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Donor Human Milk in Young Children Receiving Bone Marrow Transplantation

Not Applicable
Completed
Conditions
Bone Marrow Transplant - Autologous or Allogeneic
Registration Number
NCT02470104
Lead Sponsor
Children's Hospital Medical Center, Cincinnati
Brief Summary

The investigators hypothesize that children receiving human milk will maintain a greater diversity of helpful bacteria in their gut and have lower levels of inflammatory proteins in the blood compared with children not receiving human milk.

Detailed Description

The investigators hypothesize that the gut microbiota during bone marrow transplant could be influenced by administration of enteral donor breast milk. This study will attempt to address this hypothesis, by feeding donor breast milk to young children undergoing transplant, and serially comparing the gut microbiota in children receiving human milk, with those receiving conventional feeding.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
42
Inclusion Criteria
  • Children less than 5 years old receiving transplant (autologous or allogeneic)
  • Parents must give informed consent
Exclusion Criteria
  • Failure to meet inclusion criteria

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Percentage of lactobacillales21 days after transplant

Bar chart to indicate percentage of lactobacillales in stool samples.

Secondary Outcome Measures
NameTimeMethod
Pro-inflammatory cytokine levelweekly during study course; up to approximately one year

Mean fold increase above baseline for the cytokine will be calculated and compared to control. Value will be tested for statistical significance using the Wilcoxon Rank Sum test.

Incidence of bacteremiathough day 14 post transplant

Frequency of bacterial sepsis to be compared against controls.

Incidence of graft versus host disease (GVHD)through study course; approximately one year

Frequency of GVHD will be compared to controls.

Trial Locations

Locations (1)

Cincinnati Children's Hospital Medical Center

🇺🇸

Cincinnati, Ohio, United States

Cincinnati Children's Hospital Medical Center
🇺🇸Cincinnati, Ohio, United States

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