Bloom Infant Probiotic: Can a probiotic help vaccines work better after early antibiotics?
Official title: A Randomised Controlled Trial to Assess if a Probiotic Intervention Leads to Enhanced Immune Responses to Vaccination in Antibiotic-treated Infants (Bloom Infant Probiotic (BIP) Study)
Run by South Australian Health and Medical Research Institute · NCT07189390 · Data updated 2026-11-12
We’re testing if giving Infloran probiotic to newborns who had antibiotics in the first 28 days helps their vaccines produce stronger antibodies.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | Any age to 28 Days |
| Sex | All |
| Enrollment | 360 (estimated) |
| Sponsor | South Australian Health and Medical Research Institute Academic / other |
| Locations | 2 sites (Adelaide, South Australia and 1 other locations) |
| Status | Recruiting |
| Started | May 25, 2026 |
| Main results expected | May 2029 |
| Study ends | October 2029 |
| Registry record updated | May 28, 2026 |
| Trial ID | NCT07189390 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are infants born at ≥35 weeks gestation, weighing ≥2500 g, who received ≥36 hours of antibiotics within the first 28 days of life, and whose parent/guardian can consent and ensure no other probiotics are given before vaccination.
✕Probably not a fit
Results may show no meaningful improvement in antibody levels, and some infants may not benefit from probiotic supplementation.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2 trial examines whether the probiotic Infloran® can improve antibody levels after routine vaccination in infants exposed to antibiotics soon after birth. Eligible babies are full-term or near-term (≥35 weeks) with birth weight ≥2500 g who received at least 36 hours of antibiotics in the neonatal period. Participants will be randomized to receive the probiotic or a matching placebo and immune response will be measured by anticapsular antibody GMCs against PCV20 serotypes at 6 months. The study uses standard vaccination schedules and compares antibody responses between groups to see if the probiotic supports better immune protection. Safety monitoring and follow-up are conducted as part of routine pediatric care.
Why it matters
Potential benefit: If successful, the probiotic could help enhance protection from vaccines in infants who had early antibiotic exposure.
How similar studies have gone: Prior research in similar contexts has shown variable effects; this study adds specific data on PCV20 antibody responses after early antibiotic exposure.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Infants administered antibiotics in the first 28 days of life. Infants must have documented direct antibiotic exposure - defined as having received at least 36 hours of antibiotic treatment in the neonatal period (the first 28 days after birth). 2. Gestational age ≥ 35 weeks. 3. Birth weight ≥ 2500g. 4. Mother aged at least 18 years and able and willing to provide written informed consent for themselves and their infant. 5. Parent/guardian agrees to not give any other probiotics to their infant prior to vaccination at 6 weeks, including any formula that contains probiotics. 6. Infant planning to receive all nationally approved vaccines during next 6 months. Exclusion Criteria: 1. Significant medical condition in either the mother or infant that, in the opinion of a medical investigator, may interfere with the study. 2. Infant had confirmed sepsis or other serious infection in the neonatal period. 3. Infants with known congenital diseases or who are immunocompromised or considered medically at risk (MAR). 4. Infant participating in another interventional trial during the trial period.
Where it's running
-
Women's and Children's Hospital, Adelaide
Adelaide, South Australia, Australia Recruiting -
Flinders Medical Centre
Adelaide, South Australia, Australia Not yet recruiting
Study contacts
- Study coordinator: David Lynn
- Email: david.lynn@sahmri.com
- Phone: +61 881 284 053
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.