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NCT Number: NCT06789484

Characterization of the Gastrointestinal Microbiota in Newborn Infants

The BABIES study is a single-center, randomized, double-blinded, placebo-controlled study in newborns with a 4-week intervention period from birth to 28 days of life followed by a 2-week follow-up period (Figure 1). The study will evaluate the seeding ability of supplementation with a probiotic strain.

The aim is to investigate the recovery and engraftment of the probiotic strain in infant fecal samples after 4 weeks supplementation using a strain specific quantitative Polymerase Chain Reaction (qPCR).

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Key information

Conditions

Age range

Up to 1 day

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Center for Klinisk Mikrobiom Forskning, Gastroenheden og Klinisk Mikrobiologisk Afdeling

Hvidovre, 2650, Denmark

Location status: Recruiting

Location contact

Andreas Munk Petersen, MD, PhD, DMSc

CONTACT

[email protected]

+45 38 62 61 99

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Inclusion Criteria for the pregnant person:
  • Healthy pregnant person in gestational week 36+0-38+0
  • Age ≥ 18 years
  • Normal singleton pregnancy
  • Ability to read and speak Danish
  • Normal ultrasound scan of the fetus at gestational age 19-20 weeks
  • Plan to exclusively breastfeed
  • Provided voluntary written informed consent.
  • Inclusions Criteria for the newborn:
  • Born at full-term ≥37+0
  • Birth weight above 2500 g
  • APGAR score of at least 7 within the first 5 min of life.

Exclusion criteria

  • Exclusion Criteria for the pregnant person:
  • Pregnancy at over 38+0 weeks' gestation at recruitment
  • Multiple pregnancy
  • Pregnancy with any fetal abnormality
  • Alcohol or drug abuse
  • Plan to give birth at other hospitals than Copenhagen University Hospital Hvidovre
  • Any contraindications for breastfeeding.

Exclusion criteria

for the newborn :

  • Congenital disorders that could affect their safety or the study outcome
  • Admission to Neonatal Intensive Care Unit for more than 24 hours
  • Participation in another clinical intervention study which can interfere with this probiotic intervention
  • No other probiotics than the study product.

Treatment and study plan

Probiotic

Other

Given daily from enrollement to 28 days of life

Placebo

Dietary Supplement

Given daily from enrollement to 28 days of life

Primary outcomes

  1. Recovery of the probiotic strain in newborn/infant fecal samples

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Abundance of the probiotic strain in newborn/infant fecal samples measured by quantitative PCR.

Secondary outcomes

  1. Infant fecal pH

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Changes in Fecal pH measured in fecal water from fecal samples.

  2. Total abundance of bifidobacteria

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Abundance of fecal bifidobacteria measured by quantitative PCR

  3. Infant fecal short chain fatty acids (SCFA)

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Changes in SCFA production as measured by targeted metabolomics

Other outcomes

  1. Infant gut metabolome

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Characterization and changes in the Infant fecal metabolome as assessed by targeted and untargeted metabolomics in infant fecal samples

  2. Infant gut microbiome composition

    Time frame: Birth (first stool after meconium), 2 weeks, 4 weeks, and 6 weeks

    Changes in gut microbiome composition analyzed by DNA/RNA sequencing of fecal samples

  3. Infant blood metabolome

    Time frame: 4 weeks

    Newborn blood metabolome as assessed by targeted and untargeted metabolomics from dried blood spots

  4. Infant bowel habits frequency

    Time frame: Daily (0-6 weeks of age)

    Changes in bowel habits as measured by daily stool frequency.

  5. Infant bowel habits stool consistency

    Time frame: Daily from 0-6 weeks of age

    Changes in bowel habits as measured by stool consistency. The consistency will be assessed by a modified diapered infant stool scale.

  6. Infant growth, weight

    Time frame: Birth, 4 weeks, 6 weeks of age.

    Infant weight in kilograms will be aggregated to determine infant growth status.

  7. Infant crying and fussing

    Time frame: Daily (0-6 weeks of age)

    Measured as frequency and duration (hours/minutes per day) of crying and fussing

  8. Pregnant person fecal microbiota composition

    Time frame: 36+0-38+0 GA weeks

    Gut microbiome composition analyzed by DNA/RNA sequencing of fecal samples

  9. Pregnant person blood metabolome

    Time frame: 36+0-38+0 GA weeks

    Characterization of the pregnant person blood metabolome as assessed by targeted and untargeted metabolomics from dried blood spots

  10. Infant growth, length

    Time frame: Birth, 4 weeks, 6 weeks of age.

    Infant length in centimeters will be aggregated to determine infant growth status.

  11. Infant growth, head circumference

    Time frame: Birth, 4 weeks, 6 weeks of age.

    Infant head circumference in centimeters will be aggregated to determine infant growth status.

Study contacts

Contact information is provided by the study sponsor or research team.

Sofie Ingdam Halkjær, MSc, PhD

CONTACT

[email protected]

+4541318174

Sponsors and collaborators

Lead sponsor

Hvidovre University Hospital

Other

Collaborators

  • Chr Hansen

Registry information

Official study title

Recovery of a Probiotic in Term Newborns - a Randomized, Double-blinded, Placebo-controlled Proof-of-concept Study

Acronym: BABIES I

Important dates

Study start
2025
Primary completion
2025
Study completion
2025
First posted
Jan 23, 2025
Registry last updated
Apr 13, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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