Evidence map›Paper›PMID 25973934›Full record

Trial reportThe Pediatric infectious disease journal2015

Randomized controlled trial of lactoferrin for prevention of sepsis in peruvian neonates less than 2500 g.

Theresa J Ochoa, Jaime Zegarra, Luis Cam, Raul Llanos, Alonso Pezo, Karen Cruz, Alonso Zea-Vera, Cesar Cárcamo, Miguel Campos, Sicilia Bellomo and 1 more

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Pediatric infectious disease journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01525316 (Lactoferrin for Prevention of Sepsis in Infants), which is not on this map. Cited by 47 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 6 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01525316 phase3completednot on this map

Lactoferrin for Prevention of Sepsis in Infants

TypeinterventionalSponsorUniversidad Peruana Cayetano HerediaRan2012 to 2016Enrolled414ConditionsLate Onset Neonatal SepsisArmsBovine Lactoferrin, Maltodextrin
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 6 syntheses or guidelines pooled it, 86 citations in OpenAlex.

  1. Pooled it
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  13. Lactoferrin concentration in breast milk of mothers of low-birth-weight newborns.Journal of perinatology : official journal of the California Perinatal Association · 2017
    Trial
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  15. The Lacuna Trial: a double-blind randomized controlled pilot trial of lactoferrin supplementation in the very preterm infant.Journal of perinatology : official journal of the California Perinatal Association · 2016
    Trial
  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 2 countries.

Theresa J OchoaFrom the *Instituto de Medicina Tropical "Alexander von Humboldt", Universidad Peruana Cayetano Heredia, Lima, Peru; †Department of Pediatrics, Universidad Peruana Cayetano Heredia, Lima, Peru; ‡Center for Infectious Diseases, University of Texas School of Public Health, Houston, Texas; §Hospital Nacional Cayetano Heredia, Lima, Peru; ¶Hospital Nacional Alberto Sabogal Sologuren, Lima, Peru; ‖Hospital Nacional Guillermo Almenara Irigoyen, Lima, Peru; **Department of Public Health, Universidad Peruana Cayetano Heredia, Lima, Peru; and ††Department of Mathematics, Universidad Peruana Cayetano Heredia, Lima, Peru.
Jaime Zegarra
Luis Cam
Raul Llanos
Alonso Pezo
Karen Cruz
Alonso Zea-Vera
Cesar Cárcamo
Miguel Campos
Sicilia Bellomo
NEOLACTO Research Group
Universidad Peruana Cayetano Heredia · PEHospital Base Guillermo Almenara Irigoyen · PEHospital Nacional Cayetano Heredia · PE

Funding

Lactoferrin for prevention of sepsis in infantsR01HD067694 · NICHD · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI OCHOA, THERESA J · 2011 to 2015
$2.0M
NICHD NIH HHS R01 HD067694NICHD NIH HHS R01-HD067694-01A1
6 · The paper itself

Abstract

backgroundLactoferrin (LF) is a broad-spectrum antimicrobial and immunomodulatory milk glycoprotein.

objectiveTo determine the effect of bovine LF on the prevention of the first episode of late-onset sepsis in Peruvian infants.

methodsWe conducted a pilot randomized placebo-controlled double blind study in infants with a birth weight (BW) less than 2500g in 3 Neonatal Units in Lima. Patients were randomized to receive bovine LF 200mg/kg/d or placebo for 4 weeks.

resultsOne hundred and ninety neonates with a BW of 1591 ± 408 g and a gestational age of 32.1 ± 2.6 weeks were enrolled. Overall, 33 clinically defined first late-onset sepsis events occurred. The cumulative sepsis incidence in the LF group was 12/95 (12.6%) versus 21/95 (22.1%) in the placebo group, and 20% (8/40) versus 37.5% (15/40) for infants less than or equal to 1500 g. The hazard ratio of LF, after adjustment by BW, was 0.507 (95% CI: 0.249-1.034). There were 4 episodes of culture-proven sepsis in the LF group versus 4 in the placebo group. Considering that children did not received the intervention until the start of oral or tube feeding, we ran a secondary exploratory analysis using time since the start of the treatment; in this model, LF achieved significance. There were no serious adverse events attributable to the intervention.

conclusionsOverall sepsis occurred less frequently in the LF group than in the control group. Although the primary outcome did not reach statistical significance, the confidence interval is suggestive of an effect that justifies a larger trial.

Indexed as

Anti-Infective AgentsDouble-Blind MethodHumansImmunologic FactorsInfant, NewbornLactoferrinPeruPilot ProjectsPlacebosSepsisTreatment OutcomeAnti-Infective AgentsImmunologic FactorsLactoferrinPlacebos

Identifiers

PMID25973934
PMCPMC4435832
OpenAlexW2406474639

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.