AzTrials
AzTrials

HIVMIGH-T MONCT05282485

Mitigating Infectious Morbidity and Growth Deficits in HIV Exposed Uninfected infanTs With Human Milk Oligosaccharides

A study testing Synbiotic and Maltodextrin in people with HIV and Infant Morbidity, run by Columbia University at 1 site in South Africa.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

Primary Objective: To evaluate the effects of synbiotics on infectious morbidity and growth while it is in place from 4 to 24 weeks of age. To evaluate the effects of synbiotics on infectious morbidity and growth from 4 to 48 weeks of age. Read more about this study

Who is it for?
Ages 3 to 6 weeksHealthy volunteers can take part
Conditions the study is for
HIV, Infant Morbidity, Breast Feeding
What is being tested?
Synbiotic and Maltodextrin
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
140 participants
Where
1 siteSouth Africa
Study dates
2 Jun 2022to 25 Jun 2026
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 3 to 6 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Provision of signed and dated informed consent form
  • Stated willingness to comply with all study procedures and availability for the duration of the study
  • Greater than 18 years of age
  • For HIV-exposed uninfected children (CHEU): Mothers living with HIV documented based on medical record and with viral suppression (i.e., <400 copies/mL viral load) documented at delivery
  • For HIV-unexposed uninfected children (CHUU): Mothers without HIV (document HIV-negative test result at delivery or screening)
  • Women who initiated breastfeeding of their infant including:
Show all 16Show fewer
  • Women who currently exclusively breastfeed their infants, or
  • Women who breastfed their infants for a period but are no longer breastfeeding, or
  • Women who are currently breastfeeding their infants in addition to feeding them formula milk or solids
  • For women with HIV: Those currently on first-line standard of care antiretroviral therapy that was initiated a minimum of 12 weeks prior to delivery of the infant included in this study
  • Participant has a cell phone that can be used for calls and messages
  • Agreement to adhere to Lifestyle Considerations throughout study duration
  • 3-6 weeks of age
  • Delivered from a singleton pregnancy
  • For children of mothers with HIV: At least one HIV diagnostic nucleic acid amplification test prior to enrollment which is negative and no positive test
  • Child is well enough to have established full breastfeeding by the time of enrollment

Who cannot join

  • Severe maternal or infant illness (e.g., maternal: tuberculosis, major psychiatric or neurological conditions; infant: any congenitally-acquired infections, major congenital anomalies)
  • Use of immunomodulatory or immunosuppressive drugs in either mother or child prior to enrollment in the study
  • For mothers with HIV: Mothers who are not currently receiving antiretroviral therapy or who are on regimens other than the currently recommended first-line standard of care in South Africa i.e., first-line dolutegravir- or efavirenz-based regimens.
  • Children infected with HIV
  • Mother or infant currently taking probiotics, prebiotics, or fiber supplements; or on any nutritional supplements (e.g., FM85) that impact the outcomes of interest
  • Mother or infant currently taking antibiotics for more than 14 days, excluding preventative therapies
  • Known allergic reactions to components of the treatment or placebo
  • Any condition that, in the opinion of the study staff, would make participation in the study unsafe, complicate interpretation of study outcome data, or otherwise interfere with achieving the aims of the study.

Trial locations and contacts

1 site in 1 country.

South Africa1 site
  • Worcester Campus of Stellenbosch University (SU)

    Stellenbosch, Western Cape, 7599

Other trials in South Africa

About this study

Primary Objective:

  • To evaluate the effects of synbiotics on infectious morbidity and growth while it is in place from 4 to 24 weeks of age.
  • To evaluate the effects of synbiotics on infectious morbidity and growth from 4 to 48 weeks of age.
Read more

Secondary Objectives:

  • To evaluate the effects of synbiotics on growth from 4 to 72 weeks of age.
  • To evaluate the effects of synbiotics on infant neurodevelopment at 48 and 72 weeks of age.
  • To evaluate the effects of synbiotics on biological measurements while it is in place from 4 to 24 weeks of age.
  • To evaluate the effects of synbiotics on biological measurements from 4 to 48 weeks of age.
  • To evaluate the effects of synbiotics on gut microbiome and fecal short chain fatty acids from 4 to 72 weeks of age.
  • To investigate feasibility, acceptance, tolerability, and behavioral adherence with the intervention.
  • To investigate whether the synbiotics reduces infectious morbidity and improves growth in CHEU relative to CHUU.
  • To investigate whether infant gut microbiota composition, maturity and function, and markers of inflammation and HMOs at baseline and over time are associated with morbidity and poor growth in CHEU and CHUU.
Read the detailed description

Children who are HIV-exposed uninfected (CHEU), i.e., children born to mothers with HIV but who do not acquire HIV infection, have a higher risk of mortality, infectious morbidity, and growth deficits than children who are HIV-unexposed uninfected (CHUU), i.e., children whose mothers do not have HIV. Prior research has focused on breastfeeding and has pointed to changes in human milk oligosaccharides (HMOs) associated with maternal HIV infection that appear to influence the infant microbiome and thereby lead to these adverse outcomes. A randomized trial of an intervention which combines HMOs and probiotics in breastfed CHEU will be conducted in South Africa to evaluate whether this intervention has the potential to reduce excess infectious morbidity and growth faltering risks observed in CHEU. CHEU will be randomized 1:1 to either a) intervention (synbiotic: 2'-FL HMO + B. infantis probiotic) or b) placebo (Maltodextrin). The study intervention or placebo will be given from 4-24 weeks of age (total 20 weeks), followed by another 48 weeks of observation off study treatment. Both arms will be followed to 72 weeks of age for assessment of infant outcomes.

Being tested
Synbiotic, Maltodextrin
Keywords
HIV, Infant Morbidity, Infant Growth, Breastmilk, Probiotic, Synbiotic, HIV-exposed Uninfected Infants, B. infantis, Human Milk Oligosaccharides, 2'-Fucosyllactose, Infant neurodevelopment
Medical subject headings
Breast Feeding

What participants receive

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

  • SynbioticDietary supplement

    Synbiotic (2'-FL HMO + B. infantis probiotics)

  • MaltodextrinDietary supplement

    Maltodextrin

Study groups in NCT05282485
Study groupRoleWhat they receive
Synbiotic GroupExperimentalA synbiotic combining 2'-Fucosyllactose (2'-FL) human milk oligosaccharides (HMO) with B.infantis (probiotic) will be administered to infants from 4 to 24 weeks of age.
Receives: Dietary Supplement: Synbiotic
Placebo GroupPlacebo comparatorMaltodextrin will be administered to infants from 4 to 24 weeks of age.
Receives: Dietary Supplement: Maltodextrin

What is being measured

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

  1. Proportion of infants with infectious morbidity from 4-24 weeks

    Infectious morbidity data related to infectious respiratory or gastrointestinal morbidity will be compared between the two arms

    Measured: 4-24 weeks of age

  2. Infant length for age Z scores (LAZ) from 4-24 weeks

    Infant anthropometry will be recorded at each visit to calculate infant length for age Z scores (LAZ) will be compared between the two arms

    Measured: 4-24 weeks of age

  3. Proportion of infants with infectious morbidity from 4-48 weeks

    Infectious morbidity data related to infectious respiratory or gastrointestinal morbidity will be compared between the two arms

    Measured: 4-48 weeks of age

  4. Infant length for age Z scores (LAZ) from 4-48 weeks

    Infant anthropometry will be recorded at each visit to calculate infant length for age Z scores (LAZ) will be compared between the two arms

    Measured: 4-48 weeks of age

Secondary outcomes (14)
  1. Infant weight for age (WAZ) and weight for length (WLZ) Z scores from 4-24 weeks

    Infant anthropometry will be recorded at each visit to calculate infant weight for age (WAZ) and weight for length (WLZ) Z scores and will be compared between the two arms

    Measured: 4-24 weeks of age

  2. Infant weight for age (WAZ) and weight for length (WLZ) Z scores from 4-48 weeks

    Infant anthropometry will be recorded at each visit to calculate infant weight for age (WAZ) and weight for length (WLZ) Z scores and will be compared between the two arms

    Measured: 4-48 weeks of age

  3. Infant length for age (LAZ), weight for age (WAZ) and weight for length (WLZ) Z scores from 4-72 weeks

    Infant anthropometry will be recorded at each visit to calculate infant length for age (LAZ), weight for age (WAZ) and weight for length (WLZ) Z scores and will be compared between the two arms

    Measured: 4-72 weeks of age

  4. Infant microbiota-for-age Z scores (MAZ)

    Infant microbiota-for-age Z scores (MAZ), a measure of infant microbiome maturity, will be compared between the two arms

    Measured: 4-72 weeks of age

  5. Infant microbiota diversity

    Microbiota diversity of taxa will be compared between the two arms

    Measured: 4-72 weeks of age

  6. Infant microbiota relative abundance

    Microbiota relative abundance of taxa will be compared between the two arms

    Measured: 4-72 weeks of age

  7. Infant fecal short-chain fatty acid levels

    Short-chain fatty acid (SCFA) levels in stool samples from infants will be compared between the two arms

    Measured: 4-72 weeks of age

  8. Infant plasma metabolite levels

    Unbiased metabolomics will be used to investigate whether metabolite levels and major metabolic pathways are different between the two arms

    Measured: 4-24 weeks of age

  9. Infant plasma inflammatory markers and growth hormone levels

    Levels of protein inflammatory markers and growth hormones will be measured using immunoassays and will be compared between the two arms

    Measured: 4-48 weeks of age

  10. Infant plasma HMO levels

    Infant HMO levels will be measured and compared between the two arms

    Measured: 4-24 weeks of age

  11. Proportion of infants with Adverse Events (AEs)/Serious Adverse Event (SAEs)

    Proportion of AE/SAEs will be recorded and compared between the two arms to assess the safety of the intervention

    Measured: Through 24 weeks of age

  12. Proportion of infants with tolerability symptoms

    Digestive tolerability will be assessed and compared between the two arms to assess the safety of the intervention

    Measured: Through 8 weeks of age

  13. Proportion of infants with severe infectious morbidity

    Severe infectious morbidity (i.e., those requiring hospitalizations) data related to infectious respiratory or gastrointestinal morbidity will be compared between the two arms

    Measured: 4-48 weeks of age

  14. Infant neurodevelopment milestones

    A comprehensive neurodevelopment assessment, i.e., Griffiths III scale, will be conducted on infants at weeks 48 and 72 and the proportion passing each milestone will be compared between the two arms

    Measured: 48-72 weeks

Timeline

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

  1. First posted16 Mar 2022
  2. Study start2 Jun 2022
  3. Primary completion25 Jun 2026
  4. Study completion25 Jun 2026

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
Prevention
Allocation
Randomised
Intervention model
Parallel groups
Model description
This study will recruit 144 women living with HIV and their HIV-exposed uninfected children (72 will receive the interventional product and 72 will receive the placebo). All of the women in the study will have breastfed or are currently breastfeeding their children.
Masking
Quadruple blind
Who is masked
Participant, Care provider, Investigator, Outcomes assessor
Enrolment
140 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05282485
Sponsor's protocol ID
AAAT8393
Other IDs
R01HD105492
Acronym
MIGH-T MO
Status last verified
Jun 2026
First submitted
10 Feb 2022
Last updated
1 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Shivakoti R, Laughton B, Shafiq M, Schoeman E, Glashoff RH, Barnabas S, Fry S, Leu CS, Wang S, Bode L, Aldrovandi G, Kuhn L, Slogrove AL. Feasibility Study of a Powder-Based Supplement Intervention for a future Synbiotic Trial in Breastfed Children from South Africa. Res Sq [Preprint]. 2023 May 15:rs.3.rs-2842773. doi: 10.21203/rs.3.rs-2842773/v1.

    PubMed 37293067
  • Shivakoti R, Slogrove AL, Laughton B, Shafiq M, Schoeman E, Glashoff RH, Leu CS, Wang S, Bode L, Aldrovandi G, Kuhn L. Mitigating Infectious morbidity and Growth deficits in HIV-exposed uninfected infanTs with human Milk Oligosaccharide (MIGH-T MO): a randomised trial protocol. BMJ Open. 2022 Dec 30;12(12):e069116. doi: 10.1136/bmjopen-2022-069116.

    PubMed 36585139

Questions about this trial

What is this clinical trial studying?

A study testing Synbiotic and Maltodextrin in people with HIV and Infant Morbidity, run by Columbia University at 1 site in South Africa.

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 16 inclusion and 8 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: finished, as of the sponsor's last update on 1 Jul 2026. 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 South Africa. 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. Some participants in this study may receive a placebo. 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 is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

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?

Proportion of infants with infectious morbidity from 4-24 weeks (time frame: 4-24 weeks of age). The study lists 4 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 NCT05282485, which also lists 2 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 1 Jul 2026.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in