With the rising prevalence of allergic diseases and the subsequent risk of developing other immune-related disorders, primary prevention of allergy has become a major priority. It is generally acknowledged that breastfeeding is one of the main pillars in allergy prevention. Infant formulas based on hydrolysed proteins have been developed to be used by infants at increased risk of developing allergy in case a mother is unable or chooses not to breastfeed her infant. It has recently been demonstrated that the gut microbiota composition and microbiota activity of infants receiving an infant formula based on partially hydrolysed proteins, supplemented with oligosaccharides, is more similar to breastfed infants than to infants receiving standard cow's milk formula, demonstrated by increased levels of bifidobacteria. However the interaction between microbial changes impacted by an hypoallergenic concept and its influence on early life immune development should be further explored. The aim of the present study is therefore to investigate the bifidogenic effect of a hypoallergenic formula supplemented with prebiotics and probiotics compared to standard infant formula in infants at increased risk of developing allergic disease. This study will secondary assess the effects of this concept on the development of allergic manifestations up to the age of 12 months, which will be verified in a separate clinical study MAESTRO as primary outcome. Furthermore, the effects on growth and safety will be studied.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
QUADRUPLE
Enrollment
855
Intervention group: Infant Formula / Follow-On formula with partially hydrolysed cow's milk protein supplemented with prebiotics and probiotics.
Control group: Standard Infant Formula / Follow-On formula with intact cow's milk protein (only standard ingredients, without addition of pre- and probiotics).
Algemeen Stedelijk Ziekenhuis
Aalst, Belgium
Cliniques universitaires Saint-Luc
Brussels, Belgium
Universitair Ziekenhuis Brussel
Brussels, Belgium
Centre Hospitalier Régional de Namur
Namur, Belgium
MUDr. Daniel Drazan, prakticky lekar pro deti a dorost
Prague, Czechia
MUDr. Jitka Fabianova
Faecel levels of Bifidobacteria
Levels of Bifidobacteria at 17 weeks of age - stool sample
Time frame: 17 weeks
Faecal levels of Bifidobacteria and adult-like bacterial cluster
Levels of Bifidobacteria and adult-like bacterial cluster up to 52 weeks of age - stool sample
Time frame: 52 weeks
IgE-mediated allergic manifestations
IgE-mediated allergic manifestations up to 52 weeks of age - blood sample
Time frame: 52 weeks
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Prague, Czechia
Prakticky lekar pro deti a dorost
Prague, Czechia
Ustav pro peci o matku a dite
Prague, Czechia
Nemocnice Strakonice, a.s.
Strakonice, Czechia
Charité Universitätsmedizin Berlin
Berlin, Germany
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