Effects of Enteral Feeding Regimens on NEC, Mortality, and Neurodevelopment in Very Preterm Infants

NANot yet recruitingINTERVENTIONAL
Enrollment

1,013

Participants

Timeline

Start Date

August 1, 2025

Primary Completion Date

July 31, 2028

Study Completion Date

July 31, 2030

Conditions
Very Preterm InfantNecrotizing Enterocolitis (NEC)
Interventions
DIETARY_SUPPLEMENT

Pasteurized Donor Milk for Insufficient Breastfeeding

"Participants receive pasteurized donor human milk (pHDM) as supplemental feeding when the clinician determines maternal milk supply is insufficient.~Randomization 1 will occur when the clinician determines that supplemental feeding is required due to insufficient breast milk supply."

DIETARY_SUPPLEMENT

Preterm Formula for Insufficient Breastfeeding

"Participants receive preterm formula (PTF) as supplemental feeding when the clinician determines maternal milk supply is insufficient.~Randomization 1 will occur when the clinician determines that supplemental feeding is required due to insufficient breast milk supply."

DIETARY_SUPPLEMENT

Routine fortification

Randomization 2 will be conducted when the total daily intake of human milk (including own mother's milk \[OMM\] and/or donor pasteurized human milk \[pHDM\] ) reaches between 60-120 mL/kg

DIETARY_SUPPLEMENT

Rescue fortification

Randomization 2 will be conducted: Add fortifiers when the body weight is below the 10% growth curve.

Trial Locations (22)

0571

Children's Hospital, Zhejiang University School of Medicine, Hangzhou

Unknown

Chengdu Maternal and Children's Health Care Hospital, Chengdu

Children's Hospital of Chongqing Medical University, Chongqing

Guangdong Women and Children Hospital, Guangdong

Guangxi Maternal and Child Health Hospital, Guangxi

Guiyang Maternity and Child Health Care Hospital, Guiyang

Guizhou Provincial People's Hospital, Guizhou

The First Hospital of Jilin University, Jilin

First Affiliated Hospital of Kunming Medical University, Kunming

Jiangxi Maternal and Child Health Hospital, Nanchang

Nanjing Maternity and Child Health Care Hospital, Nanjing

Ningbo Women & Children's Hospital, Ningbo

QuanZhou Women and Children's Hospital, Quanzhou

Qujing Maternal and Child Health Hospital, Qujing

Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai

Shengjing Hospital, Shenyang

Shenzhen Maternal and Child Health Hospital, Shenzhen

Fourth Hospital of Shijiazhuang City, Shijiazhuang

Xiamen Women's and Children's Hospital, Xiamen

First Affiliated Hospital of Xinjiang Medical University, Xinjiang

Zhangzhou Affiliated Hospital of Fujian Medical University, Zhangzhou

Zhengzhou Children's Hospital, China, Zhengzhou

All Listed Sponsors
collaborator

Imperial College London

OTHER

lead

The Children's Hospital of Zhejiang University School of Medicine

OTHER

NCT07045844 - Effects of Enteral Feeding Regimens on NEC, Mortality, and Neurodevelopment in Very Preterm Infants | Biotech Hunter | Biotech Hunter