HMOs on Infant Gut Microbiota Modulation and Development of the Immune System in Healthy Infants

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age0-28
SponsorUniversity of Aarhus

About this trial

The goal of this clinical trial is to learn how a mixture of human milk oligosaccharides impacts the development of the infant microbiota, the immune maturation and how the interaction between the microbiota and immune maturation may impact both short and long term health of the infant.

The participants will:

* Consume the investigational products (active/placebo) for 6 months * Legal guardians/parents to the participant to collect stool samples from the diapers at home * Legal guardians/parents to the participant to report gastrointestinal symptoms, signs of infections in an electronic questionnaire * Visit the clinic for checkups and dried blood sample collection

For reference, a group of breastfed infants will be included. They will undergo the same procedures apart from consuming the investigational product (active/placebo). 230 participants (115 in each intervention arm) will be randomized to an intervention and 104 participants will be recruited for the reference group, giving a total sample size of 334 participants.

The intervention trial will be reported in two steps, first step covering the intervention phase from birth to 6 months; and step two includes both the intervention phase (0-6 months) and the follow-up period from 6-12 months. Informed consents for the possibility to preform long-term follow-up will be obtained.

Eligibility criteria

This trial accepts healthy volunteers

Qualifiers

None

Disqualifiers

Premature birth

Trial design

Design model

Parallel

Treatments tested in this trial

  • Human Milk Oligosaccharides

    Other intervention

    Human Milk Oligosaccharides provided in a commercially available infant formula powder, fed daily ad libitum from enrollement to 6 months of age

  • Placebo

    Other intervention

    An identical commercially available infant formula powder without Human Milk Oligosaccharides, fed daily ad libitum from enrollement to 6 months of age

Treatment groups

334 Participants
are divided into 3 treatment groups
Group A: Human Milk OligosaccharidesExperimental treatment 1 intervention
Group B: PlaceboPlacebo comparator 1 intervention
Group C: Breastfed reference groupNo intervention 0 interventions

Trial outcomes

Primary outcomes

1

Total abundance of bifidobacteria at 3 months of age

Abundance of fecal bifidobacteria measured by quantitative PCR

Time frame
Fecal samples collected at 3 months

Secondary outcomes

1

Infant fecal pH at 3 months of age

Fecal pH measured in fecal water at 3 months of age

Time frame
Fecal samples collected at 3 months of age

Other outcomes

1

Infant growth

Infant weight, length, and head circumference will be aggregated to determine infant growth status

Time frame
1 week, 2 weeks, 1, 2, 3 and 6 months and 0-12 months
2

Infant intestinal transit time

Intestinal transit time estimated by sweet-corn transit time through the gastrointestinal tract

Time frame
9 months and 12 months
3

Frequency of Infections

Measured as episodes of respiratory and gastrointestinal infections within the first 6 months of age.

Time frame
1 week, 2 weeks, 1, 2, 3 and 6 months
4

Infant crying and fussing

Measured as frequency/duration of crying and fussing assessed as parent-reported in the Infant Health Questionnaire

Time frame
1 week, 2 weeks, 1, 2, 3 and 6 months

Sponsors and contacts

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University of Aarhus

Lead sponsor

University of Copenhagen

Collaborator

Technical University of Denmark

Collaborator

Chr Hansen

Collaborator