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| ID | Type | Description | Link |
|---|---|---|---|
| 2009 09 | Other Identifier | AP HM |
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It seems important to correlate real consumption in bioactives molecules of natural milk versus pasteurized with gut maturation in very preterm infants during small enteral feeding protocol. This objective will be reached through a clinical trial.
One hundred infants born between 28 and 30 weeks of gestational age will be enrolled in our clinical trial in two neonatal units of Marseille; they will receive small enteral feeding protocol with natural or pasteurized milk (according to the Neonatology Department). Infants monitoring will be conducted from birth until 32 weeks of gestational age through extra-uterine growth, dietary type evolution and determination of gut maturation markers levels in blood (Triglycerides and Cholesterol, PUFA, GLP-2, I and L-FABP, Gastrin, Citrullin) and faeces (Calprotectine). We will also look for new biological markers of intestinal growth, via metabolomic approach. Consumption of bioactives molecules (PUFA, sphingomyelin, sCD14, insulin, leptin, lactoferrin, sphingomyelinase acid and BSSL activity) will be quantified in milk 24h-representative samples received by each newborn. The benefits on digestive tract physiology evolution due to the molecules consumption will be observed from the 32nd week until the 36th week or the end of hospitalization.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| natural milk | Active Comparator | ||
| pasteurized milk | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| blood samples , feces samples | Other | After the 32nd week until the 36th week or the end of hospitalization,infants received mother's native milk or substitute. |
|
| Measure | Description | Time Frame |
|---|---|---|
| pasteurized milk | infants born between 28 and 30 weeks of gestational age will receive small enteral feeding protocol with pasteurized milk | 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| natural milk | infants born between 28 and 30 weeks of gestational age will receive small enteral feeding protocol with natural milk | 2 years |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| CATHERINE GIRE | ASSITANCE PUBLIQUE HOPITAUX DE MARSEILLE | Principal Investigator |
| CATHERINE GIRE | Assistance Publique Hopitaux De Marseille | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Assistance Publique Hopitaux de Marseille | Marseille | France |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 25326648 | Background | Garcia C, Duan RD, Brevaut-Malaty V, Gire C, Millet V, Simeoni U, Bernard M, Armand M. Bioactive compounds in human milk and intestinal health and maturity in preterm newborn: an overview. Cell Mol Biol (Noisy-le-grand). 2013 Dec 30;59(1):108-31. |
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D001800 | Blood Specimen Collection |
| ID | Term |
|---|---|
| D013048 | Specimen Handling |
| D019411 | Clinical Laboratory Techniques |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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| blood samples, feces samples | Other | After the 32nd week until the 36th week or the end of hospitalization,infants continued mother's native milk or received substitute. |
| D000091642 | Urogenital Diseases |
| D011677 | Punctures |
| D013514 | Surgical Procedures, Operative |
| D008919 | Investigative Techniques |