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CompletedNCT04977817Updated Aug 29, 2022

Probiotics/TPN in the NICU

An observational study in Total Parenteral Nutrition and Necrotizing Enterocolitis of Newborn, sponsored by Pediatrix. Completed at 2 sites in United States. Per ClinicalTrials.gov, last updated 2022-08-29.

Sponsored by Pediatrix · Observational

Study type
Observational
Model
Cohort
Time perspective
Other
Enrollment
150
Sex
All
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Study summary

The purpose of this study is to evaluate the effect of probiotic administration on TPN dependence in infants \< 32 weeks GA and BW 1500 grams or less in the Banner - University Medical Center Phoenix and Banner Children's at Desert Neonatal Intensive Care Units (NICU). The primary endpoint of capturing the number of days of TPN administration can reflect that an infant is progressing towards readiness for the initiation or advancement of enteral feedings at an earlier interval. The relationship between probiotic administration and the incidence of NEC, culture positive sepsis, and mortality is of interest to us and will be captured. Finally, the assessment of the tolerance of probiotic administration and the potential positive impact on growth and development in these premature infants may validate our current practices.

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Conditions studied

  • Total Parenteral Nutrition
  • Necrotizing Enterocolitis of Newborn
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In context

Enterocolitis

216 studies on the registry are indexed under Enterocolitis; 26 are open to participants now.

This study's enrollment of 150 is above the median of 78 across 86 observational studies indexed under Enterocolitis.

Browse Enterocolitis studies →

Lead sponsor

Pediatrix is the lead sponsor of 34 studies on the registry; none are open to participants now.

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

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Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

The subject population will be infants admitted to the Banner - University Medical Center Phoenix and Banner Children's at Desert NICUs who meet the specific inclusion criteria.

Inclusion criteria

  • Birth weight \< 1500 grams or GA \< 32 weeks

Exclusion criteria

Exclusion Criteria:

  • Life threatening congenital anomalies
  • Transfers to another facility prior to discharge home
  • Investigator discretion to exclude if deemed necessary
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Study design

Observational model
Cohort
Time perspective
Other
Enrollment
150 participants (actual)
Patient registry
No

Groups and cohorts

  • Control Group

    By using the Baby Steps Program, neonates less than or equal to 1500 grams and less than 32 weeks GA will be identified. The control group will contain those that did not receive probiotics.

  • Treatment Group

    By using the Baby Steps Program, neonates less than or equal to 1500 grams and less than 32 weeks GA will be identified. The treatment group will contain those neonates that did receive the probiotic nutritional supplement.

    Dietary Supplement: Similac Probiotic Tri-Blend

Interventions

  • Dietary supplementSimilac Probiotic Tri-Blend

    Probiotic dietary supplement, Similac Probiotic Tri-Blend

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What researchers measure

Primary outcomes

  1. Number of days on total parenteral nutrition

    Evaluate the effects of a probiotic dietary supplement (Similac Probiotic Tri-Blend) on number of days on total parenteral nutrition (TPN) in infants admitted to the Neonatal Intensive Care Unit (NICU).

    Time frame: 30 days

Secondary outcomes

  1. Impact on neonatal growth

    Neonatal growth velocity may be impacted by the usage of probiotics in the Neonatal Intensive Care Unit.

    Time frame: 30 days

  2. Feeding Intolerance

    The administration of probiotics may change the incidence of feeding intolerance

    Time frame: 30 days

Other outcomes

  1. Incidence of NEC

    Probiotic administration may change the incidence of Necrotizing Enterocolitis

    Time frame: 30 days

  2. Days on Respiratory Support

    Days on respiratory support may represent an indication of overall outcomes in the Neonatal Intensive Care Unit

    Time frame: 30 days

  3. Incidence of culture positive sepsis

    Probiotic administration may change the incidence of culture positive sepsis

    Time frame: 30 days

  4. Incidence of complication of central lines

    Probiotic administration may change the length of time that a central line will need to be in place.

    Time frame: 30 days

  5. All causes of Mortality

    Probiotic administration may change the incidence of mortality in the Neonatal Intensive Care Unit.

    Time frame: 30 days

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Study locations

2 sites
  • Banner Children's at Desert
    Mesa, Arizona 85202, United States
  • Banner University Medical Center Phoenix
    Phoenix, Arizona 85006, United States
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References and documents

Publications

  • Jacobs SE, Tobin JM, Opie GF, Donath S, Tabrizi SN, Pirotta M, Morley CJ, Garland SM; ProPrems Study Group. Probiotic effects on late-onset sepsis in very preterm infants: a randomized controlled trial. Pediatrics. 2013 Dec;132(6):1055-62. doi: 10.1542/peds.2013-1339. Epub 2013 Nov 18. PubMed 24249817 ↗
  • Gray KD, Messina JA, Cortina C, Owens T, Fowler M, Foster M, Gbadegesin S, Clark RH, Benjamin DK Jr, Zimmerman KO, Greenberg RG. Probiotic Use and Safety in the Neonatal Intensive Care Unit: A Matched Cohort Study. J Pediatr. 2020 Jul;222:59-64.e1. doi: 10.1016/j.jpeds.2020.03.051. Epub 2020 May 14. PubMed 32418818 ↗
  • Patel RM, Underwood MA. Probiotics and necrotizing enterocolitis. Semin Pediatr Surg. 2018 Feb;27(1):39-46. doi: 10.1053/j.sempedsurg.2017.11.008. Epub 2017 Nov 6. PubMed 29275816 ↗
  • Singh B, Shah PS, Afifi J, Simpson CD, Mitra S, Dow K, El-Naggar W; Canadian Neonatal Network Investigators. Probiotics for preterm infants: A National Retrospective Cohort Study. J Perinatol. 2019 Apr;39(4):533-539. doi: 10.1038/s41372-019-0315-z. Epub 2019 Jan 28. PubMed 30692619 ↗
  • Sawh SC, Deshpande S, Jansen S, Reynaert CJ, Jones PM. Prevention of necrotizing enterocolitis with probiotics: a systematic review and meta-analysis. PeerJ. 2016 Oct 5;4:e2429. doi: 10.7717/peerj.2429. eCollection 2016. PubMed 27761306 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 29, 2022, 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
NCT04977817
Lead sponsor
Pediatrix
Collaborators
Phoenix Children's Hospital, Banner University Medical Center
Responsible party
Sponsor
First posted
Jul 27, 2021
Start date
Nov 3, 2021
Primary completion
Aug 1, 2022
Completion
Aug 26, 2022
Last update
Aug 29, 2022

Study contacts

Suganya Kathiravan, MD
principal investigator · Phoenix Perinatal Associates - Neonatal Division

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 Aug 2022. You cannot join it, but the record below documents what was studied.

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