ClinicalTrials.gg
Status unknownNCT03472170LACTOPREMUpdated Nov 14, 2019

Clinical Trial for Valuation of the Effectiveness of Lactoferrine in the Prevention of Sepsis in New Premature Born. Bimonitorization of the Antinflammatory Mechanisms, Antioxidants and the Intestinal Microbiote.

An interventional study of Enteral administration of bovine lactoferrin (bLf) and Enteral administration of placebo in SEPSIS SYNDROME, sponsored by Maimónides Biomedical Research Institute of Córdoba. Status unknown at 1 site in Spain. Open to participants aged Up to 32 Weeks. Per ClinicalTrials.gov, last updated 2019-11-14.

Sponsored by Maimónides Biomedical Research Institute of Córdoba · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Nov 2019), so the status shown — last known as Recruiting — may be out of date.

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled May 2017, registered Mar 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
Up to 32 Weeks
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 11 studies in Systemic Inflammatory Response Syndrome with a site in Spain — 2 open to participants now, 2 under way, none of them phase 3. Systemic Inflammatory Response Syndrome · Spain.

Started
2017
the only one that year
No phase
2 of 11
none open now
Registered
6th of 11
by date
Lead sponsor
1 of 11
Maimónides Biomedical Research Institute of Córdoba

Among the 11 studies in Systemic Inflammatory Response Syndrome with a site in Spain, this one is the only one that started in 2017, is one of 2 with no phase, and was the 6th registered.

Systemic Inflammatory Response Syndrome

195 studies on the registry are indexed under Systemic Inflammatory Response Syndrome; 24 are open to participants now.

Browse Systemic Inflammatory Response Syndrome studies →

Open to participants now

2 of the 11 studies in Systemic Inflammatory Response Syndrome with a site in Spain are open now. Recruiting first, the newest first:

All 2 open studies →

A study can be open while its sites in Spain have not opened yet or have stopped. Only those recruiting at a site in Spain →

Who these studies take

Of the 20 Systemic Inflammatory Response Syndrome studies recruiting now, 13 (65%) set no upper age limit and 4 (20%) stop at 75 or younger; 5 take children under 18; none take healthy volunteers.

This study: Up to 32 Weeks · all sexes · no healthy volunteers.

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02

Study summary

To evaluate the efficacy of enteral administration of bovine lactoferrin (bLf) in the reduction of probable late sepsis or microbiologically proven in preterm infants with birth weight ≤ 1500 gr and / or gestational age ≤ 32 weeks.

Read the detailed description

To date there are no published clinical data that jointly assess the impact of direct Lf supplementation on oxidative status, on biomarkers of systemic inflammation and on the microbiota of premature infants with or without sepsis. Clarification of these additional questions is essential for a better understanding of the benefits and implications of enteral administration of Lf in preterm infants. The enteral administration of lactoferrin reduces the incidence of late sepsis in preterm infants of very low birth weight (BMPN). Enteral supplementation with lactoferrin in NBWNS can have a beneficial effect on the systemic oxidative and inflammatory state, and may contribute to the creation of a healthy faecal microbiota.

03

Conditions studied

  • SEPSIS SYNDROME

Keywords

  • bovine lactoferrin
  • late sepsis
04

Who can participate

Ages eligible
Up to 32 Weeks
Sexes eligible
All
Accepts healthy volunteers
No

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

  • Both groups will include male or female children born preterm with birth weight ≤ 1500 g and / or EG ≤ 32 weeks. All tutors of patients, must sign the .

Exclusion criteria

Exclusion Criteria:

  • In both groups those subjects who do not meet the age and weight established at birth, have> 72 hours of life at the time of inclusion, who do not sign or who have the following morbidities will be discarded: 1) Early sepsis or vertical; 2) Gastrointestinal congenital anomalies; 3) Chromosomopathies; 4) Congenital anomalies and / or genetic diseases without survival expectations; 5) Severe perinatal hypoxia.
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Investigator)
Enrollment
120 participants (estimated)

Study arms

  • Experimental
    Experimental Arm

    The nutritional supplement used will be bovine lactoferrin, a product marketed according to the regulations of the European Union, and approved by the European Food Safety Agency (EFSA) in 2012, and by the American Agency for Food and Drug Administration ( FDA) in 2013. It will be acquired after purchase from Dicofarm® (Rome, Italy). The Hospital Pharmacy Service will provide the established dose of lactoferrin, according to the administration schedule of 150 mg / kg / day (maximum 300 mg / day). The treatments will be administered in liquid form, in the least amount possible. The administration of lactoferrin will be carried out enterally, orally or by nasogastric tube. The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the NB with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before.

    Dietary Supplement: Enteral administration of bovine lactoferrin (bLf)

  • Placebo comparator
    Control Arm

    Placebo with similar visual and taste characteristics to the nutritional supplement of bovine lactoferrin. It will be administered in liquid form, in the least amount possible. The administration of placebo will be carried out enterally, orally or by nasogastric tube. The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the NB with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before.

    Other: Enteral administration of placebo

Interventions

  • Dietary supplementEnteral administration of bovine lactoferrin (bLf)

    The pharmacy service of the hospital will provide the established dose of lactoferrin, according to the regimen of administration of 150 mg / kg / day (maximum 300 mg / day), as well as that of placebo. Both treatments will be administered in liquid form, in the least amount possible. Both the administration of lactoferrin and placebo will be carried out enterally, orally or by nasogastric tube. The intervention will be done in the first 72 hours of life, once a day, and for 4 weeks, extending to 6 weeks in the newborns with EG ≤ 28 weeks and / or birth weight ≤ 1000 gr, or until discharge if this happens before.

  • OtherEnteral administration of placebo

    Enteral administration of placebo with similar visual and gustatory characteristics in the first 72 hours of life, and for 4 weeks (6 weeks in the RN ≤ 1000 gr and / or EG ≤ 28 weeks).

06

What researchers measure

Primary outcomes

  1. Incidence of proven and probable late sepsis

    To evaluate the efficacy of enteral administration of bovine lactoferrin (bLf) in the reduction of probable late sepsis or microbiologically proven in preterm infants with birth weight ≤ 1500 gr and / or gestational age ≤ 32 weeks.

    Time frame: 12 months

Secondary outcomes

  1. Perinatal history and demographic characteristics

    Description of the perinatal history and demographic characteristics in the subjects of two intervention groups (lactoferrin vs placebo).

    Time frame: At baseline.

  2. Morbidities

    Assess the possible differences between the two groups with respect to the following morbidities: Global mortality and / or attributable to late sepsis before hospital discharge * Necrotizing enterocolitis * Retinopathy of prematurity * Bronchopulmonary dysplasia * Cerebral hemorrhage and periventricular leukomalacia * Hospital stay * Seriousness of late sepsis * Food tolerance

    Time frame: From 72 hours until 4 weeks after birth

  3. Adverse effects

    Evaluation of the safety of the administration of lactoferrin by monitoring possible adverse effects.

    Time frame: From 72 hours until 4 weeks after birth and in every visit (months 3, 6, 12 y 24 after hospital discharge).

  4. Parameters of inflammation and oxidative stress

    Biomonitoring parameters of inflammation and oxidative stress in both groups, comparing possible differences.

    Time frame: 0-24 hours of life, 7-10 days, 14-17 days of life, and one last extraction at the end of treatment, at 28-31 days

  5. Intestinal microbiota

    Study and compare the composition of the intestinal microbiota between both groups. Its modification will be assessed before and after treatment, and the implication of its distortion in late sepsis.

    Time frame: Before and after treatment

  6. Subgroups evaluation

    Analyze the results based on subgroups established by gestational age, birth weight, type of feeding and etiology of sepsis.

    Time frame: At the end of the trial.

  7. Anthropometric parameters and neurodevelopment

    Evaluation of anthropometric parameters and neurodevelopment at 2 years of corrected age.

    Time frame: At 2 years of corrected age

07

Study locations

1 of 1 sites recruiting
  • Hosìtal Universitario Reina Sofia
    Córdoba, 14004, Spain
    Recruiting
    • María Dolores Ordoñez, MD · Contactmdordonezdiaz@gmail.com
    • María Dolores Ordoñez, MD · Principal investigator
08

References and documents

Individual participant data

Plan to share: Yes — The individual participant data will be available. Individual parcicipant data that underlie the results reportes in this article, after deidenttification (text, tables, figures and appendices) The other documents that will be available: study protocol, Statistical Analysis Plan, Informed Consent Form. With whom? Researchers who provide a methodologically sound proposal. For what types of analyses? for individual participant data meta-analysis.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: Open under request.

Access criteria: To obtain the data, a proposal must be sent to uicec@imibic.org. To gain access, data requestors will need to sign a data access agreement.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started May 2017 (actual). Primary completion is estimated for Mar 2020, 33 months after the start.

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

Registered
Mar 14, 2018
First posted
Mar 21, 2018
StartActual
May 4, 2017
Primary completionEst.
Mar 1, 2020
CompletionEst.
Mar 1, 2020
Last update
Nov 14, 2019
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 Nov 14, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03472170
Lead sponsor
Maimónides Biomedical Research Institute of Córdoba
Responsible party
Sponsor
First posted
Mar 21, 2018
Start date
May 4, 2017
Primary completion
Mar 1, 2020 (estimated)
Completion
Mar 1, 2020 (estimated)
Last update
Nov 14, 2019

Study contacts

Antonio Miguel Luque Pineda
Contact
uicec@imibic.org
00 34 957 011 040
María Dolores Ordoñez, MD
Contact
mdordonezdiaz@gmail.com
María Dolores Ordoñez
principal investigator · Maimónides Biomedical Research Institute of Córdoba

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Nov 2019. You cannot join it, but the record below documents what was studied.

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