ClinicalTrials.gg
RecruitingNCT07307612MEND-BPDUpdated Sep 24, 2026

High-energy Human Milk Diets in the First Two Weeks After Birth to Reduce BPD in Extremely Preterm Infants

A Phase 1/2 interventional study of High-energy group and Standard-energy group in Extreme Prematurity, Enteral Nutrition and Bronchopulmonary Dysplasia, sponsored by University of Alabama at Birmingham. Recruiting at 1 site in United States. Open to participants aged 1 Day to 3 Days. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by University of Alabama at Birmingham · Phase 1/2, Interventional, and Prevention

From the registry’s dates

  • Started Sep 2026; still recruiting 1 month later.
Phase
Phase 1/2
Study type
Interventional
Enrollment
150
Allocation
Randomized
Ages
1 Day to 3 Days
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 147 studies in Bronchopulmonary Dysplasia with a site in United States — 30 open to participants now, 37 under way, 1 of them phase 3. Bronchopulmonary Dysplasia · United States.

Planned enrollment
29th of 117
150 · median 50
Started
2026
with 11 others
Phase 1/2
10 of 147
2 open now
Primary completion
2029-03
later than 34 of 36 live
Registered
140th of 147
by date
Lead sponsor
9 of 147
University of Alabama at Birmingham

Among the 147 studies in Bronchopulmonary Dysplasia with a site in United States, this one is the 29th largest by planned enrollment of the 117 interventional ones that give a count, is one of 12 that started in 2026, is one of 10 in phase 1/2, reaches primary completion later than 34 of the 36 other live ones, and was the 140th registered.

Bronchopulmonary Dysplasia

362 studies on the registry are indexed under Bronchopulmonary Dysplasia; 85 are open to participants now.

Browse Bronchopulmonary Dysplasia studies →

Open to participants now

30 of the 147 studies in Bronchopulmonary Dysplasia with a site in United States are open now. Recruiting first, the newest first:

24 more — sign in →

All 30 open studies →

A study can be open while its sites in United States have not opened yet or have stopped. Only those recruiting at a site in United States →

Who these studies take

Of the 58 Bronchopulmonary Dysplasia studies recruiting now, 7 (12%) set no upper age limit and 50 (86%) stop at 75 or younger; 56 take children under 18; 11 take healthy volunteers.

This study: 1 Day to 3 Days · all sexes · no healthy volunteers.

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02

Study summary

This Phase II, parallel-group, masked, randomized clinical trial aims to evaluate whether a DHA/ARA-enriched, fortified human milk diet administered during the first 14 days of life reduces respiratory morbidity and improves lung function in extremely preterm (EPT) infants (born at ≤28 weeks gestation).

Read the detailed description

This is a masked randomized clinical trial in which extremely preterm infants fed human milk will be randomly assigned to receive either a docosahexaenoic acid/arachidonic acid (DHA/ARA)-enriched, fortified human milk diet (intervention group) or a standard fortified human milk diet (control group) during the first 14 days after birth.

03

Conditions studied

  • Extreme Prematurity
  • Enteral Nutrition
  • Bronchopulmonary Dysplasia

Keywords

  • Prematurity; Extreme
04

Who can participate

Ages eligible
1 Day to 3 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

  • Gestational age ≤ 28 weeks of gestation
  • Postnatal age \< 72 hours

Exclusion criteria

Exclusion Criteria:

  • Congenital malformations
  • Chromosomal anomalies
  • Terminal illness needing to limit or withhold support
05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
150 participants (estimated)

Study arms

  • Active comparator
    High-energy Group

    The intervention group receives a standard fortified human milk (maternal or donor) diet plus the DHA/ARA supplement for the first 14 days. Infants in this group will be secondarily assigned to either a low-dose (60/120 mg/kg/day) or high-dose (120/240 mg/kg/day) DHA/ARA supplement.

    Dietary Supplement: High-energy group

  • Other
    Standard-energy Group

    The control group receives a standard fortified human milk (maternal or donor) diet for the first 14 days.

    Other: Standard-energy group

Interventions

  • Dietary supplementHigh-energy group

    Study participants assigned to the intervention group will receive a standard, fortified human milk diet plus a DHA/ARA supplement during the first 2 weeks after birth.

  • OtherStandard-energy group

    Study participants assigned to the intervention group will receive a standard, fortified human milk diet during the first 2 weeks after birth.

06

What researchers measure

Primary outcomes

  1. Severity of respiratory morbidity

    A scoring system that defines severity of respiratory morbidity (bronchopulmonary dysplasia severity) based on the amount of ventilatory support and the need for supplemental oxygen at 36 weeks postmenstrual age using the Jensen criteria, an ordinal scale ranging from 0 (no respiratory support) to 1 (mild BPD: low-flow nasal cannula ≤2 L/min requirement); 2 (moderate BPD: non-invasive respiratory support, including high-flow nasal cannula \>2 L/min, CPAP, or non-invasive positive pressure ventilation); 3 (severe BPD - invasive mechanical ventilation); or 4 (death), with progressively higher scores indicating increasing respiratory morbidity and worse clinical outcomes.

    Time frame: 0 - 120 days

  2. Non-invasive impulse oscillometry measurements of pulmonary mechanics

    Using the N-100 Neo Oscillometry device, we will determine the area under the reactance curve (AX)

    Time frame: 40 - 120 days

Secondary outcomes

  1. Bronchopulmonary dysplasia

    Defined as the need for ventilatory support or supplemental oxygen at 36 weeks of postmenstrual age

    Time frame: 40 - 120 days

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Started Sep 2026 (actual). Primary completion is estimated for Mar 2029, 30 months after the start.

How these figures are worked out, and which studies are left out of them.

Registered
Dec 24, 2025
First posted
Dec 29, 2025
StartActual
Sep 21, 2026
Primary completionEst.
Mar 31, 2029
CompletionEst.
Jul 31, 2029
Last update
Sep 24, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07307612
Responsible party
Ariel A. Salas (Associate Professor, University of Alabama at Birmingham) — Principal investigator
First posted
Dec 29, 2025
Start date
Sep 21, 2026
Primary completion
Mar 31, 2029 (estimated)
Completion
Jul 31, 2029 (estimated)
Last update
Sep 24, 2026

Study contacts

Ariel A. Salas, MD, MSPH
Contact
asalas@uabmc.edu
205-934-4680
Ariel A. Salas, MD, MSPH
principal investigator · University of Alabama at Birmingham

Oversight

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

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