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Microbial ColonizationMOMNCT03222804

Milk Oriented Microbiota

A study testing Bifidobacterium in people with Microbial Colonization, run by University of California, Davis at 1 site in United States.

Withdrawn

Withdrawn. The study stopped before anyone enrolled.

Official record
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Trial summary

The purpose of this study is to determine if supplementing healthy term infants delivered vaginally who consume breast milk, formula, or both with a probiotic for 21 consecutive days increases levels of bacteria in infants' stool. Read more about this study

Who is it for?
Ages 21 to 45 years, women onlyHealthy volunteers can take part
Conditions the study is for
Microbial Colonization
What is being tested?
Bifidobacterium
Could I receive a placebo?
No, everyone receives an active treatment
How many people
0 participants
Where
1 siteUnited States
Study dates
15 May 2017to 16 May 2017
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 21 to 45 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Women with infants age 8 to 12 weeks
  • Term infants born >37 weeks gestation
  • Mother-infant pairs who live within a 20-mile radius from UC Davis campus in Davis, CA or within a 20-mile UCDMC
  • Women and infants who live in one location
  • Infants born vaginally
  • Infants who are either exclusively formula-fed, exclusively breastfed or mixed-fed
  • Women who are mixed and formula feeding their infants who are willing to switch infant formulas and use the study's infant formula (Earth's Best Organic Infant Formula With Iron, Earth's Best) throughout the first two months of the study
  • Women who are breastfeeding but introduce infant formula to their infants during the first two months of the study who are willing to use the study's infant formula (Earth's Best Organic Infant Formula With Iron, Earth's Best) for the first two months of the study

Who cannot join

  • Women who have lived in the United States or other developed nation for less than 10 consecutive years
  • Multiple infants born to one mother
  • Plan to feed infants solid foods before infants turn 5 months of age
  • Family history of cow milk or soy allergy and/or infants allergic to cow milk protein or soy
  • Infants born by C-section
  • Infants born with medical complications such as: respiratory distress syndrome, birth defects, and infection
Show all 12Show fewer
  • Infants who have taken antibiotics 4 weeks before enrollment and more than one course of antibiotics since birth
  • Infants who have taken probiotics since birth
  • Plan to administer probiotics to infants or use of probiotics other than the study supplement by infants for the first two months of the study
  • Mothers who have a chronic metabolic disease or obesity
  • Mothers who currently smoke or plan to resume smoking during the study period
  • Infants who consume solid foods or other liquids other than breastmilk, infant formula or water

Trial locations and contacts

1 site in 1 country.

United States1 site
  • University of California, Davis Medical Center

    Sacramento, California, 95817

Other trials in United States

About this study

Official title: Establishing a Milk Oriented Microbiota in Healthy Term Infants

The purpose of this study is to determine if supplementing healthy term infants delivered vaginally who consume breast milk, formula, or both with a probiotic for 21 consecutive days increases levels of bacteria in infants' stool.

Read the detailed description

The purpose of phase 1 of this two phase clinical trial is to determine: 1) the effect of decreasing levels of human milk oligosaccharides on fecal B.infantis during and after 21 days of supplementation with Evolve activated B.infantis using exclusively breastfed, mixed-fed and exclusively formula-fed infants; 2) determine the effect of Evolve activated B.infantis on fecal B.infantis levels in exclusively breastfed infants compared to pre-supplementation levels.

Being tested
Bifidobacterium
Keywords
Infants, Probiotic, B. Infantis
Medical subject headings
Communicable Diseases

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BifidobacteriumDietary supplement

    Also called B. infantis

    Each B. infantis (strain: BIEVC001) dose will be provided in one 625 mg sachet delivering 156 mg of live bacteria at a dose of 9x10^9 CFU plus 469 mg of pharmaceutical-grade lactose as the excipient and dispensed to participants by the study personnel.

Study groups in NCT03222804
Study groupRoleWhat they receive
Exclusively breastfedActive comparatorExclusive breastfeeding will be defined at screening as infants who have not consumed any infant formula after 7 days postnatal and have been exclusively breastfed without formula between day 7 of life through the end on the Lead-in period. ). Infants will consume B. infantis for twenty-one consecutive days.
Receives: Dietary Supplement: Bifidobacterium
Exclusively formula fedActive comparatorExclusive formula feeding is defined at screening as infants who consume only infant formula between day 7 of life through the end on the Lead-in period. Infants will consume B. infantis for twenty-one consecutive days.
Receives: Dietary Supplement: Bifidobacterium
Mixed fedActive comparatorMixed feeding is defined at screening as infants who consume a combination of infant formula and breast milk between day 7 of life through the end on the Lead-in period. Infants will consume B. infantis for twenty-one consecutive days.
Receives: Dietary Supplement: Bifidobacterium

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Infant fecal B. infantis

    The change in infant fecal B. infantis before, during and after supplementation.

    Measured: Change from baseline to day 280

  2. Infant fecal Bifidobacterium

    The change in infant fecal Bifidobacterium before, during, and after supplementation.

    Measured: Change from baseline to day 280

  3. Infant fecal total bacteria

    The change in infant fecal total bacteria before, during and after supplementation.

    Measured: Change from baseline to day 280

  4. Infant fecal microbiome

    The change in infant fecal microbiome before, during and after supplementation.

    Measured: Change from baseline to day 280

  5. Infant gastrointestinal symptoms

    Gastrointestinal symptoms and related symptoms (discomfort passing bowel movements, vomiting, constipation, colic or irritability) before, during and after supplementation will be determined and reported daily by parental self-report questionnaire.

    Measured: Change from baseline to day 50

  6. Infant health status

    General health status of the infant such as occurrence of any illness, health care visits for sickness, fever, antibiotic and medication use and parental assessments of infant's overall health.

    Measured: Change from baseline to day 280

Secondary outcomes (6)
  1. Maternal secretor status

    Determine the relationship between human milk oligosaccharides in breast milk and infant fecal microbiome.

    Measured: Change from baseline to day 280

  2. Infant fecal sialic acid concentrations

    The change in infant fecal sialic acid and fucose concentrations before, during and after supplementation in infant stool samples.

    Measured: Change from baseline to day 280

  3. Infant fecal microbiome and lifestyle

    Determine the relationship between the following factors determined by self-report questionnaires: parity, maternal and infant antibiotic intake and maternal use of antimicrobials, infant intake of formula; and the change infant fecal microbiome.

    Measured: Change from baseline to day 280

  4. Infant weight

    Determine the relationship between infant weight and change in fecal microbiome.

    Measured: Change from baseline to day 280

  5. Infant fecal short chain fatty acids

    Determine the relationship between fecal short chain fatty acids and fecal microbiome.

    Measured: Change from baseline to day 280

  6. Infant gastrointestinal function

    Determine the relationship between GI function (fecal inflammatory, GI barrier mediators, LPS) and fecal microbiome.

    Measured: Change from baseline to day 280

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Jul 2017
  2. Study start15 May 2017
  3. Primary completion16 May 2017
  4. Study completion16 May 2017

Why it stopped: Did not receive funding to start the trial.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Non-randomised
Intervention model
Parallel groups
Model description
The feeding patterns of eighty eligible infants (8 to 12 weeks in age) will be characterized based on a 7-day diet record that will be filled out by their mothers during the 7-day lead-in period starting with Day -7 and ending with Day -1. Of the eighty infants, twenty will be exclusive breast feeders (BF), twenty will be exclusive formula feeders (FF) and forty will be mixed-feeders (MF). Infants in all three feeding groups will consume B. infantis for twenty-one consecutive days. Participants will then enter the observational phase until their infant turns 1 year old.
Masking
None (open label)
Enrolment
0 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03222804
Sponsor's protocol ID
738191
Acronym
MOM
Status last verified
Dec 2024
First submitted
7 Jul 2017
Last updated
11 Dec 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Bager P, Wohlfahrt J, Westergaard T. Caesarean delivery and risk of atopy and allergic disease: meta-analyses. Clin Exp Allergy. 2008 Apr;38(4):634-42. doi: 10.1111/j.1365-2222.2008.02939.x. Epub 2008 Feb 11.

    PubMed 18266879
  • Thavagnanam S, Fleming J, Bromley A, Shields MD, Cardwell CR. A meta-analysis of the association between Caesarean section and childhood asthma. Clin Exp Allergy. 2008 Apr;38(4):629-33. doi: 10.1111/j.1365-2222.2007.02780.x.

    PubMed 18352976
  • Negele K, Heinrich J, Borte M, von Berg A, Schaaf B, Lehmann I, Wichmann HE, Bolte G; LISA Study Group. Mode of delivery and development of atopic disease during the first 2 years of life. Pediatr Allergy Immunol. 2004 Feb;15(1):48-54. doi: 10.1046/j.0905-6157.2003.00101.x.

    PubMed 14998382
  • Renz-Polster H, David MR, Buist AS, Vollmer WM, O'Connor EA, Frazier EA, Wall MA. Caesarean section delivery and the risk of allergic disorders in childhood. Clin Exp Allergy. 2005 Nov;35(11):1466-72. doi: 10.1111/j.1365-2222.2005.02356.x.

    PubMed 16297144
  • Eggesbo M, Botten G, Stigum H, Nafstad P, Magnus P. Is delivery by cesarean section a risk factor for food allergy? J Allergy Clin Immunol. 2003 Aug;112(2):420-6. doi: 10.1067/mai.2003.1610.

    PubMed 12897751
  • Lewis ZT, Totten SM, Smilowitz JT, Popovic M, Parker E, Lemay DG, Van Tassell ML, Miller MJ, Jin YS, German JB, Lebrilla CB, Mills DA. Maternal fucosyltransferase 2 status affects the gut bifidobacterial communities of breastfed infants. Microbiome. 2015 Apr 10;3:13. doi: 10.1186/s40168-015-0071-z. eCollection 2015.

    PubMed 25922665
  • Ninonuevo MR, Park Y, Yin H, Zhang J, Ward RE, Clowers BH, German JB, Freeman SL, Killeen K, Grimm R, Lebrilla CB. A strategy for annotating the human milk glycome. J Agric Food Chem. 2006 Oct 4;54(20):7471-80. doi: 10.1021/jf0615810.

    PubMed 17002410
  • Ninonuevo MR, Perkins PD, Francis J, Lamotte LM, LoCascio RG, Freeman SL, Mills DA, German JB, Grimm R, Lebrilla CB. Daily variations in oligosaccharides of human milk determined by microfluidic chips and mass spectrometry. J Agric Food Chem. 2008 Jan 23;56(2):618-26. doi: 10.1021/jf071972u. Epub 2007 Dec 19.

    PubMed 18088092
  • Ninonuevo MR, Ward RE, LoCascio RG, German JB, Freeman SL, Barboza M, Mills DA, Lebrilla CB. Methods for the quantitation of human milk oligosaccharides in bacterial fermentation by mass spectrometry. Anal Biochem. 2007 Feb 1;361(1):15-23. doi: 10.1016/j.ab.2006.11.010. Epub 2006 Nov 27.

    PubMed 17181994
  • Sela DA, Chapman J, Adeuya A, Kim JH, Chen F, Whitehead TR, Lapidus A, Rokhsar DS, Lebrilla CB, German JB, Price NP, Richardson PM, Mills DA. The genome sequence of Bifidobacterium longum subsp. infantis reveals adaptations for milk utilization within the infant microbiome. Proc Natl Acad Sci U S A. 2008 Dec 2;105(48):18964-9. doi: 10.1073/pnas.0809584105. Epub 2008 Nov 24.

    PubMed 19033196
  • Sela DA. Bifidobacterial utilization of human milk oligosaccharides. Int J Food Microbiol. 2011 Sep 1;149(1):58-64. doi: 10.1016/j.ijfoodmicro.2011.01.025. Epub 2011 Jan 26.

    PubMed 21342711
  • Sela DA, Garrido D, Lerno L, Wu S, Tan K, Eom HJ, Joachimiak A, Lebrilla CB, Mills DA. Bifidobacterium longum subsp. infantis ATCC 15697 alpha-fucosidases are active on fucosylated human milk oligosaccharides. Appl Environ Microbiol. 2012 Feb;78(3):795-803. doi: 10.1128/AEM.06762-11. Epub 2011 Dec 2.

    PubMed 22138995
  • Sela DA, Li Y, Lerno L, Wu S, Marcobal AM, German JB, Chen X, Lebrilla CB, Mills DA. An infant-associated bacterial commensal utilizes breast milk sialyloligosaccharides. J Biol Chem. 2011 Apr 8;286(14):11909-18. doi: 10.1074/jbc.M110.193359. Epub 2011 Feb 2.

    PubMed 21288901
  • Garrido D, Barile D, Mills DA. A molecular basis for bifidobacterial enrichment in the infant gastrointestinal tract. Adv Nutr. 2012 May 1;3(3):415S-21S. doi: 10.3945/an.111.001586.

    PubMed 22585920
  • Garrido D, Kim JH, German JB, Raybould HE, Mills DA. Oligosaccharide binding proteins from Bifidobacterium longum subsp. infantis reveal a preference for host glycans. PLoS One. 2011 Mar 15;6(3):e17315. doi: 10.1371/journal.pone.0017315.

    PubMed 21423604

Questions about this trial

What is this clinical trial studying?

A study testing Bifidobacterium in people with Microbial Colonization, run by University of California, Davis at 1 site in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 12 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: withdrawn, as of the sponsor's last update on 11 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was withdrawn before enrolling participants, so there are no results.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Infant fecal B. infantis (time frame: Change from baseline to day 280). The study lists 6 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03222804, which also lists 56 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Dec 2024; AzTrials last refreshed its copy on 28 Oct 2026.

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