Clinical trial Recruiting at 1 site Interventional Ages 29 Weeks to 33 Weeks

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.

More Iron Deficiency Anemia trials

Quick facts

Study typeInterventional
Ages29 Weeks to 33 Weeks
SexAll
Enrollment17 (estimated)
SponsorAdventHealth
Academic / other
Locations1 site (Orlando, Florida)
StatusRecruiting
StartedMay 6, 2026
Main results expectedNovember 2027
Study endsDecember 2027
Registry record updatedSeptember 11, 2026
Trial IDNCT07816601 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

  • AdventHealth Orlando
    Orlando, Florida, United States
    Recruiting

Study contacts

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.