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CTRI Number  CTRI/2024/07/069824 [Registered on: 02/07/2024] Trial Registered Prospectively
Last Modified On: 29/08/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   To Study the effect of oral probiotics supplementation on illnesses in newborns born premature (before 36 weeks of gestation) 
Scientific Title of Study   To study the effect of probiotics Supplementation on Morbidities in Indian Preterm Neonates. 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Nehal Athreyi R 
Designation  Junior Resident 
Affiliation  RNT Medical College & Hospital, Udaipur 
Address  Department of Paediatrics RNT Medical College & Hospital
Near Court circle, Udaipur 313001
Udaipur
RAJASTHAN
313001
India 
Phone  6361747305  
Fax    
Email  nehalathreyi@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr. Mohammed Asif 
Designation  Prefessor & Head 
Affiliation  RNT Medical College & Hospital, Udaipur 
Address  Department of Paediatrics RNT Medical College & Hospital
Near Court circle, Udaipur 313001
Udaipur
RAJASTHAN
313001
India 
Phone  9785056044  
Fax    
Email  rntianasif@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Nehal Athreyi R 
Designation  Junior Resident 
Affiliation  RNT Medical College & Hospital, Udaipur 
Address  Department of Paediatrics RNT Medical College & Hospital
Near Court circle, Udaipur 313001
Udaipur
RAJASTHAN
313001
India 
Phone  6361747305  
Fax    
Email  nehalathreyi@gmail.com  
 
Source of Monetary or Material Support  
RNT Medical College & Hospital, Department of Paediatrics Near Court Circle Udaipur - 313001 Rajasthan, India  
 
Primary Sponsor  
Name  RNT Medical College & Hospital, Udaipur 
Address  Near Court circle, Udaipur 313001 
Type of Sponsor  Government medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nehal Athreyi R  RNT Medical College & Hospital  Department of Paediatrics Near Court Circle Pin Code - 313001
Udaipur
RAJASTHAN 
6361747305

nehalathreyi@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
RNTMedicalCollegeandControllerandAttachedHospitals  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K553||Necrotizing enterocolitis,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Probiotic preparation Infloran®  containing probiotics including Lactobacillus Acidophilus 1.0000 billion CFU and Bifidobacterium Bifidum 1.0000 billion CFU in each capsule Study Duration-10 Months 
Comparator Agent  Standard care without probiotics supplementation  Standard care without probiotics supplementation Study duration 10 Months 
 
Inclusion Criteria  
Age From  1.00 Day(s)
Age To  7.00 Day(s)
Gender  Both 
Details  Gestation Neonates born before less than 34weeks
Age at recruitment within 7 days of life
Weight low birth weight less than 1800 grams
 
 
ExclusionCriteria 
Details  Malformation of the gut (omphalocele, gastroschisis, intestinal atresia)
Neonates with central venous catheter
Any condition that prevents oral or nasogastric intake
 
 
Method of Generating Random Sequence   Coin toss, Lottery, toss of dice, shuffling cards etc 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
suspected or confirmed positive Bell stage 2 or more  Everyday until the period of hospital stay and further upto 6 weeks of life 
 
Secondary Outcome  
Outcome  TimePoints 
Culture positive sepsis: blood culture positive
Clinical sepsis: clinical features of sepsis without
positive blood culture 
Day 42 after the birth 
 
Target Sample Size   Total Sample Size="300"
Sample Size from India="300" 
Final Enrollment numbers achieved (Total)= "0"
Final Enrollment numbers achieved (India)="300" 
Phase of Trial   Phase 4 
Date of First Enrollment (India)   15/07/2024 
Date of Study Completion (India) 26/06/2025 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary
Modification(s)  
Probiotic supplementation in preterm neonates was safe and associated with modest improvements in weight at discharge and follow-up. However, it did not significantly impact NEC, sepsis, mortality, or hospital stay, with gestational age remaining the strongest predictor of outcomes. Probiotics can be safely incorporated into NICU care for preterm neonates to support growth, but their greatest benefit is likely in extremely preterm and high-risk populations. 
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