ClinicalTrials.gg
CompletedNCT03476447REMEDIUpdated Apr 19, 2019

Rescuing the Microbiome Effectively With Different Doses of B. Infantis in Infants

An interventional study of B. infantis EVC001 and Lactose in Gut Microbiome, sponsored by Evolve BioSystems, Inc.. Completed at 1 site in United States. Open to participants aged 2 Months to 4 Months, including healthy volunteers. Per ClinicalTrials.gov, last updated 2019-04-19.

Sponsored by Evolve BioSystems, Inc. · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
2 Months to 4 Months
Sex
All
01

Study summary

The REMEDI Study is a single-center, prospective, double-blind, randomized, placebo-controlled trial of multiple doses of B. infantis EVC001 supplementation in healthy term breastfed infants.

Read the detailed description

Mother-infant dyads will be enrolled when the infant is 2-4 months of age. A 1-week lead-in period will be utilized to collect baseline microbiome samples and for the completion of daily and weekly feeding and health logs. Subjects that meet eligibility criteria on Day 7 will be randomized into 1 of 4 treatment arms. Supplementation will begin on Day 8 and will continue for a total of 28 consecutive days. Subjects will be followed for an additional 4 weeks after the cessation of the supplement. The total duration of the study will be approximately 9 weeks. Infant stool and urine samples, as well as maternal breast milk samples, will be collected on multiple occasions during the study. Mothers will be asked to complete questionnaires and health logs during the course of the study as well.

02

Conditions studied

  • Gut Microbiome
03

In context

Lead sponsor

Evolve BioSystems, Inc. is the lead sponsor of 5 studies on the registry; none are open to participants now.

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

04

Who can participate

Ages eligible
2 Months to 4 Months
Sexes eligible
All
Accepts healthy volunteers
Yes

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

  • Age of subjects: Infants: 60 to 125 days old, Mothers: 21 years old and greater
  • Mother-infant dyads who live within a 40-mile radius from the clinical site
  • Infants predominately breastfed with maternal intent to continue exclusive breastfeeding for at least 9 additional weeks
  • Term infants born >37 weeks gestation
  • Healthy infants without medical complications
  • Generally healthy women
  • Mothers who are willing to refrain from feeding their infants infant formula, solid foods, and probiotic or iron supplements (confounding variables of the intestinal microbiome) before the end of the study

Exclusion criteria

Exclusion Criteria:

  • Mothers diagnosed with any metabolic, endocrine, liver, or kidney disease, any disease, cirrhosis, , , AIDs, cancer, obesity (pre-pregnancy >34.9 kg/m2), Crohn's disease, heart disease, type 1 or type 2 diabetes (type 1 diabetes is acceptable if mother's blood glucose has been well-regulated)
  • Infants born in a multiple birth
  • Infants born with medical complications such as: respiratory distress syndrome or birth defects
  • Infants with any GI tract abnormalities
  • Infants who have taken antibiotics within 4 weeks of enrollment or during the Lead-in Period
  • Infants who have taken iron supplements within 4 weeks of enrollment or during the Lead-in Period
  • Infants who have consumed any infant formula within 4 weeks of enrollment or more than 10 times between birth and enrollment or during the Lead-in Period
  • Infants whose parents plan to feed them any infant formula any time throughout the duration of the study
  • Infants who have consumed any probiotics containing B. infantis since birth
  • Infants who have consumed any Bifidobacterium-containing probiotics within 4 weeks of enrollment or during the Lead-in Period
  • Infants whose parents plan to administer probiotics to them any time throughout the duration of the study (not including the study supplement)
  • Infants who have consumed any solid foods or beverages between birth and enrollment or during the Lead-in Period (liquid medicines, supplements, and sugar water are ok)
  • Infants whose parents plan to feed them solid foods or beverages any time throughout the duration of the study
  • Infants whose mothers have changed their minds about their plans to exclusively breastfeed for at least 8 additional weeks by Day 7
  • For infants born vaginally, maternal intake of probiotics containing B. infantis during the last trimester of pregnancy
  • Mother-infant dyads who live in more than one location
  • Infants who have been diagnosed with any medical or nutritional condition that would require iron supplementation
  • Mothers who smoked cigarettes during pregnancy, currently smoke, or plan to initiate smoking during the study duration
  • Anyone the investigator feels isn't an applicable subject
Terms in these criteria, in plain language(4)

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
40 participants (actual)

Study arms

  • Active comparator
    High dose B. infantis EVC001

    10 participants will receive powdered B. infantis EVC001 at a high dose per daily oral feeding

    Other: B. infantis EVC001

  • Active comparator
    Medium dose B. infantis EVC001

    10 participants will receive powdered B. infantis EVC001 at a medium dose per daily oral feeding

    Other: B. infantis EVC001

  • Active comparator
    Low dose B. infantis EVC001

    10 participants will receive powdered B. infantis EVC001 at a low dose per daily oral feeding

    Other: B. infantis EVC001

  • Placebo comparator
    Lactose Placebo

    10 participants will receive powdered lactose per daily oral feeding

    Other: Lactose

Interventions

  • OtherB. infantis EVC001

    A once-daily oral feeding of B. infantis EVC001 will be mixed with breast milk and provided to infants for 28 consecutive days.

  • OtherLactose

    A once-daily oral feeding of a lactose placebo will be mixed with breast milk and provided to infants for 28 consecutive days.

06

What researchers measure

Primary outcomes

  1. Fecal B. infantis levels in infants at 28 days - difference between B. infantis and placebo

    The difference in levels of infant fecal B. infantis (as measured by B. infantis qPCR) between B. infantis EVC001 supplementation and placebo supplementation on Day 28.

    Time frame: 28 days

Secondary outcomes

  1. Fecal B. infantis levels in infants at 28 days - difference between B. infantis doses

    The differences between B. infantis EVC001 doses on levels of infant fecal B. infantis (as measured by B. infantis qPCR) on Day 28.

    Time frame: 28 days

07

Study locations

1 site
  • University of California, Davis
    Davis, California 95616, United States
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 19, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03476447
Lead sponsor
Evolve BioSystems, Inc.
Responsible party
Sponsor
First posted
Mar 26, 2018
Start date
Apr 6, 2018
Primary completion
Apr 3, 2019
Completion
Apr 3, 2019
Last update
Apr 19, 2019

Study contacts

Jennifer Smilowitz, PhD
principal investigator · University of California, Davis

Oversight

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

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

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