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Bifidobacterium infantis supplementation in early life to improve immunity in infants exposed to HIV: a randomized, placebo-controlled, double-blind trial

Phase 2
Conditions
Pregnancy and Childbirth
Paediatrics
Registration Number
PACTR202301748714019
Lead Sponsor
niversity of Cape Town
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Pending
Sex
All
Target Recruitment
200
Inclusion Criteria

1) HIV uninfected at birth
2) Delivered at term
3) No pregnancy or delivery complications including birth asphyxia, seizures, sepsis, birth weight
4) >2.4kgs, and no known contraindications to probiotic supplementation

Exclusion Criteria

Mother: 1) Complications during pregnancy and delivery such as gestational diabetes, obesity (BMI> 35 prior to pregnancy), chorioamnionitis and eclampsia
2) Active TB or other infectious diseases
3) Administration of probiotics, prebiotics or immunoregulatory products
Infant: 1) Hypoxic injury/ seizures/ sepsis/ Intrauterine growth retardation
2) Administration of probiotics, prebiotics or immunoregulatory products

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Compare gut microbial structure and function longitudinally in iHEU infants randomized to receive B. infantis versus placebo in early life and to evaluate associations with stool metabolome
Secondary Outcome Measures
NameTimeMethod
To compare gut mucosal integrity and regulatory: inflammatory cell ratios in iHEU who receive early life B. infantis versus placebo;To compare T cell responsiveness to BCG vaccination and linear growth in iHEU who receive early life B. infantis versus placebo
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