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CompletedNCT02568579Updated Jan 29, 2018

Infant Immunity Comparison of Breastfed and Bottlefed Infants

An observational study in Infant Immunity Response and Immunoglobulin Diversity, sponsored by Duke University. Completed at 3 sites in United States. Open to female participants aged 18 Years to 45 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-01-29.

Sponsored by Duke University · Observational

Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
85
Ages
18 Years to 45 Years
Sex
Female
01

Study summary

This study will follow 40 healthy, vaginally delivered infants that are primarily (>/- 75%) breast fed and 40 infants that are exclusively formula fed for at least the first 4 months of life from birth until 12 month age. Visits - Subjects will be consented prior to delivery, visit 1. Subject will be seen if possible after delivery for instruction on stool collection and distribution of supplies, visit 2. Subject will be seen at 6 months of age post immunization, visit 3. Subject will be seen prior to 12 month visit. Study staff will contact via phone/email to collect information about feeding changes.

Read the detailed description

Cord Blood will be collected at birth if possible and peripheral blood will be collected at 6 month of age (5 to 10 days after receiving their standard 6 month immunizations) and at 12 months of age prior to their 12 month immunization. Additionally, stool samples will be collected within the first week of live and once monthly through 12 months of age. Breastfeeding mothers will collect breast milk once monthly at the same time as the stool specimen during the period of breastfeeding.

02

Conditions studied

  • Infant Immunity Response and Immunoglobulin Diversity
03

In context

Lead sponsor

Duke University is the lead sponsor of 2,058 studies on the registry; 274 are open to participants now.

Of its 204 completed or terminated interventional studies of FDA-regulated products, 165 (81%) have results posted.

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

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Who can participate

Ages eligible
18 Years to 45 Years
Sexes eligible
Female
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

  • Pregnant women 18 years of age or older.
  • Vaginal delivery
  • Healthy, full-term babies.
  • Willing to primarily (> 75%) breastfeed or exclusively formula feed for at least the first 4 months of life.
  • Willing to follow the American Academy of Pediatrics' Immunizations guidelines.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Self-declared pregnant woman
  • Age 18 years or older at the time of consent
  • Willing and able to sign consent and follow study schedule
  • Planned vaginal delivery
  • Willing to primarily breastfed or formula feed for the first four months

Exclusion criteria

Exclusion Criteria:

  • Planned delivery by C-Section
  • Unwillingness to exclusively breast feed or formula feed their infant for at least the first 4 months
  • Unwillingness to receive standard immunizations on the schedule recommended by the American Academy of Pediatrics
  • Chronic maternal condition that may influence infant immunity including but not limited to: maternal HIV, immunodeficiency, use of immunosuppressive medications, malignancy or autoimmunity
  • Known fetal medical conditions such as congenital malformations
  • Use of immune modulating/immune suppressive medication and prophylactic antibiotics during pregnancy
  • Any condition that may prevent a mother who plans to breast feed from breast feeding
  • Any condition that in the opinion of the investigator would interfere with the conduct of the study
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Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
85 participants (actual)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Breastfed

    collection of blood/stool/breast milk samples and information about feeding changes and introduction of solid foods. - Cord Blood sample, stool samples monthly and blood sample at 6 month and 12 months of age

    Procedure: blood sample/ stool sample

  • Bottlefed

    collection of blood/stool samples and information about feeding changes and introduction of solid foods. Coord blood sample, stool samples monthly and blood sample at 6 month and 12 month of age.

    Procedure: blood sample/ stool sample

Interventions

  • Procedureblood sample/ stool sample

    blood sample to be done when possible with standard of care lab draw. Stool sample to be collected monthly at home.

06

What researchers measure

Primary outcomes

  1. Molecular profile of human IgG and IgA by pyrosequencing.

    B cell priming and immunoglobulin diversity following immunizations at 2 and 4 month of age by modulating the microbial colonization of infant gut by pyrosequencing by using isotype specific primers.

    Time frame: 12 months

Secondary outcomes

  1. Vaccine response

    post immunization antibody titers (via ELISA) to Hib, tetanus, diphtheria, pertussis and pneumococcal polysaccharide serotypes contained in the Prevnar 13 vaccine.

    Time frame: 12 months

  2. Antibody activity

    Functional activity of antibodies measured by opsonophagocytic activity to Pneumococcal and Hib vaccine

    Time frame: 12 months

  3. Plasma level of B cell activating factor and/or a proliferation-inducing ligand

    Degree of B cell differentiation and activation in B cell by BD bioscience Canto flow cytometry.

    Time frame: 12 months

07

Study locations

3 sites
  • Children's Hospital Los Angeles
    Los Angeles, California 90027, United States
  • UNC Chapel Hill
    Chapel Hill, North Carolina 27514, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2015 to primary completion in Nov 2017, 34 months.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 15, 2015
First posted
Oct 6, 2015
StartActual
Jan 2015
Primary completionActual
Nov 2017
CompletionActual
Dec 2017
Last update
Jan 29, 2018
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jan 29, 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
NCT02568579
Lead sponsor
Duke University
Responsible party
Sponsor
First posted
Oct 6, 2015
Start date
Jan 2015
Primary completion
Nov 2017
Completion
Dec 2017
Last update
Jan 29, 2018

Study contacts

John Sleasman, MD
study director · Duke University

Oversight

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

Not currently enrolling

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

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