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Fish Oil Supplementation During Pregnancy for Prevention of Asthma, Eczema and Allergies in Childhood

Phase 1
Active, not recruiting
Conditions
Eczema
Asthma
Allergy
Interventions
Dietary Supplement: olive oil
Dietary Supplement: n-3 fatty acid
Registration Number
NCT00798226
Lead Sponsor
Copenhagen Studies on Asthma in Childhood
Brief Summary

The aim of this study is to prevent asthma and allergies in childhood by supplementation with fish oil (n-3 fatty acids) to the mother during pregnancy. Paticipants are mother and children participating in the ABC-(Asthma Begins in Childhood)cohort. Mothers are recruited during pregnancy and receive supplement with n-3 fatty acids or olive oil (placebo) from week 24 of gestation to 1 week after delivery. The child is followed with acute and planned visit at the research unit and diagnosis of disease is done in the research unit according to predefined algorithms.

Detailed Description

Not available

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
Female
Target Recruitment
800
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
2olive oilOlive oil
1n-3 fatty acidn-3 fatty acid
Primary Outcome Measures
NameTimeMethod
Persistent wheeze 0 to 3 years of age3 years

Age at onset of persistent wheeze diagnosed according to predefined algorithm of recurrent troublesome lung symptoms, response to treatment and relapse after withdrawal of treatment

Secondary Outcome Measures
NameTimeMethod
Asthma exacerbations0-3 years

Age at onset of severe asthma exacerbation diagnosed by predefined criteria of acute severe asthma requiring oral/high dose inhaled steroids or acute hospital contact

Growth0 to 3 years of age

* Body composition (fat mass and bone mineral density) assessed by DEXA scan at 3 years of age

* Development of BMI from birth to 3 years assesses longitudinally in the research clinic

Neurological development0-3 years

Main analysis:

• Cognitive development assessed at 2½ years using the cognitive part of Bayley Scales of Infant and Toddler Development, third edition

Secondary analyses:

* Milestone development monitored prospectively by the parents using a registration form based on The Denver Development Index and WHO milestones registration (combined assessment by principal component analysis)

* Language development assessed at 1 and 2 years of age with the Danish version of The MacArthur Bates Communicative Developmental Inventory (CDI)

* The child´s general development (language, fine and gross motor, social and problem solving) at 3 years of age assessed with Ages and stages Questioner, third edition (ASQ-3)

Eczema0-3 years

Age at onset of eczema diagnosed prospectively by research doctors according to predefined algorithm based upon Hanifin and Rajka criteria

Airway mucosal immune status4 weeks and 2 years of age

Immune status measured in airway mucosal lining fluid at 4 weeks and 2 years of age (combined assessments by prinicipal component analyses for each age point)

Infections0-3 years of age

Main analysis:

• Number of lower respiratory tract infections registered in daily diaries

Secondary analyses:

* Acute otitis media

* Number of upper respiratory tract infections

* Number of other infections

* Total number of infections

Systemic immune status18 months

Main analysis

* Immune status at 18 months measured in stimulated whole blood as cytokine release (combined assessments by prinicipal component analyses) Secondary analyses

* Composition of immune cell subsets in whole blood at birth and at 18 months of age

Allergic sensitization6 and 18 months of age

Allergic sensitization at 6 and/or 18 months of age assessed by skin prick test and specific IgE in blood

Trial Locations

Locations (2)

Copenhagen University Hospital of Copenhagen

🇩🇰

Gentofte, Denmark

Næstved Hospital, Pediatric Department

🇩🇰

Næstved, Denmark

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