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CompletedNCT04901546Updated Apr 13, 2023

Esophageal Atresia: a Natural Experiment of the Effects of Oral Inoculation on the Gut Microbiome

An interventional study of Patient's own saliva in Esophageal Atresia, sponsored by Stanford University. Completed at 1 site in United States. Open to participants aged Up to 3 Months. Per ClinicalTrials.gov, last updated 2023-04-13.

Sponsored by Stanford University · Not applicable, Interventional, and Basic science

Phase
Not applicable
Study type
Interventional
Enrollment
52
Allocation
Non-randomized
Ages
Up to 3 Months
Sex
All
01

Study summary

The purpose of this study is to understand changes of the gut microbiome due to esophageal atresia. The intervention will be to give a patient his or her own saliva through their gastrostomy tube (directly into the stomach) to observe if this can normalize microbial colonization of the gut.

Read the detailed description

After being informed about the study and its overall risks, parents will be given the option to enroll their infant. Participants (infants) with esophageal atresia and a gastrostomy tube will be given their own saliva through their gastrostomy tube, directly into the stomach. Samples of saliva and stool will be collected from these infants, and from a comparison group without esophageal atresia, as well as blood and urine to look for changes in immune responses and in metabolism.

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Conditions studied

  • Esophageal Atresia

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03

In context

Esophageal Atresia

42 studies on the registry are indexed under Esophageal Atresia; 14 are open to participants now.

This study's enrollment of 52 is close to the median of 50 across 17 interventional studies indexed under Esophageal Atresia.

Browse Esophageal Atresia studies →

Lead sponsor

Stanford University is the lead sponsor of 2,117 studies on the registry; 425 are open to participants now.

Of its 259 completed or terminated interventional studies of FDA-regulated products, 197 (76%) have results posted.

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

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Who can participate

Ages eligible
Up to 3 Months
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Neonates with Esophageal Atresia (All, no exclusion criteria); maximum age at enrollment is 3 months.
  • Neonates matched for gestational age without EA, also anticipated to require surgery (Infants >=32 weeks), or also premature (\<32 weeks)

Exclusion criteria

Exclusion Criteria (only for infants without EA):

  • sepsis
  • admission to study hospital after 7 days old
  • expected length of stay \<2 weeks
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Study design

Phase
Not applicable
Primary purpose
Basic science
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
52 participants (actual)

Study arms

  • Experimental
    Infants with Esophageal Atresia

    Starting at 3 weeks, infants will be administered 1 mL of their own saliva via gastrostomy tube, with each feed (8x/day) for one week.

    Other: Patient's own saliva

  • No intervention
    Comparison Infants without Esophageal Atresia

    Infants do not have EA and thus can swallow their own saliva.

Interventions

  • OtherPatient's own saliva

    Infants with esophageal atresia will be given their own saliva

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What researchers measure

Primary outcomes

  1. Change in Gut Microbial Community Structure

    Evaluate community structure and differential abundances of dominant taxa and of key taxa to the newborn (e.g., Bifidobacterium, Bacteroides, Lactobacillus, Staphylococcus and Enterobacteriaceae)

    Time frame: From birth until discharge from the hospital, up to 1 year

Secondary outcomes

  1. Change in Immune System Profile

    Determine immune cell profiles using mass cytometry (CyTOF)

    Time frame: From birth until discharge from the hospital, up to 1 year

  2. Change in Fecal Metabolome Profile

    Measure metabolites in the stool using mass spectrometry

    Time frame: From birth until discharge from the hospital, up to 1 year

  3. Change in Blood Metabolome Profile

    Measure metabolites in the blood using mass spectrometry

    Time frame: From birth until discharge from the hospital, up to 1 year

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Study locations

1 site
  • Lucile Packard Children's Hospital
    Palo Alto, California 94304, United States
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References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 13, 2023, 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
NCT04901546
Lead sponsor
Stanford University
Collaborators
Thrasher Research Fund
Responsible party
David A. Relman (Professor, Medicine - Infectious Disease, Stanford University) — Principal investigator
First posted
May 25, 2021
Start date
May 15, 2021
Primary completion
Apr 8, 2022
Completion
Apr 8, 2022
Last update
Apr 13, 2023

Study contacts

David Relman, MD
principal investigator · Stanford University
Pearl Houghteling
principal investigator · Stanford University

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 Apr 2023. You cannot join it, but the record below documents what was studied.

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