Donor Breast Milk with Early Iron Supplementation in Very Preterm Infants
Official title: Early Iron Supplementation in Very Preterm Infants Fed Donor Breast Milk: A Prospective, Interventional, Clinical Trial
Run by AdventHealth · NCT07816601 · Data updated 2026-11-12
In very preterm babies who mainly receive donor breast milk, this study tests whether starting iron supplementation earlier (around when feeding reaches 80 ml/kg/day) can raise ferritin and hematocrit levels by days 14 and 28.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 29 Weeks to 33 Weeks |
| Sex | All |
| Enrollment | 17 (estimated) |
| Sponsor | AdventHealth Academic / other |
| Locations | 1 site (Orlando, Florida) |
| Status | Recruiting |
| Started | May 6, 2026 |
| Main results expected | November 2027 |
| Study ends | December 2027 |
| Registry record updated | September 11, 2026 |
| Trial ID | NCT07816601 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are preterm infants born 29.0–32.6 weeks gestation in the NICU who are expected to receive donor breast milk for at least part of their feeding.
✕Probably not a fit
Some infants may not benefit if iron status remains unchanged or if iron supplementation causes adverse effects or intolerance.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study in very preterm infants compares an earlier iron supplementation protocol to a standard approach by starting ferrous sulfate when enteral feeds reach 80 ml/kg/day, rather than waiting for full feeds. Ferritin and hematocrit will be measured at roughly two timepoints (day 14 and day 28 or discharge) to see if earlier iron improves iron status. The trial involves donors’ breast milk as the primary nutrition and is conducted at AdventHealth Orlando with infants born 29 to 32.6 weeks gestation who receive DBM. Results will inform whether earlier iron can optimize iron stores in DBM-fed preterm infants.
Why it matters
Potential benefit: If successful, the approach could improve iron status and potentially support better growth and development in very preterm infants fed donor breast milk.
How similar studies have gone: Prior observational data suggest donor milk provides different growth and iron profiles, but this specific early iron strategy in DBM-fed preterm infants is novel and needs confirmation.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. All preterm infants born between 29.0-32.6 weeks of gestational age and admitted to the NICU at Advent Health for Children 2. Infants likely to be receiving DBM between 5 to 14 days of life 3. Infants receiving \>50% of the feeding volume by DBM will be considered to have received DBM. Exclusion Criteria: 1. Death prior to completion of participation or extremis with likelihood of death prior to completion of participation in the study 2. Blood transfusion as determined by clinical team during the study 3. Major congenital anomaly or genetic syndrome and major surgical GI conditions that preclude feeding
Where it's running
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AdventHealth Orlando
Orlando, Florida, United States Recruiting
Study contacts
- Study coordinator: Anoop Pulickal, MD, PhD
- Email: Anoop.Pulickal.MD@adventhealth.com
- Phone: 407-303-2528
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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.