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CTRI Number  CTRI/2018/04/013401 [Registered on: 20/04/2018] Trial Registered Retrospectively
Last Modified On: 10/04/2018
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Probiotic
Preventive 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Role of prophylactic microbial supplements in prevention of blood stream infection and intestinal tract injury in premature neonates 
Scientific Title of Study   Role of prophylactic probiotics in prevention of necrotising enterocolitis and sepsis in premature neonates  
Trial Acronym   
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Gousia mukhtar 
Designation  Seniour resident 
Affiliation  Sher i kashmir institute of medical sciences, soura  
Address  Seniour resident, Department of Pediatrics and Neonatology Sher i kashmir institute of medical sciences, soura srinagar

Srinagar
JAMMU & KASHMIR
190005
India 
Phone  9419063156  
Fax    
Email  gousiamukhtar@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Shiekh Mushtaq Ahmad 
Designation  Professor 
Affiliation  Professor , Sher i kashmir institute of medical sciences, soura  
Address  Department of Pediatrics and Neonatology, Sher i kashmir institute of medical sciences, soura, srinagar

Srinagar
JAMMU & KASHMIR
190005
India 
Phone  9419041796  
Fax    
Email  drmushtaq816@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Gousia mukhtar 
Designation  Seniour resident 
Affiliation  Sher i kashmir institute of medical sciences, soura  
Address  Seniour Resident, Department of Pediatrics and Neonatology Sher i kashmir institute of medical sciences, SOURA, Srinagar

Srinagar
JAMMU & KASHMIR
190005
India 
Phone  9419063156  
Fax    
Email  gousiamukhtar@gmail.com  
 
Source of Monetary or Material Support  
Sher i kashmir institute of medical sciences, soura Srinagar  
 
Primary Sponsor  
Name  Gousia mukhtar 
Address  185 house no Sanat nagar housing colony Srinagar  
Type of Sponsor  Other [Principal investigator] 
 
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 
Gousia mukhtar   Sher i kashmir institute of medical sciences, soura   Sher i kashmir institute of medical sciences, soura Srinagar kashmir
Srinagar
JAMMU & KASHMIR 
9419063156

gousiamukhtar@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC-SKIMS  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  1. Necrotising enterocolitis 2. Nosocomial sepsis ,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Mixture of lactobacillus acidophilus, lactobacillus rhamnosus, bifidobacterium longum and streptomyces boulardii  Mixture of lactobacillus acidophilus, lactobacillus rhamnosus, bifidobacterium longum and streptomyces boulardii in a dose of 1.25 billion CFU twice daily started with the first feed which can be in the form of expressed breast milk or preterm formula feed and continued till discharge 
Comparator Agent  The control group will receive expressed breast milk or preterm formula feed with no supplements added.   The control group will receive expressed breast milk or preterm formula feed with no supplements added  
 
Inclusion Criteria  
Age From  2.00 Day(s)
Age To  30.00 Day(s)
Gender  Both 
Details  All infants admitted to our nicu with birth weight less than 2 kg or gestational age less than 35 weeks as assessed by EDD and further confirmed by Ballards score who survive the first 24 hrs of life will be enrolled in the study. 
 
ExclusionCriteria 
Details  1. sepsis
2. Major congenital anomalies
3. Severe asphyxia
4. Severe IUGR
5. Immunocompromised host like hiv infected infants 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment    
Blinding/Masking   Investigator Blinded 
Primary Outcome  
Outcome  TimePoints 
To compare the safety and efficacy of prophylactic probiotics versus no treatment in prevention of
1.Necrotising colitis
2. Nosocomial sepsis
In preterm low birth weight babies  
1st of june 2018 
 
Secondary Outcome  
Outcome  TimePoints 
1. Duration of hospitalization
2. Time to establish full feeds
3.Episodes of feed intolerance
4. All cause neonatal mortality 
1st of june, 2018 
 
Target Sample Size   Total Sample Size="200"
Sample Size from India="200" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2012 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="5"
Months="6"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Open to Recruitment 
Publication Details   None 
Individual Participant Data (IPD) Sharing Statement

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

Brief Summary   We compared the efficacy of prophylactic probiotics versus no treatment in prevention of necrotising enterocolitis and nosocomial sepsis in premature ( less than 35 weeks gestation ) , LBW infants (less than 2 kg weight ) 
Secondary outcomes to be measured are duration of hospitalization,  time to establish full feeds , mortality and episodes of feed intolerance.  
We excluded infants who had sepsis, severe congenital malformation , were severely small for gestational age,  had immunodeficiency or had severe asphyxia .
 
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