CClinicalTrials.gg
Status unknownNCT02153606Updated Mar 17, 2016

Glycerin Suppositories Used Prophylactically in Premature Infants (SUPP): a Pilot Randomized Placebo-controlled Trial

An interventional study of Glycerin Suppository and Sham Suppository in Feeding Intolerance in Premature Infants, sponsored by McMaster University. Status unknown at 1 site in Canada. Per ClinicalTrials.gov, last updated 2016-03-17.

Sponsored by McMaster University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Mar 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
30
Allocation
Randomized
Sex
All
01

Study summary

All premature babies have problems with feeding and nutrition. Some can develop a life-threatening bowel infection necrotizing enterocolitis. This can result in the need for emergency surgery, loss of bowel, lifelong feeding problems, and death. Giving premature babies glycerin suppositories may be one way to stimulate the digestive tract and help prevent these problems. To see if this treatment works, the investigators need to study hundreds of premature babies in a large trial involving multiple hospitals. The purpose of this project is to carry out a small study first and make sure that the larger trial is feasible. The investigators will invite approximately 30 premature babies from the Neonatal Intensive Care Unit at McMaster University Medical Centre to participate in this study over a 6-month period. The investigators will focus on feasibility issues, including cost, safety, and rate of participation. This will allow us to rigorously test our study protocol and lay the groundwork for the larger study involving multiple hospitals.

02

Conditions studied

  • Feeding Intolerance in Premature Infants

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Keywords

  • Glycerin Suppositories
  • Enteral Nutrition
  • Enterocolitis, Necrotizing
  • Infant, Premature
  • Meconium
03

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 30 is below the median of 84 across 1,689 interventional studies indexed under Premature Birth.

Browse Premature Birth studies →

Lead sponsor

McMaster University is the lead sponsor of 720 studies on the registry; 124 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 2 (33%) have results posted.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Gestational age 24-32 weeks OR
  • Birth weight 500-1500 grams

Exclusion criteria

Exclusion Criteria:

  • Congenital gastrointestinal anomalies
  • Surgery within 48 hours of birth
  • Culture-proven sepsis*
  • Vasopressors within 6 hours of first intervention
  • Nitric oxide
  • Duct-dependent congenital heart defect requiring prostaglandins
  • Suspected coagulopathy (mucosal bleeding from any orifice)
  • Confirmed coagulopathy (any one of the following):
  • International Normalized Ratio greater than 1.4
  • Partial Thromboplastin Time greater than 39 seconds
  • Fibrinogen less than 1.00 grams/liter
  • Thrombocytopenia (platelet count less than 100 x 10\^9/liter)**
  • Neutropenia (absolute neutrophil count less than 0.5 x 10\^9/liter)
  • Complete meconium evacuation (2 normal bowel movements) within 48 hours of life
  • Parent or legal guardian unable to understand English

Note:

* C-reactive protein is not an exclusion criteria

** Indomethacin alone is not an exclusion criteria

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
30 participants (estimated)

Study arms

  • Active comparator
    Glycerin Suppository

    Drug: Glycerin Suppository

  • Sham comparator
    Sham Suppository

    Other: Sham Suppository

Interventions

  • DrugGlycerin Suppository

    The treatment intervention will be a 250 mg glycerin suppository placed in the rectum once daily starting 48-72 hours after birth.

  • OtherSham Suppository

    Sham suppositories will be created by placing a 250 mg glycerin suppository in the diaper once daily starting 48-72 hours after birth. This intervention works as a non-invasive placebo to maintain blinding.

06

What researchers measure

Primary outcomes

  1. Days to full enteral feeding (150 ml/kg/day)

    Time frame: Up to 4 months

Secondary outcomes

  1. Feeding volume on day 14 of life (ml/kg/day)

    Time frame: 14 days

  2. Days to complete meconium evacuation

    Number of days to complete meconium evacuation (defined as two normal bowel movements free of meconium staining).

    Time frame: Up to 4 months

  3. Compliance with treatment regimen

    Time frame: Up to 4 months

  4. Days of parenteral nutrition

    Time frame: Up to 4 months

  5. Necrotizing enterocolitis

    Time frame: Up to 4 months

  6. Culture-proven line sepsis

    Time frame: Up to 4 months

  7. Mortality

    Time frame: Up to 4 months

Other outcomes

  1. Recruitment rate

    Percentage of eligible infants randomized

    Time frame: 6 months

  2. Completion rate

    Percentage of randomized infants reaching full enteral feeds

    Time frame: 6 months

  3. Treatment-related adverse events

    Rectal perforation, rectal bleeding, and/or anal fissure

    Time frame: Up to 4 months

  4. Cost

    Time frame: 6 months

07

Study locations

1 of 1 sites recruiting
  • McMaster University Medical Centre
    Hamilton, Ontario L8N3Z5, Canada
    Recruiting
08

References and documents

Publications

  • Livingston MH, Zequeira J, Blinder H, Pemberton J, Williams C, Walton JM. Glycerin suppositories used prophylactically in premature infants (SUPP) trial: a study protocol for a pilot randomized controlled trial. Pilot Feasibility Stud. 2015 Aug 25;1:31. doi: 10.1186/s40814-015-0024-0. eCollection 2015. PubMed 27965809 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 17, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02153606
Lead sponsor
McMaster University
Collaborators
McMaster Surgical Associates, Hamilton Health Sciences Corporation
Responsible party
Sponsor
First posted
Jun 3, 2014
Start date
Jan 2015
Primary completion
Jun 2016 (estimated)
Last update
Mar 17, 2016

Study contacts

Henrietta Blinder, BSc
Contact
blinderh@mcmaster.ca
905-521-2100 ext. 73507
J M Walton, M.D.
principal investigator · McMaster University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Mar 2016. You cannot join it, but the record below documents what was studied.

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