Fetal Brain Care: Therapies for Brain Neurodevelopment in Fetal Growth Restriction

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexFemale
Age18+
SponsorInstitut d'Investigacions Biomèdiques August Pi i Sunyer

About this trial

Singleton pregnancies being diagnosed of fetal growth restriction from 24 to 32.6 weeks of gestation will be randomized to two equally sized groups: maternal oral supplementation with Lactoferrin and DHA (Docosahexaenoic acid) or placebo.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Singleton pregnancies

Non-malformed fetus

Pregnancies with fetal growth restriction

24-32.6 weeks of gestation

Disqualifiers

Chromosomal or structural abnormalities diagnosed during pregnancy or in the neonatal period

Critical Doppler study suggesting the need for delivery within the next 14 days at the time of diagnosis: reverse end-diastolic velocity in the umbilical artery or ductus venosus pulsatility >95th centile

Maternal mental or psychiatric disorders

Maternal allergy to cow's milk protein

Trial design

Design model

Parallel

Treatments tested in this trial

  • Lactoferrin and DHA

    Dietary supplement

    The intervention consists in the maternal oral administration of 1000mg of Lactoferrin and 1000mg of DHA daily

  • Placebo

    Other intervention

    Product with the same physical appearance and taste as the main intervention but without therapeutic effect

Treatment groups

304 Participants
are divided into 2 treatment groups
Group A: Maternal supplementation with Lactoferrin and DHAActive comparator 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Bayley III scale at 24 months of age

Bayley III scale is and individually administered instrument that assesses infant development across five domains, including cognitive, language and motor competencies. Parent reported questionnaires are incorporated to assess social-emotional and adaptative behaviors.

Time frame
24 months of corrected postnatal age

Secondary outcomes

1

Cortical development

Assessed by fetal brain magnetic resonance imaging.

Time frame
34 weeks of gestation
2

Fetal brain volume

Assessed by fetal brain magnetic resonance imaging.

Time frame
34 weeks of gestation
3

Corpus callosum area

Assessed by fetal neurosonography.

Time frame
Enrolment, 32 and 36 weeks of gestation
4

Neonatal weight

Birth weight

Time frame
Delivery

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Institut d'Investigacions Biomèdiques August Pi i Sunyer

Lead sponsor

Fundacion Clinic per a la Recerca Biomédica

Collaborator

Fundació Sant Joan de Déu

Collaborator