500,000,000 cells of Bifidobacterium Infantis (utilizing Align capsule) diluted in 3 ml breastmilk/formula and administered enterally from first day of enteral feeds until term gestation/discharge/transfer/death (whichever occurs first) every day infant is receives enteral feedings

    Dietary Supplement: Probiotic Supplemented Group

  • Sham comparator
    Control Group

    3 ml enteral feeding of breastmilk/formula administered once daily in addition to regularly prescribed enteral feedings from day of first feeding until term gestation/discharge/transfer/death (which ever occurs first) and administered every day that infant receives enteral feedings

    Dietary Supplement: Control Group

Interventions

  • Dietary supplementProbiotic Supplemented Group

    Also known as: Culture for Kids, Kids Culturelle, Align, Lactobacillus GG, Bifidobacter Infantis

  • Dietary supplementControl Group

    Also known as: Breastmilk, Formula

06

What researchers measure

Primary outcomes

  1. Feeding Tolerance

    Feeding Tolerance as determined by the number of days infant is without enteral feedings due to feeding intolerance, number of days infant requires supplemental hyperalimentation/intravenous fluids for nutritional support and number of days to achieve full enteral feedings

    Time frame: Evaluated on a daily basis until hospital discharge/transfer/death up until one year of age

Secondary outcomes

  1. Necrotizing Enterocolitis (Bell's Stage 2 or greater)

    Time frame: Infants entire inpatient record assessed at/after time of hospital discharge/transfer/death up until 1 year of age

  2. Culture proven sepsis without Necrotizing Enterocolitis

    Time frame: Infants entire inpatient record assessed at/after time of hospital discharge/transfer/death up until one year of age

  3. Chronic Lung Disease

    Time frame: Infants entire inpatient record assessed at/after time of hospital discharge/transfer/death up until one year of age

  4. Periventricular Leukomalacia

    Time frame: Infant's entire inpatient record assessed at/after time of hospital discharge/transfer/death up until one year of age

  5. Mortality

    Time frame: Infant's entire inpatient record assessed at/after time of hospital discharge/transfer/death up until one year of age

  6. Intraventricular Hemorrhage

    Time frame: Infants entire inpatient record assessed at/after time of hospital discharge/transfer/death up until one year of age

  7. Daily weight gain in grams

    Time frame: Measured daily until time of hospital discharge/transfer/death up until one year of age

  8. Discharge weight measured and expressed by percentile of growth for age

    Time frame: Assessed at the time of discharge/transfer/death up until one year of age

  9. Length of Stay

    Time frame: Measured at time of discharge/transfer/death up until one year of age

07

Study locations

1 site
  • Rockford Memorial Hospital
    Rockford, Illinois 61103, United States
08

References and documents

Publications

  • Alfaleh K, Anabrees J, Bassler D. Probiotics reduce the risk of necrotizing enterocolitis in preterm infants: a meta-analysis. Neonatology. 2010;97(2):93-9. doi: 10.1159/000235684. Epub 2009 Aug 25. PubMed 19707025 ↗
  • Amerifit Inc. Culturelle Probiotics for Kids. Packaging information 2010
  • Baldassarre ME, Laforgia N, Fanelli M, Laneve A, Grosso R, Lifschitz C. Lactobacillus GG improves recovery in infants with blood in the stools and presumptive allergic colitis compared with extensively hydrolyzed formula alone. J Pediatr. 2010 Mar;156(3):397-401. doi: 10.1016/j.jpeds.2009.09.012. Epub 2009 Nov 2. PubMed 19880141 ↗
  • Bin-Nun A, Bromiker R, Wilschanski M, Kaplan M, Rudensky B, Caplan M, Hammerman C. Oral probiotics prevent necrotizing enterocolitis in very low birth weight neonates. J Pediatr. 2005 Aug;147(2):192-6. doi: 10.1016/j.jpeds.2005.03.054. PubMed 16126048 ↗
  • Chou IC, Kuo HT, Chang JS, Wu SF, Chiu HY, Su BH, Lin HC. Lack of effects of oral probiotics on growth and neurodevelopmental outcomes in preterm very low birth weight infants. J Pediatr. 2010 Mar;156(3):393-6. doi: 10.1016/j.jpeds.2009.09.051. Epub 2009 Nov 14. PubMed 19914635 ↗
  • Dani C, Biadaioli R, Bertini G, Martelli E, Rubaltelli FF. Probiotics feeding in prevention of urinary tract infection, bacterial sepsis and necrotizing enterocolitis in preterm infants. A prospective double-blind study. Biol Neonate. 2002 Aug;82(2):103-8. doi: 10.1159/000063096. PubMed 12169832 ↗
  • Deshpande G, Rao S, Patole S, Bulsara M. Updated meta-analysis of probiotics for preventing necrotizing enterocolitis in preterm neonates. Pediatrics. 2010 May;125(5):921-30. doi: 10.1542/peds.2009-1301. Epub 2010 Apr 19. PubMed 20403939 ↗
  • Guenther K, Straube E, Pfister W, Guenther A, Huebler A. Sever sepsis after probiotic treatment with Escherichia coli NISSLE 1917. Pediatr Infect Dis J. 2010 Feb;29(2):188-9. doi: 10.1097/INF.0b013e3181c36eb9. No abstract available. PubMed 20118747 ↗
  • Indrio F, Riezzo G, Raimondi F, Bisceglia M, Cavallo L, Francavilla R. Effects of probiotic and prebiotic on gastrointestinal motility in newborns. J Physiol Pharmacol. 2009 Dec;60 Suppl 6:27-31. PubMed 20224148 ↗
  • Hojsak I, Abdovic S, Szajewska H, Milosevic M, Krznaric Z, Kolacek S. Lactobacillus GG in the prevention of nosocomial gastrointestinal and respiratory tract infections. Pediatrics. 2010 May;125(5):e1171-7. doi: 10.1542/peds.2009-2568. Epub 2010 Apr 19. PubMed 20403940 ↗
  • Kuitunen M, Kukkonen K, Savilahti E. Pro- and prebiotic supplementation induces a transient reduction in hemoglobin concentration in infants. J Pediatr Gastroenterol Nutr. 2009 Nov;49(5):626-30. doi: 10.1097/MPG.0b013e31819de849. PubMed 19644396 ↗
  • Ladd N, Ngo T. The use of probiotics in the prevention of necrotizing enterocolitis in preterm infants. Proc (Bayl Univ Med Cent). 2009 Jul;22(3):287-91. doi: 10.1080/08998280.2009.11928535. No abstract available. PubMed 21240300 ↗
  • Lin HC, Su BH, Chen AC, Lin TW, Tsai CH, Yeh TF, Oh W. Oral probiotics reduce the incidence and severity of necrotizing enterocolitis in very low birth weight infants. Pediatrics. 2005 Jan;115(1):1-4. doi: 10.1542/peds.2004-1463. PubMed 15629973 ↗
  • Lin HC, Hsu CH, Chen HL, Chung MY, Hsu JF, Lien RI, Tsao LY, Chen CH, Su BH. Oral probiotics prevent necrotizing enterocolitis in very low birth weight preterm infants: a multicenter, randomized, controlled trial. Pediatrics. 2008 Oct;122(4):693-700. doi: 10.1542/peds.2007-3007. PubMed 18829790 ↗
  • Luoto R, Isolauri E, Lehtonen L. Safety of Lactobacillus GG probiotic in infants with very low birth weight: twelve years of experience. Clin Infect Dis. 2010 May 1;50(9):1327-8. doi: 10.1086/651694. No abstract available. PubMed 20367236 ↗
  • Ohishi A, Takahashi S, Ito Y, Ohishi Y, Tsukamoto K, Nanba Y, Ito N, Kakiuchi S, Saitoh A, Morotomi M, Nakamura T. Bifidobacterium septicemia associated with postoperative probiotic therapy in a neonate with omphalocele. J Pediatr. 2010 Apr;156(4):679-81. doi: 10.1016/j.jpeds.2009.11.041. PubMed 20303445 ↗
  • Rinne M, Kalliomaki M, Arvilommi H, Salminen S, Isolauri E. Effect of probiotics and breastfeeding on the bifidobacterium and lactobacillus/enterococcus microbiota and humoral immune responses. J Pediatr. 2005 Aug;147(2):186-91. doi: 10.1016/j.jpeds.2005.03.053. PubMed 16126047 ↗
  • Rouge C, Piloquet H, Butel MJ, Berger B, Rochat F, Ferraris L, Des Robert C, Legrand A, de la Cochetiere MF, N'Guyen JM, Vodovar M, Voyer M, Darmaun D, Roze JC. Oral supplementation with probiotics in very-low-birth-weight preterm infants: a randomized, double-blind, placebo-controlled trial. Am J Clin Nutr. 2009 Jun;89(6):1828-35. doi: 10.3945/ajcn.2008.26919. Epub 2009 Apr 15. PubMed 19369375 ↗
  • Salminen S, Collado MC, Isolauri E, Gueimonde M. Microbial-host interactions: selecting the right probiotics and prebiotics for infants. Nestle Nutr Workshop Ser Pediatr Program. 2009;64:201-13; discussion 213-7, 251-7. doi: 10.1159/000235792. Epub 2009 Aug 19. PubMed 19710524 ↗
  • Samanta M, Sarkar M, Ghosh P, Ghosh Jk, Sinha Mk, Chatterjee S. Prophylactic probiotics for prevention of necrotizing enterocolitis in very low birth weight newborns. J Trop Pediatr. 2009 Apr;55(2):128-31. doi: 10.1093/tropej/fmn091. Epub 2008 Oct 8. PubMed 18842610 ↗
  • Scalabrin DM, Johnston WH, Hoffman DR, P'Pool VL, Harris CL, Mitmesser SH. Growth and tolerance of healthy term infants receiving hydrolyzed infant formulas supplemented with Lactobacillus rhamnosus GG: randomized, double-blind, controlled trial. Clin Pediatr (Phila). 2009 Sep;48(7):734-44. doi: 10.1177/0009922809332682. Epub 2009 Mar 4. PubMed 19264721 ↗
  • Schanler RJ. Probiotics and necrotising enterocolitis in premature infants. Arch Dis Child Fetal Neonatal Ed. 2006 Nov;91(6):F395-7. doi: 10.1136/adc.2005.092742. No abstract available. PubMed 17056837 ↗
  • Soll RF. Probiotics: are we ready for routine use? Pediatrics. 2010 May;125(5):1071-2. doi: 10.1542/peds.2010-0643. Epub 2010 Apr 26. No abstract available. PubMed 20421256 ↗
  • Tarnow-Mordi WO, Wilkinson D, Trivedi A, Brok J. Probiotics reduce all-cause mortality and necrotizing enterocolitis: it is time to change practice. Pediatrics. 2010 May;125(5):1068-70. doi: 10.1542/peds.2009-2151. Epub 2010 Apr 19. No abstract available. PubMed 20403934 ↗
  • Anderson, T., Lord, A., Shotkoski, N. and O'Keefe, C. The use of probioitics for the prevention of necrotizing enterocolitis in the premature infant. Infant, Child and Adolescent Nutrition 2009; October: 246-249.

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Oct 11, 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
NCT01788761
Lead sponsor
Mercy Health System
Collaborators
Rockford Memorial Hospital Development Foundation
Responsible party
Sponsor
First posted
Feb 11, 2013
Start date
Jul 2012
Primary completion
Jul 11, 2018
Completion
Jul 11, 2018
Last update
Oct 11, 2018

Study contacts

Kim M Schmidt, MS, APN, NNP
principal investigator · Mercy Health System

Oversight

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

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This study is terminated, as verified in Apr 2017. You cannot join it, but the record below documents what was studied.

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