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Trial · NCT02477423

A Randomized Controlled Trial Investigating if Antibiotic Use in the First 48 Hours of Life Adversely Impacts the Preterm Infant Microbiome

NCT02477423, Not applicable, Completed, University of Chicago; results first posted 2020-09-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. A Randomized Controlled Trial Investigating if Antibiotic Use in the First 48 Hours of Life Adversely Impacts the Preterm Infant Microbiome. Trials, record NCT02477423. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02477423

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
A Randomized Controlled Trial Investigating if Antibiotic Use in the First 48 Hours of Life Adversely Impacts the Preterm Infant Microbiome
NCT number
NCT02477423
Status
Completed
Phases
Not applicable
Enrollment
27 participants, actual
Lead sponsor
University of Chicago
Conditions
Premature Birth of Newborn, Enterocolitis, Necrotizing
Interventions
Ampicillin, Gentamicins, Placebo
First posted
2015-06-22
Last updated
2020-10-08
Results first posted
2020-09-03

Source ClinicalTrials.gov

Registered outcomes7

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRichness of the Preterm Infant Microbiome2 weeks
Number of 16S rRNA gene amplicon sequence variants (i.e., proxy for prokaryote species-like groupings) detected in each sample. A higher richness means that a higher number of species of archaea and bacteria was detected in a sample.
PrimaryShannon Diversity of the Preterm Infant Microbiome2 weeks
Function of richness and evenness of 16S rRNA gene amplicon sequence variants (i.e., proxy for prokaryote species-like groupings) within each sample. A higher Shannon diversity means that a sample had a combination of a higher number of species of archaea and bacteria, and/or a more even relative abundance of those species within a sample.
SecondaryChronic Lung Disease of Infancy (CLD)4-12 weeksPremature infants who require \> 21% FiO2 for at least 28 days and/or at 36 weeks corrected gestation
SecondaryNecrotizing Enterocolitis (NEC)4-12 weeks
Any patient showing signs/symptoms of this acute neonatal gastrointestinal disease, including abdominal distension, bloody stools, systemic illness, and radiographic changes (pneumatosis intestinalis, portal venous gas, free intraperitoneal gas).
SecondaryRetinopathy of Prematurity (ROP)4-12 weeksCases of ROP as diagnosed by the pediatric ophthalmologist
SecondaryIntraventricular Hemorrhage (IVH)4-12 weeksCases of IVH present on any head ultrasound obtained during patient's hospitalization
SecondaryDeath18 months

Outcomes7

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYRichness of the Preterm Infant Microbiome2 weeks16S rRNA gene amplicon sequence variantsMEAN
PRIMARYShannon Diversity of the Preterm Infant Microbiome2 weeksShannon diversityMEAN
SECONDARYChronic Lung Disease of Infancy (CLD)4-12 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNecrotizing Enterocolitis (NEC)4-12 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYRetinopathy of Prematurity (ROP)4-12 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYIntraventricular Hemorrhage (IVH)4-12 weeksParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYDeath18 monthsParticipantsCOUNT_OF_PARTICIPANTS

Results by group14

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Richness of the Preterm Infant MicrobiomeRandomized & Blinded - Receiving Antibiotics12.8Standard Deviation 5.316S rRNA gene amplicon sequence variants
Richness of the Preterm Infant MicrobiomeRandomized & Blinded - Receiving Placebo11Standard Deviation 6.916S rRNA gene amplicon sequence variants
Shannon Diversity of the Preterm Infant MicrobiomeRandomized & Blinded - Receiving Antibiotics5Standard Deviation 3.6Shannon diversity
Shannon Diversity of the Preterm Infant MicrobiomeRandomized & Blinded - Receiving Placebo3.8Standard Deviation 3.3Shannon diversity
Chronic Lung Disease of Infancy (CLD)Randomized & Blinded - Receiving Antibiotics0Participants
Chronic Lung Disease of Infancy (CLD)Randomized & Blinded - Receiving Placebo0Participants
Necrotizing Enterocolitis (NEC)Randomized & Blinded - Receiving Antibiotics0Participants
Necrotizing Enterocolitis (NEC)Randomized & Blinded - Receiving Placebo0Participants
Retinopathy of Prematurity (ROP)Randomized & Blinded - Receiving Antibiotics0Participants
Retinopathy of Prematurity (ROP)Randomized & Blinded - Receiving Placebo0Participants

Participant flow6

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDRandomized & Blinded - Receiving Antibiotics12
Overall StudySTARTEDRandomized & Blinded - Receiving Placebo15
Overall StudyCOMPLETEDRandomized & Blinded - Receiving Antibiotics11
Overall StudyCOMPLETEDRandomized & Blinded - Receiving Placebo11
Overall StudyNOT COMPLETEDRandomized & Blinded - Receiving Antibiotics1
Overall StudyNOT COMPLETEDRandomized & Blinded - Receiving Placebo4

Adverse events0

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

None in this release.

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityRandomized & Blinded - Receiving Antibiotics012
Total, all-cause mortalityRandomized & Blinded - Receiving Placebo015
Total, other adverse eventsRandomized & Blinded - Receiving Antibiotics012
Total, other adverse eventsRandomized & Blinded - Receiving Placebo015
Total, serious adverse eventsRandomized & Blinded - Receiving Antibiotics012
Total, serious adverse eventsRandomized & Blinded - Receiving Placebo015

Papers0

The papers the trial lists on ClinicalTrials.gov.

None in this release.

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons7

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: Necrotizing Enterocolitis (NEC)Trial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: Retinopathy of Prematurity (ROP)Trial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: Intraventricular Hemorrhage (IVH)Trial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: DeathTrial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: Chronic Lung Disease of Infancy (CLD)Trial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: deaths from any causeTrial comparisons
Randomized & Blinded - Receiving Antibiotics vs Randomized & Blinded - Receiving Placebo: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02477423

GET https://conductscience.org/api/trials/v1/NCT02477423/registered