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CompletedNCT04788485Updated Mar 11, 2021

Evaluation of Smectite Effect As A Food Thickener On Gastroesophageal Reflux Disease In Neonates Using Combined Esophageal Multichannel Intraluminal Impedance

A Phase 4 interventional study of Diosmectite in Gastroesophageal Reflux in Neonates, sponsored by Ain Shams Maternity Hospital. Completed at 1 site in Egypt. Open to participants aged 0 Days to 30 Days. Per ClinicalTrials.gov, last updated 2021-03-11.

Sponsored by Ain Shams Maternity Hospital · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Registered 3 years 6 months after the study started (first participant enrolled Sep 2017, registered Mar 2021).
Phase
Phase 4
Study type
Interventional
Enrollment
20
Allocation
Randomized
Ages
0 Days to 30 Days
Sex
All
01

Study summary

study of diagnosis of GERD in neonates by MII-PH with trial of smectite for treatment

Read the detailed description

This is a prospective clinical trial conducted on 20 preterm neonates \< 37 weeks of gestation, admitted in NICU, maternity hospital, Ain Shams University. They were assessed for gastroesophageal reflux disease and investigated using ph-MII for detection of reflux episodes and they were given Smecta 3gm/day for 7 days at least as a food thickener and then ph-MII repeated to assess the response

02

Conditions studied

  • Gastroesophageal Reflux in Neonates
03

In context

Gastroesophageal Reflux

1,066 studies on the registry are indexed under Gastroesophageal Reflux; 188 are open to participants now.

This study's enrollment of 20 is below the median of 72 across 711 interventional studies indexed under Gastroesophageal Reflux.

Browse Gastroesophageal Reflux studies →

Lead sponsor

Ain Shams Maternity Hospital is the lead sponsor of 135 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
0 Days to 30 Days
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

    • Newborns free of any congenital anomalies or inborn errors of metabolism

      • Infants had signs of reflux like:

        1. Typical or atypical crying and/or irritability
        2. Apparent life-threatening event
        3. Poor appetite; weight loss or poor growth (failure to thrive)
        4. Vomiting
        5. Bronchopulmonary dysplasia
        6. Wheezing, stridor
        7. Recurrent pneumonitis
        8. Sandifer syndrome (ie, posturing with opisthotonus or torticollis)

Exclusion criteria

Exclusion Criteria:

    • Newborns with GIT anomalies as trans-esophageal fistula, hiatus hernia and other GIT anomalies causing reflux.

      • Patients with Hirshsprung disease or delayed passage of meconium.
      • History of NEC in the baby.
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Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Crossover assignment
Masking
Single (Participant)
Enrollment
20 participants (actual)

Study arms

  • Active comparator
    Neonates before adding smectite

    neonates will receive diosmectite for treating of gastroesophageal reflux in neonates after MII-ph

    Drug: Diosmectite

  • Active comparator
    neonates after adding smectite

    neonates after they received diosmectite for treating of gastroesophageal reflux in neonates after MII-ph

    Drug: Diosmectite

Interventions

  • DrugDiosmectite

    use of diosmectite as a food thickener in neonates in with gastroesophageal reflux in noenates

    Also known as: Smecta

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What researchers measure

Primary outcomes

  1. Effect of smectite as food thickener for treatment of gastroesophgeal reflux in neonates

    efficacy of Smectite as a food thickener in treating GERD in neonates using Multichannel intraluminal impedance-pH monitoring.

    Time frame: within 7 days

Secondary outcomes

  1. Reliability of signs for diagnosis of gastroesophageal reflux in neonates using MII-pH

    determine the reliability of signs such as cardio-respiratory events, apneas and dystonic neck posturing (Sandifer syndrome) in the diagnosis of GERD using Multichannel intraluminal impedance-pH monitoring.

    Time frame: within 24 hours

07

Study locations

1 site
  • Ain Shams University-Faculty of Medicine
    Cairo, 11591, Egypt
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 11, 2021, 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
NCT04788485
Lead sponsor
Ain Shams Maternity Hospital
Responsible party
Hend Fayez Ahmed (specialist, Ain Shams Maternity Hospital) — Principal investigator
First posted
Mar 9, 2021
Start date
Sep 1, 2017
Primary completion
Feb 25, 2021
Completion
Mar 1, 2021
Last update
Mar 11, 2021

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 completed, as verified in Mar 2021. You cannot join it, but the record below documents what was studied.

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