Clinical trial Recruiting at 1 site Interventional Ages Any age to 1 Day

Early Nutrition Support for Extremely Preterm Infants

Official title: Optimizing Early Nutrition Management of Extremely and/or Very Preterm Infants Based on Best Clinical Practice: a Real Word Study

Run by Children's Hospital of Fudan University · NCT07538999 · Data updated 2026-11-12

This initiative tests a nutrition bundle—personalized breast milk feeding, early zinc supplementation, and routine carnitine supplementation—for very preterm babies to see if it improves growth and development.

Quick facts

Study typeInterventional
AgesAny age to 1 Day
SexAll
Enrollment200 (estimated)
SponsorChildren's Hospital of Fudan University
Academic / other
Locations1 site (Shanghai)
StatusRecruiting
StartedApril 1, 2026
Main results expectedDecember 31, 2027
Study endsDecember 31, 2029
Registry record updatedJuly 6, 2026
Trial IDNCT07538999 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Infants born extremely or very preterm (GA <32 weeks or birth weight <1500 g) admitted to the Neonatal Department at the study center within 24 hours of birth.

Probably not a fit

Infants with severe congenital diseases or those who die or are discharged within two weeks may not benefit from the intervention.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This project implements a quality improvement bundle to optimize early nutrition in extremely and very preterm infants. It combines individualized human milk feeding, early enteral zinc, and routine parenteral carnitine to support growth, organ function, and neurodevelopment. The approach compares a targeted nutrition bundle in the intervention group to standard nutritional strategies in a control group at a single center. Eligibility focuses on preterm infants under 32 weeks or under 1500 g birth weight admitted within 24 hours of birth. Outcomes target short-term growth metrics and longer-term developmental indicators, aligned with best available clinical practice evidence.

Why it matters

Potential benefit: If successful, this approach could improve growth and neurodevelopmental outcomes for extremely preterm infants by optimizing early nutrition.

How similar studies have gone: Prior neonatal nutrition studies suggest early and targeted nutrition can influence growth and development, supporting this approach as a meaningful but not yet definitive optimization.

Who can join: the full rules

Show full inclusion / exclusion criteria
Inclusion Criteria for intervention group:

* (1) Admitted to the Neonatal Department of Children's Hospital of Fudan University during the study period.
* (2) Preterm infants with a gestational age \< 32 weeks or a birth weight \< 1500 g.
* (3) Admitted to the study center within 24 hours after birth.
* (4) Obtained informed consent from family members. Exclusion Criteria for intervention group
* (1) Newborns with severe congenital diseases, severe congenital malformations, chromosomal abnormalities, or genetic metabolic diseases.
* (2) Death or discharge within two weeks after birth.

Inclusion Criteria for control group:

* (1) Admitted to the Neonatal Department of Children's Hospital of Fudan University from January 2025 to December 2025.
* (2) Preterm infants with a gestational age \< 32 weeks or a birth weight \< 1500 g.
* (3) Admitted to the study center within 24 hours after birth. Exclusion Criteria for control group
* (1) Newborns with severe congenital diseases, severe congenital malformations, chromosomal abnormalities, or genetic metabolic diseases.
* (2) Death or discharge within two weeks after birth.

Where it's running

  • Children's Hospital of Fudan University
    Shanghai, China
    Recruiting

Study contacts

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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.