Zinc versus probiotics for newborn jaundice during phototherapy
Official title: COMPARATIVE EFFECTS OF ZINC AND PROBIOTICS ON NEONATAL INDIRECT HYPERBILIRUBINEMIA UNDERGOING PHOTOTHERAPY
Run by Quaid-e-Azam Medical College · NCT07102836 · Data updated 2026-11-12
This trial will test whether giving oral zinc or a probiotic helps newborns with indirect jaundice clear bilirubin faster while they receive phototherapy.
Quick facts
| Phase | Phase 2 |
|---|---|
| Study type | Interventional |
| Ages | 0 Days to 28 Days |
| Sex | All |
| Enrollment | 110 (estimated) |
| Sponsor | Quaid-e-Azam Medical College Academic / other |
| Locations | 1 site (Bahawalpur, Punjab Province) |
| Status | Recruiting |
| Started | August 7, 2025 |
| Main results expected | February 7, 2026 |
| Study ends | May 7, 2026 |
| Registry record updated | August 5, 2025 |
| Trial ID | NCT07102836 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Term or near‑term newborns younger than seven days with indirect hyperbilirubinemia within phototherapy thresholds who are tolerating oral feeds and whose parents consent.
✕Probably not a fit
Infants with direct hyperbilirubinemia, suspected or confirmed sepsis, gastrointestinal malformations, oral intolerance, those on mechanical ventilation, or with major congenital anomalies are unlikely to benefit or be eligible.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This Phase 2, randomized interventional trial will assign term or near-term neonates with indirect hyperbilirubinemia to receive either oral zinc sulfate or Lactobacillus rhamnosus GG alongside standard phototherapy. The main outcomes include rate of bilirubin decline and total duration of phototherapy required. Eligible infants are under seven days old, tolerating feeds, have bilirubin levels meeting phototherapy thresholds, and have no identifiable pathology. The trial is conducted at a single center in Bahawalpur, Pakistan.
Why it matters
Potential benefit: If effective, one of these oral supplements could shorten phototherapy time and reduce hospital stays for newborns with indirect jaundice.
How similar studies have gone: Small clinical trials and pilot studies have reported mixed but sometimes modest bilirubin-lowering effects from zinc or probiotics, so the approach has limited and inconsistent prior evidence.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * 1\. Term or Near term neonates 2. Age \<7 days at enrollment 3. Bilirubin levels within phototherapy range according to NICE bilirubin threshold charts 4. No identifiable pathology 5. Tolerating oral feeds 6. Parental or Guardian written informed consent taken. Exclusion Criteria: * 1\. Positive sepsis screen or clinical signs of infection 2. Direct hyperbilirubinemia 3. Gastrointestinal malformations 4. Oral intolerance 5. Requiring mechanical ventilation 6. Congenital anomalies 7. Parental or Guardian refusal to participate in study
Where it's running
-
Sadiq Abbasi Hospital, QAMC, Bahawalpur
Bahawalpur, Punjab Province, Pakistan Recruiting
Study contacts
- Principal investigator: Malik M. Umair Fazal, MBBS, FCPS Paediatrics — Quaid-e-Azam Medical College
- Study coordinator: Malik M. Umair Fazal, MBBS, FCPS Paediatrics
- Email: umair.malik1622@gmail.com
- Phone: +923318682681
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
-
Reference intervals for newborn brain biomarkers
Measure levels of brain-specific blood proteins (such as GFAP and Tau) in healthy full-term newborns during their first week of life to create normal reference ranges.
-
Mindfulness and meditation lactation education for mothers of premature NICU infants
This will test whether mindfulness and meditation training for mothers who are pumping for their premature NICU infants changes components of their breastmilk.
-
Plasma transfusion to protect newborns exposed to chikungunya from brain inflammation
This trial will test whether giving plasma from a recent chikungunya-infected donor to newborns whose mothers had chikungunya around delivery helps prevent encephalitis or encephalopathy in the first five days of life.
-
Testing platelet transfusion thresholds in extremely preterm infants
This study is testing if giving platelet transfusions at a lower level can help extremely premature babies survive without major bleeding during their first week of life.
-
Telemedicine for neonatal resuscitation in community hospitals
This study tests if using video calls with neonatologists can help improve the care and health outcomes for newborns in community hospitals who need immediate medical attention.
-
InfasurfAero™ for treating respiratory distress in preterm newborns
This study is testing a new device that delivers a treatment for breathing problems in preterm newborns to see if it helps them breathe better without needing a breathing tube.
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.