Fecal bacteriophage transfer to help preterm infants' gut health
Official title: PrePhage - Faecal Bacteriophage Transfer for Enhanced Gastrointestinal Tract Maturation in Preterm Infants - Clinical Trial
Run by Copenhagen University Hospital, Rigshospitalet · NCT05272579 · Data updated 2026-11-12
This study is testing if giving preterm infants healthy gut bacteria from full-term babies can help improve their gut health and prevent serious digestive problems.
Quick facts
| Phase | Early Phase 1 |
|---|---|
| Study type | Interventional |
| Sex | All |
| Enrollment | 20 (estimated) |
| Sponsor | Copenhagen University Hospital, Rigshospitalet Academic / other |
| Locations | 1 site (Copenhagen) |
| Status | Recruiting |
| Started | November 7, 2023 |
| Main results expected | December 31, 2025 |
| Study ends | December 31, 2025 |
| Registry record updated | November 15, 2024 |
| Trial ID | NCT05272579 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are preterm infants born between 26 and 30 weeks gestation who are admitted to the NICU.
✕Probably not a fit
Patients with major congenital anomalies or those requiring extensive medical support prior to treatment may not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This pilot trial investigates the safety and tolerability of fecal filtrate transfers (FFT) from healthy term infants to preterm infants born between 26 and 30 weeks gestation. The study will recruit 20 donor infants and their mothers, collecting fecal samples over three years to assess microbiota development and safety. Preterm infants will be block randomized to receive either FFT or a saline placebo shortly after birth. The ultimate goal is to develop a treatment to prevent necrotizing enterocolitis, a severe gut disease affecting preterm infants.
Why it matters
Potential benefit: If successful, this approach could significantly reduce the incidence of necrotizing enterocolitis in preterm infants.
How similar studies have gone: While the use of bacteriophages is a novel approach in this context, similar studies have shown promise in other areas of microbiome-related treatments.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion criteria for participant preterm infants * Preterm infants born between GA 26+0 and 30+6 * Delivery at RH or transferred to RH NICU within 24 hours of delivery * Children administered prophylactic antibiotics due to maternal risk factors, specifically: premature rupture of membranes, groub b streptococcus positive, feber during labour * Signed parental consent Exclusion criteria for participant preterm infants * Major congenital anomalies or birth defects * Antibiotics for more than 72 hours after birthExtremely SGA infant (weight SD score \< -3 SD) * Need for mechanical ventilation or cardiovascular support before first FFT treatment Inclusion criteria for mothers of participants * Women aged 18-45 * Ability to give informed consent Exclusion criteria for participant mothers ● Mothers who have severe infection, defined by need for other treatment to support infection-related comorbidities, besides from antibiotics (e.g. inotropic treatment, iv fluid resuscitation)
Where it's running
-
Rigshospitalet
Copenhagen, Denmark Recruiting
Study contacts
- Principal investigator: Lise Aunsholt, md, phd — Copenhagen University Hospital, Rigshospitalet
- Study coordinator: Gustav R Jakobsen, md
- Email: gustav.riemer.jakobsen@regionh.dk
- Phone: +4550569536
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Normal intestinal development and disease in premature and full-term newborns
This project will collect intestinal tissue from newborns and infants up to age 2 who have GI surgery or biopsies to see how the human intestine develops and how conditions like NEC affect it.
-
Effects of Skin-to-Skin Care on Premature Infants
This study tests if regular skin-to-skin care for premature babies can help them get more of their mother's milk and reduce health problems before they go home from the hospital.
-
Assessing ST266 for treating infants with Necrotizing Enterocolitis
This study is testing if a new treatment called ST266 can help infants with Necrotizing Enterocolitis feel better when given along with their usual care.
-
Understanding surgical decision-making for babies with necrotizing enterocolitis
This study looks at how surgeons decide when to operate on premature babies with a serious bowel condition called necrotizing enterocolitis to help improve their chances of survival.
-
Probiotic supplementation for extremely preterm infants in Scandinavia
This study is testing if giving probiotics mixed with breastmilk can help extremely preterm infants avoid serious gut problems and reduce the risk of dying.
-
Withholding enteral feeds during blood transfusions in premature infants
This study is testing if stopping feedings during blood transfusions can help very premature babies avoid a serious gut problem called Necrotizing Enterocolitis.
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.