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RecruitingNCT07102836ZIPPUpdated Aug 5, 2025

COMPARISON OF ZINC AND PROBIOTICS ON NEONATES WITH INDIRECT HYPERBILIRUBINEMIA UNDERGOING PHOTOTHERAPY

A Phase 2 interventional study of Zinc sulfate and Probiotic lactobacillus rhamnosus GG in Indirect Hyperbilirubinemia and Neonatal, sponsored by Quaid-e-Azam Medical College. Recruiting at 1 site in Pakistan. Open to participants aged 0 Days to 28 Days. Per ClinicalTrials.gov, last updated 2025-08-05.

Sponsored by Quaid-e-Azam Medical College · Phase 2, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Feb 2026, 9 months ago, but the record still lists the study as recruiting.
Phase
Phase 2
Study type
Interventional
Enrollment
110
Allocation
Randomized
Ages
0 Days to 28 Days
Sex
All
01

Study summary

Study will evaluate effects of oral zinc and probiotics supplementation in neonates who have indirect hyperbilirubinemia and are receiving phototherapy. Aim is to compare efficacy of these two drugs in clearing bilirubin and reducing duration of phototherapy. Neonates will be randomly assigned to receive either drug alongside phototherapy.

02

Conditions studied

  • Indirect Hyperbilirubinemia
  • Neonatal

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Keywords

  • Zinc
  • Probiotics
  • Jaundice
  • Phototherapy
  • Neonates
  • Randomized Controlled Trial
  • Bilirubin
  • Enterohepatic Circulation
  • Indirect Hyperbilirubinemia
03

In context

Jaundice

84 studies on the registry are indexed under Jaundice; 13 are open to participants now.

This study's planned enrollment of 110 is above the median of 79 across 47 interventional studies indexed under Jaundice.

Browse Jaundice studies →

Lead sponsor

Quaid-e-Azam Medical College is the lead sponsor of 11 studies on the registry; 4 are open to participants now.

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

04

Who can participate

Ages eligible
0 Days to 28 Days
Sexes eligible
All
Accepts healthy volunteers
No

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. Term or Near term neonates 2. Age \<7 days at enrollment 3. levels within phototherapy range according to NICE bilirubin threshold charts 4. No identifiable pathology 5. Tolerating oral feeds 6. Parental or Guardian written taken.

Exclusion criteria

Exclusion Criteria:

  • 1. Positive sepsis screen or clinical signs of infection 2. Direct hyperbilirubinemia 3. Gastrointestinal malformations 4. Oral intolerance 5. Requiring mechanical ventilation 6. Congenital anomalies 7. Parental or Guardian refusal to participate in study
Terms in these criteria, in plain language(2)

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.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Care provider)
Enrollment
110 participants (estimated)

Study arms

  • Experimental
    Zinc group

    Participants in this group will receive oral zinc following neonatal dosing guidelines.

    Drug: Zinc sulfate

  • Experimental
    Probiotics group

    Participants in this group will receive oral probiotics following neonatal dosing guidelines.

    Drug: Probiotic lactobacillus rhamnosus GG

Interventions

  • Oral zinc sulfate syrup in a dose providing 5mg elemental zinc daily as adjuvant to phototherapy.

    Also known as: ZnSO4, Zinc

  • Oral Probiotic Lactobacillus rhamnosus GG drops daily as adjuvant to phototherapy.

    Also known as: LGG, L. rhamnosus GG, Probiotic

06

What researchers measure

Primary outcomes

  1. Rate of decline in Bilirubin levels during phototherapy with this adjuvant therapy

    Primary outcome measures the rate at which total serum bilirubin decreases in mg/dL per day in neonates undergoing phototherapy while receiving supplementation with either zinc or probiotics. Bilirubin levels will be recorded at baseline and at regular intervals until phototherapy is discontinued and hence rate of decline will be calculated.

    Time frame: From initiation of supplementation with phototherapy to its completion (typically 3-7 days).

07

Study locations

1 of 1 sites recruiting
  • Sadiq Abbasi Hospital, QAMC, Bahawalpur
    Bahawalpur, Punjab Province 63100, Pakistan
    Recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 5, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07102836
Lead sponsor
Quaid-e-Azam Medical College
Responsible party
Malik Muhammad Umair Fazal (Dr. Malik Muhammad Umair Fazal, Quaid-e-Azam Medical College) — Principal investigator
First posted
Aug 5, 2025
Start date
Aug 7, 2025 (estimated)
Primary completion
Feb 7, 2026 (estimated)
Completion
May 7, 2026 (estimated)
Last update
Aug 5, 2025

Study contacts

Malik M. Umair Fazal, MBBS, FCPS Paediatrics
Contact
umair.malik1622@gmail.com
+923318682681 ext. +92622720235
Dr. Muhammad Anwar, MBBS, FCPS Neonatology
Contact
hmanwar157@yahoo.com
+923216820943 ext. +92622720235
Malik M. Umair Fazal, MBBS, FCPS Paediatrics
principal investigator · Quaid-e-Azam Medical College

Oversight

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

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Studies of the drugs tested here: Zinc Sulfate · Lacticaseibacillus rhamnosus GG

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