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Newborn; VitalityNCT06706115

Effect of Intranasal Breast Milk Administration in Preterm Infants

A study testing Intranasal human breast milk in people with Newborn; Vitality and Nursing Caries, run by Selcuk University at 1 site in Turkey (Türkiye).

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

The aim of the study was to investigate the effect of intranasal breast milk administration on cerebral oxygenation level, vital signs and time to full oral feeding in preterm infants. Read more about this study

Who is it for?
Ages 28 to 37 weeksHealthy volunteers can take part
Conditions the study is for
Newborn; Vitality, Nursing Caries, Breast Feeding
What is being tested?
Intranasal human breast milk
Could I receive a placebo?
No, everyone receives an active treatment
How many people
40 participants
Where
1 siteTurkey (Türkiye)
Study dates
30 Jun 2024to 30 Dec 2025
Phase
Interventional
Are there results?
Not yet: the study is under way

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 28 to 37 weeks
  • All sexes
  • Healthy volunteers accepted
  • Child

Who may be able to join

  • Birth weight >1000 gr,
  • APGAR score >7 at 5 minutes after birth,
  • Availability of breast milk,
  • No medical diagnosis affecting cerebral oxygenation (intraventricular hemorrhage, cardiovascular and neurological disorders, anemia),
  • No congenital anomalies or chromosomal abnormalities,
  • No congenital anomaly (such as cleft palate) affecting nasal patency.

Who cannot join

  • Being able to feed orally in all feedings
  • Being fed entirely on formula milk,
  • Administration of medication via the nasal route,
  • Being intubated or receiving continuous positive air pressure (CPAP) support,
  • Maternal substance abuse, alcohol abuse, HIV infection, untreated active tuberculosis, chemotherapy or radiotherapy treatment,
  • The mother has mastitis, breast trauma, abscesses or is taking any medication that passes into the milk,
  • The mother does not want to express milk.

Trial locations and contacts

1 site in 1 country. Contact the study team or a site near you to ask about taking part.

Adalet Yücel, Assistant contact

+903322230770

adalet.yucel0@gmail.com

Turkey (Türkiye)1 site, 1 recruiting
  • Selcuk University

    Konya

    Sibel Küçükoğlu, Prof, s_nadaroglu@hotmail.com

    Recruiting

Other trials in Turkey (Türkiye)

About this study

Official title: : Effect of Intranasal Breast Milk Administration on Cerebral Oxygenation, Vital Signs and Transition Time to Full Oral Feeding in Preterm Babies: Randomized Controlled Study

The aim of the study was to investigate the effect of intranasal breast milk administration on cerebral oxygenation level, vital signs and time to full oral feeding in preterm infants.

Read the detailed description

Breast milk is rich in pluripotent stem cells, including pluripotent stem cells that produce neuronal cells in vitro. Therefore, intranasal breast milk administration in neonates may potentially allow the transport of stem cells and other molecules into brain tissue through the nasal vasculature and permeable neonatal blood-brain barrier. In recent years, studies on intranasal breast milk administration in newborns have been published. In studies, there is evidence that intranasal breast milk may be effective in reducing cerebral damage after intracranial hemorrhage in preterm newborns and that the application can be tolerated by preterm newborns.

Being tested
Intranasal human breast milk
Keywords
Breast milk, Newborn Nursing, Oral Nutrition, Physiological parameters, Preterm infant
Medical subject headings
Breast Feeding, Premature Birth

What participants receive

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

  • Intranasal human breast milkOther

    The information in the "Physiologic Parameter Follow-up Form" will be recorded by the investigator just 5 minutes before the intervention. The researcher will drip 0.2 ml of breast milk at room temperature (approximately 22 °C) into the nose of the infant lying in the supine position, 0.1 ml in the right nose-0.1 ml in the left nose. 5 minutes after the intervention (T1), 15 minutes after the intervention (T2) and 30 minutes after the intervention (T3), the data in the "Physiologic Parameter Follow-up Form" will be recorded by the researcher. After intranasal breast milk administration, the baby will be fed by the neonatal nurse as in routine practice. The implementation of the intervention in the study will last for three days and this process will be repeated three times every day (09.00, 12.00 and 15.00).

Study groups in NCT06706115
Study groupRoleWhat they receive
Intranasal Breast Milk GroupExperimentalPreterm infants (28-37 gestation week) in the intervention group will receive 0.2 ml of breast milk intranasally three times a day for three days.
Receives: Other: Intranasal human breast milk
Control GroupNo interventionPreterm newborns in the control group will not receive any intervention.

What is being measured

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

  1. Infant Information Form

    The form developed by the researchers in line with the literature includes the identifying information of the preterm infant (gender, date of birth, gestational week at birth, mode of delivery, APGAR score, birth weight, postmenstrual age)

    Measured: First measurement-First day of hospitalization

  2. Physiologic Parameter Follow-up Form-Cerebral rSO2

    Cerebral rSO2 in the Physiological Parameter Monitoring Form will be measured 5 minutes before the intervention.

    Measured: First measurement- 5 minutes before the intervention (T0)

  3. Physiologic Parameter Follow-up Form-Oxygen saturation (sPO2)

    Oxygen saturation (sPO2) in the Physiological Parameter Monitoring Form will be measured 5 minutes before the intervention.

    Measured: First measurement- 5 minutes before the intervention (T0)

  4. Physiologic Parameter Follow-up Form-Heart Rate (HR)

    Heart rate in the Physiological Parameter Monitoring Form will be measured 5 minutes before the intervention.

    Measured: First measurement- 5 minutes before the intervention (T0)

  5. Physiologic Parameter Follow-up Form-Respiratory rate

    Respiratory rate in the Physiological Parameter Monitoring Form will be measured 5 minutes before the intervention.

    Measured: First measurement- 5 minutes before the intervention (T0)

  6. Nutrition Follow-up Form-intranasal breast milk content

    Intranasal breast milk content (fresh/thawed) in the Nutrition Follow-up Form will be recorded before the intervention.

    Measured: First measurement- intranasal breast milk content

Secondary outcomes (17)
  1. Physiologic Parameter Follow-up Form -Cerebral rSO2

    Cerebral rSO2 in the Physiological Parameter Monitoring Form will be measured 5 minutes after the intervention.

    Measured: Second measurement- 5. minutes after the intervention (T1)

  2. Physiologic Parameter Follow-up Form -Cerebral rSO2

    Cerebral rSO2 in the Physiological Parameter Monitoring Form will be measured 15 minutes after the intervention.

    Measured: Second measurement- 15. minutes after the intervention (T1)

  3. Physiologic Parameter Follow-up Form -Cerebral rSO2

    Cerebral rSO2 in the Physiological Parameter Monitoring Form will be measured 30 minutes after the intervention.

    Measured: Second measurement- 30. minutes after the intervention (T1)

  4. Physiologic Parameter Follow-up Form -Oxygen saturation (sPO2)

    Oxygen saturation (sPO2) in the Physiological Parameter Monitoring Form will be measured 5 minutes after the intervention.

    Measured: Second measurement- 5. minutes after the intervention (T1)

  5. Physiologic Parameter Follow-up Form -Oxygen saturation (sPO2)

    Oxygen saturation (sPO2) in the Physiological Parameter Monitoring Form will be measured 15 minutes after the intervention.

    Measured: Second measurement- 15. minutes after the intervention (T1)

  6. Physiologic Parameter Follow-up Form -Oxygen saturation (sPO2)

    Oxygen saturation (sPO2) in the Physiological Parameter Monitoring Form will be measured 30 minutes after the intervention.

    Measured: Second measurement- 30. minutes after the intervention (T1)

  7. Physiologic Parameter Follow-up Form -Heart Rate (HR)

    Heart Rate (HR) in the Physiological Parameter Monitoring Form will be measured 5 minutes after the intervention.

    Measured: Second measurement- 5. minutes after the intervention (T1)

  8. Physiologic Parameter Follow-up Form -Heart Rate (HR)

    Heart Rate (HR) in the Physiological Parameter Monitoring Form will be measured 15 minutes after the intervention.

    Measured: Second measurement- 15. minutes after the intervention (T1)

  9. Physiologic Parameter Follow-up Form -Heart Rate (HR)

    Heart Rate (HR) in the Physiological Parameter Monitoring Form will be measured 30 minutes after the intervention.

    Measured: Second measurement- 30. minutes after the intervention (T1)

  10. Physiologic Parameter Follow-up Form -Respiratory rate

    Respiratory rate in the Physiological Parameter Monitoring Form will be measured 5 minutes after the intervention.

    Measured: Second measurement- 5. minutes after the intervention (T1)

  11. Physiologic Parameter Follow-up Form -Respiratory rate

    Respiratory rate in the Physiological Parameter Monitoring Form will be measured 15 minutes after the intervention.

    Measured: Second measurement- 15. minutes after the intervention (T1)

  12. Physiologic Parameter Follow-up Form -Respiratory rate

    Respiratory rate in the Physiological Parameter Monitoring Form will be measured 30 minutes after the intervention.

    Measured: Second measurement- 30. minutes after the intervention (T1)

  13. Nutrition Follow-up Form-Nutrient content

    Nutrient content (exclusive breast milk/formula+ breast milk feeding) in the Nutrition Follow-up Form will be recorded 5 minutes after the intervention.

    Measured: Second measurement-Nutrient content

  14. Nutrition Follow-up Form-Number of vomits

    Number of vomits in the Nutrition Follow-up Form will be recorded 24 hours after the intervention.

    Measured: Second measurement- Number of vomits

  15. Nutrition Follow-up Form-Number of defecations

    Number of defecations in the Nutrition Follow-up Form will be recorded 24 hours after the intervention.

    Measured: Second measurement- Number of defecations

  16. Nutrition Follow-up Form-The time of transition to full oral feeding

    The time of transition to full oral feeding, which is found on the Feeding Follow-up Form, will be monitored and recorded in medical records until the baby is discharged.

    Measured: Second measurement- The time of transition to full oral feeding

  17. Nutrition Follow-up Form-Discharge time

    Discharge time, which is found on the Feeding Follow-up Form, will be monitored and recorded in medical records until the baby is discharged.

    Measured: Second measurement- Discharge time

Timeline

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

  1. First posted26 Nov 2024
  2. Study start30 Jun 2024
  3. Primary completion15 Sep 2025 (estimated)
  4. Study completion30 Dec 2025 (estimated)

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
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Model description
Randomized controlled design
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
40 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06706115
Sponsor's protocol ID
SelcukUni2545
Status last verified
Nov 2024
First submitted
21 May 2024
Last updated
26 Nov 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: It will be shared after the article is published.

Publications

  • Keller T, Korber F, Oberthuer A, Schafmeyer L, Mehler K, Kuhr K, Kribs A. Intranasal breast milk for premature infants with severe intraventricular hemorrhage-an observation. Eur J Pediatr. 2019 Feb;178(2):199-206. doi: 10.1007/s00431-018-3279-7. Epub 2018 Nov 1.

    PubMed 30386923
  • Hoban R, Gallipoli A, Signorile M, Mander P, Gauthier-Fisher A, Librach C, Wilson D, Unger S. Feasibility of intranasal human milk as stem cell therapy in preterm infants with intraventricular hemorrhage. J Perinatol. 2024 Nov;44(11):1652-1657. doi: 10.1038/s41372-024-01982-8. Epub 2024 Apr 30.

    PubMed 38688998
  • Muelbert M, Alexander T, Pook C, Jiang Y, Harding JE, Bloomfield FH. Cortical Oxygenation Changes during Gastric Tube Feeding in Moderate- and Late-Preterm Babies: A NIRS Study. Nutrients. 2021 Jan 25;13(2):350. doi: 10.3390/nu13020350.

    PubMed 33503882
  • Yucel A, Kucukoglu S, Soylu H. The Effect of Breast Milk Odor on Feeding Cues, Transition Time to Oral Feeding, and Abdominal Perfusion in Premature Newborns: A Randomised Controlled Trial. Biol Res Nurs. 2024 Jan;26(1):160-175. doi: 10.1177/10998004231200784. Epub 2023 Sep 8.

    PubMed 37682253
  • Yucel A, Kucukoglu S, Konak M. Effect of intranasal breast milk administration on cerebral oxygenation, vital signs, and transition time to full oral feeding in preterm infants: a randomized controlled study. Eur J Pediatr. 2026 Apr 16;185(5):272. doi: 10.1007/s00431-026-06922-6.

    PubMed 41986747
  • Yucel A, Kucukoglu S, Konak M. The Effect of Intranasal Breast Milk Administration on Cerebral Oxygenation, Vital Signs and Time to Full Oral Feeding in Preterm Infants: a Randomised Controlled Study Protocol. Nurs Crit Care. 2026 Jan;31(1):e70262. doi: 10.1111/nicc.70262.

    PubMed 41542903

Questions about this trial

What is this clinical trial studying?

A study testing Intranasal human breast milk in people with Newborn; Vitality and Nursing Caries, run by Selcuk University at 1 site in Turkey (Türkiye).

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 6 inclusion and 7 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: looking for participants now, as of the sponsor's last update on 26 Nov 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). 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?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Sibel Kucukoglu, Prof (+903322230789 ext. 31623, s_nadaroglu@hotmail.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Infant Information Form (time frame: First measurement-First day of hospitalization). The study lists 6 primary outcomes in all. 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 NCT06706115, which also lists 6 linked publications.

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 26 Nov 2024.

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