ClinicalTrials.gg
Active, not recruitingNCT05992493Updated Nov 15, 2024

The Role of Human Milk Oligosaccharides and Microbiomes on Infantile Colic and Atopic Dermatitis in Term Infants

An observational study in Infantile Colic, Breast Feeding and Atopic Dermatitis, sponsored by National Cheng-Kung University Hospital. Active, not recruiting at 1 site in Taiwan. Open to participants aged 1 Day and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-15.

Sponsored by National Cheng-Kung University Hospital · Observational

From the registry’s dates

  • Primary completion was expected by Aug 2025, 1 year 2 months ago, but the record still lists the study as active, not recruiting.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
300
Ages
1 Day and older
Sex
All
01

Study summary

Background: Human milk oligosaccharides (HMO) and microbiota are both key factors for infants to shape the gut flora and develop the immune system. Breastfed infant is beneficial to prevent the occurrence of infantile colic (IC) and atopic dermatitis (AD), which may through shaping a healthy microbiota. However, the gut microbiota biomarkers representing IC and AD have not yet been discovered. In addition, the effectiveness of supplement of HMO in infant formula reduce the incidence of IC and AD in infants is still debate.

Read the detailed description

Purpose: To investigate the preventive role of HMO-supplement formula on IC and AD in term infants in a clinical trial.

Method: The investigators will enroll three cohorts (exclusive breastfeeding, formula feeding, and HMO-supplement formula feeding infants) for research. The investigators collected samples of serial baby feces from subjects at 0, 1, 2, 4, 6, 12 months in this study. The fecal microbiota composition will be analyzed by detecting 16S-rRNA using next generation sequencing method. The demographic data and incidence of IC (0-5 months) and AD (0-12 months) was followed and recorded.

02

Conditions studied

  • Infantile Colic
  • Breast Feeding
  • Atopic Dermatitis
  • Infant Formula

Keywords

  • Breast milk
  • microbiota
  • infant health
  • Human milk oligosaccharides
  • prebiotics
03

In context

Colic

127 studies on the registry are indexed under Colic; 18 are open to participants now.

This study's planned enrollment of 300 is close to the median of 300 across 11 observational studies indexed under Colic.

Browse Colic studies →

Lead sponsor

National Cheng-Kung University Hospital is the lead sponsor of 277 studies on the registry; 70 are open to participants now.

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

04

Who can participate

Ages eligible
1 Day and older
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Non-probability sample

Study population

The investigators collected exclusive, formula-fed and HMO-supplement formula-fed infants. Inclusion criteria were infants with a gestational age >= 37 weeks and a birth weight greater than 2500 gm. Exclusion criteria were infants born with perinatal injury, use of antibiotics prior to stool collection, growth-related congenital anomalies, and major illnesses requiring hospitalization.

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

  1. New born
  2. Gestational age of >= 37 weeks
  3. birth weight greater than 2500 gm

Exclusion criteria

Exclusion Criteria:

  1. Born with Perinatal insults
  2. Mother with antimicrobial agents 1 month before delivery
  3. Congenital abnormalities related to growth
  4. Major disease admitted to Level II or NICU
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
300 participants (estimated)
Patient registry
No
Biospecimen retention
Samples with dna

Groups and cohorts

  • Breast-milk feeding

    Exclusive breastfeeding for 4 months or more

  • Control Formula milk feeding

    Exclusive formula milk for 4 months or more

  • HMO-Formula-milk feeding

    Exclusive HMO-formula milk for 4 months or more

06

What researchers measure

Primary outcomes

  1. Incidence of IC and AD will be compared between three groups

    According to the feeding method, singleton full-term infants will divide into three groups (n=300) including recorded demographic data. The diagnosis of IC and AD is based on Rome IV criteria and the Taiwan Academy of Pediatric Allergy, Asthma, and Immunology (TAPAAI) criteria, respectively. The incidence of IC and AD will be compared between the three groups.

    Time frame: The 1 months after birth follow-up

  2. Incidence of IC and AD will be compared between three groups

    According to the feeding method, singleton full-term infants will divide into three groups (n=300) including recorded demographic data. The diagnosis of IC and AD is based on Rome IV criteria and the Taiwan Academy of Pediatric Allergy, Asthma, and Immunology (TAPAAI) criteria, respectively. The incidence of IC and AD will be compared between the three groups.

    Time frame: The 2 months after birth follow-up

  3. Incidence of IC and AD will be compared between three groups

    According to the feeding method, singleton full-term infants will divide into three groups (n=300) including recorded demographic data. The diagnosis of IC and AD is based on Rome IV criteria and the Taiwan Academy of Pediatric Allergy, Asthma, and Immunology (TAPAAI) criteria, respectively. The incidence of IC and AD will be compared between the three groups.

    Time frame: The 4 months after birth follow-up

  4. Incidence of IC and AD will be compared between three groups

    According to the feeding method, singleton full-term infants will divide into three groups (n=300) including recorded demographic data. The diagnosis of IC and AD is based on Rome IV criteria and the Taiwan Academy of Pediatric Allergy, Asthma, and Immunology (TAPAAI) criteria, respectively. The incidence of IC and AD will be compared between the three groups.

    Time frame: The 6 months after birth follow-up

  5. Incidence of IC and AD will be compared between three groups

    According to the feeding method, singleton full-term infants will divide into three groups (n=300) including recorded demographic data. The diagnosis of IC and AD is based on Rome IV criteria and the Taiwan Academy of Pediatric Allergy, Asthma, and Immunology (TAPAAI) criteria, respectively. The incidence of IC and AD will be compared between the three groups.

    Time frame: The 12 months after birth follow-up

  6. Next-generation sequencing analysis-based differences on gut microbiota in infants between three groups

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The collected fecal samples will be analyze the composition of microbiota using NGS method. The differences of microbiota pattern will be identified.

    Time frame: Infant stool samples will be collected at various time points from 0 to 1 year of age.

Secondary outcomes

  1. Infantile weight growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body weight growth (gm) will be recorded and compared between the three groups.

    Time frame: The 1 months after birth follow-up

  2. Infantile weight growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body weight growth (gm) will be recorded and compared between the three groups.

    Time frame: The 2 months after birth follow-up

  3. Infantile weight growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body weight growth (gm) will be recorded and compared between the three groups.

    Time frame: The 4 months after birth follow-up

  4. Infantile weight growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body weight growth (gm) will be recorded and compared between the three groups.

    Time frame: The 6 months after birth follow-up

  5. Infantile weight growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body weight growth (gm) will be recorded and compared between three groups.

    Time frame: The 12 months after birth follow-up

  6. Infantile height growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body height growth (cm) will be recorded and compared between the three groups.

    Time frame: The 1 months after birth follow-up

  7. Infantile height growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body height growth (cm) will be recorded and compared between the three groups.

    Time frame: The 2 months after birth follow-up

  8. Infantile height growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body height growth (cm) will be recorded and compared between the three groups.

    Time frame: The 4 months after birth follow-up

  9. Infantile height growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body height growth (cm) will be recorded and compared between the three groups.

    Time frame: The 6 months after birth follow-up

  10. Infantile height growth between different feeding pattern

    Singleton full-term infants will divide into three groups (n=300) according to feeding method. The body height growth (cm) will be recorded and compared between the three groups.

    Time frame: The 12 months after birth follow-up

07

Study locations

1 site
08

References and documents

Publications

  • Zivkovic AM, German JB, Lebrilla CB, Mills DA. Human milk glycobiome and its impact on the infant gastrointestinal microbiota. Proc Natl Acad Sci U S A. 2011 Mar 15;108 Suppl 1(Suppl 1):4653-8. doi: 10.1073/pnas.1000083107. Epub 2010 Aug 2. PubMed 20679197 ↗
  • Le Doare K, Holder B, Bassett A, Pannaraj PS. Mother's Milk: A Purposeful Contribution to the Development of the Infant Microbiota and Immunity. Front Immunol. 2018 Feb 28;9:361. doi: 10.3389/fimmu.2018.00361. eCollection 2018. PubMed 29599768 ↗
  • Ward RE, Ninonuevo M, Mills DA, Lebrilla CB, German JB. In vitro fermentation of breast milk oligosaccharides by Bifidobacterium infantis and Lactobacillus gasseri. Appl Environ Microbiol. 2006 Jun;72(6):4497-9. doi: 10.1128/AEM.02515-05. PubMed 16751577 ↗

Individual participant data

Plan to share: Undecided

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 15, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05992493
Responsible party
Yao-Jong Yang (professor, National Cheng-Kung University Hospital) — Principal investigator
First posted
Aug 15, 2023
Start date
Aug 7, 2023
Primary completion
Aug 30, 2025 (estimated)
Completion
Aug 30, 2026 (estimated)
Last update
Nov 15, 2024

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 active, not recruiting, as verified in Nov 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion