Probiotic supplementation for extremely preterm infants in Scandinavia
Official title: Probiotic Supplementation in Extremely Preterm Infants in Scandinavia: A Double-blinded Randomized Controlled Multicenter Trial to Reduce the Risk of Necrotizing Enterocolitis and Mortality
Run by Region Stockholm · NCT05604846 · Data updated 2026-11-12
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.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 22 Weeks to 28 Weeks |
| Sex | All |
| Enrollment | 1600 (estimated) |
| Sponsor | Region Stockholm Government |
| Locations | 1 site (Solna, Stockholm County) |
| Status | Recruiting |
| Started | December 16, 2022 |
| Main results expected | May 2026 |
| Study ends | December 2026 |
| Registry record updated | October 16, 2023 |
| Trial ID | NCT05604846 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates for this study are extremely preterm infants born between gestational ages 22+0 to 27+6 weeks.
✕Probably not a fit
Patients with severe complications detected within the first 72 hours of life or major congenital anomalies 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 research aims to evaluate the effectiveness of probiotic supplementation in reducing the risk of necrotizing enterocolitis (NEC) and neonatal mortality among extremely preterm infants born before 28 weeks of gestation. The study involves a double-blinded, multicenter randomized controlled trial with 1620 participants across six neonatal units in Sweden and four in Denmark. Infants in the intervention group will receive a specific probiotic combination mixed with breastmilk, while the control group will receive breastmilk without probiotics. The primary outcome will assess the incidence of NEC and mortality, with secondary outcomes focusing on other neonatal morbidities.
Why it matters
Potential benefit: If successful, this study could significantly reduce the incidence of NEC and neonatal mortality in extremely preterm infants.
How similar studies have gone: Previous studies have shown reduced incidence of NEC in preterm infants, but this specific approach for extremely preterm infants is novel and underexplored.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: -All extremly preterm infants born beween gestational age 22+0 to 27+6 Exclusion Criteria: * Patients with severe complications and low chance of survival detected wihin the first 72 hours of life * Patients with major congenital-anomalies * Patients included in other interventional trials with the same or overlapping oucome measures.
Where it's running
-
Karolinska University Hospital
Solna, Stockholm County, Sweden Recruiting
Study contacts
- Study coordinator: Alexander Rakow, MD PhD
- Email: alexander.rakow@regionstockholm.se
- Phone: +46725968444
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
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.
-
Feasibility of a new therapy for feeding disorders in infants
This study is testing a new therapy to help infants with feeding disorders improve their swallowing and reduce their need for tube feeding.
-
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.
-
Fecal bacteriophage transfer to help preterm infants' gut health
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.
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.