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AllergiesPREMEDINCT05119868

Effects of the Mediterranean Diet During Pregnancy on the Onset of Allergies in the Offspring

A study testing Nutritional intervention based on Mediterranean Diet in people with Allergies and Obesity, run by Federico II University at 2 sites in Italy.

Completed

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

Official record
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Trial summary

Allergy prevalence is increasing steadily with some describing as the "epidemic of the twenty-first century". Maternal diet during pregnancy has been linked to offspring allergy risk, so it represents a potential target for allergy prevention. Read more about this study

Who is it for?
Ages 20 to 35 years, women onlyHealthy volunteers can take part
Conditions the study is for
Allergies, Obesity, Gestational Complications
What is being tested?
Nutritional intervention based on Mediterranean Diet
Could I receive a placebo?
No, everyone receives an active treatment
How many people
276 participants
Where
2 sitesItaly
Study dates
2 Nov 2021to 10 Mar 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 20 to 35 years
  • Women only
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • healthy women (aged 20-35 years), at first trimester of pregnancy, of at risk for atopy baby

Who cannot join

  • concomitant presence of infections;
  • concomitant presence of malignancies;
  • concomitant presence of major gastrointestinal malformations;
  • concomitant presence of immunodeficiencies;
  • concomitant presence of autoimmune diseases;
  • concomitant presence of chronic inflammatory bowel diseases;
Show all 15Show fewer
  • concomitant presence of functional gastrointestinal disorders;
  • concomitant presence of celiac disease;
  • history of abdominal surgery with gastrointestinal resection;
  • concomitant presence of neuropsychiatric disorders;
  • concomitant presence of central nervous system disorders;
  • vegan diet;
  • twin pregnancy;
  • concomitant presence of genetic disorders;
  • concomitant presence of metabolic disorders.

Trial locations and contacts

2 sites in 1 country.

Italy2 sites
  • Department of Traslational Medical Science

    Naples, Italy, 80131

  • Department of Traslational Medical Science - University of Naples Federico II

    Naples, Naples, 80131

Other trials in Italy

About this study

Official title: Effects of the Mediterranean Diet During Pregnancy on the Onset of Allergies in the Offspring: a Multi-center Randomised-controlled Trial (the PREMEDI Project)

Allergy prevalence is increasing steadily with some describing as the "epidemic of the twenty-first century". Maternal diet during pregnancy has been linked to offspring allergy risk, so it represents a potential target for allergy prevention. The Mediterranean Diet (MD) is considered one of the healthiest dietary models which exerts regulatory effects on immune system, due to the synergistic and interactive combinations of nutrients. We aim to study the effects of MD in pregnancy on the onset of allergic diseases at 2 years of age in the offspring.

Being tested
Nutritional intervention based on Mediterranean Diet
Medical subject headings
Hypersensitivity, Obesity, Gestational Weight Gain, Birth Weight, Breast Feeding

What participants receive

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

  • Nutritional intervention based on Mediterranean DietOther

    A personalized nutritional counseling and a tailored diet, according to Mediterranean dietary pattern, designed on the pre-pregnancy weight, height and trimester of pregnancy provided by certified dietitians.

Study groups in NCT05119868
Study groupRoleWhat they receive
Group 1ExperimentalGroup 1 will receive standard obstetrical and gynecological follow-up and nutritional intervention based on Mediterranean Diet provided by certified dietitians
Receives: Other: Nutritional intervention based on Mediterranean Diet
Group 2No interventionGroup 2 will receive standard obstetrical and gynecological follow-up alone

What is being measured

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

  1. Occurrence of allergic disorders at 24 months of age in the offspring

    The evaluation of the effect of Mediterranean Diet during pregnancy on the occurrence of allergic disorders at 24 months of age in the offspring

    Measured: 24 months from birth

Secondary outcomes (15)
  1. Maternal weight gain

    The evaluation of the effect of Mediterranean Diet during pregnancy on maternal weight gain

    Measured: From enrollment until delivery

  2. Pregnancy complications occurrence

    The evaluation of the effect of Mediterranean Diet during pregnancy on pregnancy complications occurrence

    Measured: From enrollment until delivery

  3. Perinatal complications occurrence

    The evaluation of the effect of Mediterranean Diet during pregnancy on perinatal complications occurrence

    Measured: Delivery

  4. Neonatal birth weight

    The evaluation of the effect of Mediterranean Diet during pregnancy on neonatal growth indices

    Measured: Delivery

  5. Body growth in the offspring

    The evaluation of the effect of Mediterranean Diet during pregnancy on body growth in the offspring

    Measured: During the 24 months of life

  6. Occurrence of any other chronic disorders in the first 2 years of age in the offspring

    The evaluation of the effect of Mediterranean Diet during pregnancy on the occurrence of any other chronic disorders in the first 2 years of age in the offspring

    Measured: During the 24 months of life

  7. Mother's gut microbiome metagenomic features

    The evaluation of the effect of Mediterranean Diet during pregnancy on the mother's gut microbiome metagenomic features

    Measured: From enrollment until delivery

  8. Mother's gut microbiome metabolomic features

    The evaluation of the effect of Mediterranean Diet during pregnancy on the mother's gut microbiome metabolomic features

    Measured: From enrollment until delivery

  9. Son's gut microbiome metagenomic features

    The evaluation of the effect of Mediterranean Diet during pregnancy on the son's gut microbiome metagenomic features

    Measured: During the 24 months of life

  10. Son's gut microbiome metabolomic features

    The evaluation of the effect of Mediterranean Diet during pregnancy on the son's gut microbiome metabolomic features

    Measured: During the 24 months of life

  11. Breastfeeding duration

    The evaluation of the effect of Mediterranean Diet during pregnancy on the breastfeeding duration

    Measured: During the 24 months of life

  12. Breast milk composition

    The evaluation of the effect of Mediterranean Diet during pregnancy on the breast milk composition

    Measured: During the 24 months of life

  13. Epigenetic modulation of genes involved in the regulation of immune system in the offspring

    The evaluation of the effect of Mediterranean Diet during pregnancy on the epigenetic modulation of genes involved in the regulation of immune system in the offspring

    Measured: Delivery

  14. Epigenetic modulation of genes involved in the metabolic pathways in the offspring

    The evaluation of the effect of Mediterranean Diet during pregnancy on the epigenetic modulation of genes involved in the metabolic pathways in the offspring

    Measured: Delivery

  15. To validate a digital app

    Validate an app designed to promote a healthy lifestyle and prevent the most common non-communicable chronic diseases

    Measured: During the first 1000 days

Timeline

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

  1. First posted15 Nov 2021
  2. Study start2 Nov 2021
  3. Primary completion10 Jan 2025
  4. Study completion10 Mar 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
Masking
None (open label)
Enrolment
276 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05119868
Sponsor's protocol ID
283/21
Acronym
PREMEDI
Status last verified
Jun 2026
First submitted
3 Nov 2021
Last updated
1 Sep 2026
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Coppola S, Paparo L, Chiariotti L, Ercolini D, Nocerino R, de Giovanni di Santa Severina AF, Carucci L, De Filippis F, Agangi A, Napolitano M, Passariello A, Messina F, Berni Canani R. Effects of the Mediterranean Diet during pregnancy on the onset of allergy in at risk children: A study protocol of a multi-center, randomized- controlled, parallel groups, prospective trial (the PREMEDI study). Front Nutr. 2022 Oct 13;9:951223. doi: 10.3389/fnut.2022.951223. eCollection 2022.

    PubMed 36313083

Questions about this trial

What is this clinical trial studying?

A study testing Nutritional intervention based on Mediterranean Diet in people with Allergies and Obesity, run by Federico II University at 2 sites in Italy.

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 1 inclusion and 15 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 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Italy. 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. 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?

Occurrence of allergic disorders at 24 months of age in the offspring (time frame: 24 months from birth). 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 NCT05119868, which also lists 1 linked publication.

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 Sep 2026.

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