Evidence map›Paper›PMID 37853370›Full record

ArticleBMC complementary medicine and therapies2023

Bifidobacterium infantis supplementation versus placebo in early life to improve immunity in infants exposed to HIV: a protocol for a randomized trial.

Anna-Ursula Happel, Lerato Rametse, Brandon Perumaul, Christian Diener, Sean M Gibbons, Donald D Nyangahu, Kirsten A Donald, Clive Gray, Heather B Jaspan

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMC complementary medicine and therapies, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05923333 (Bifidobacterium Infantis Supplementation in Early Life to Improve Immunity in Infants Exposed to HIV), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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.

NCT05923333 narecruitingnot on this map

Bifidobacterium Infantis Supplementation in Early Life to Improve Immunity in Infants Exposed to HIV: a Randomized, Placebo-controlled, Double-blind Trial

TypeinterventionalSponsorUniversity of Cape TownRan2023 to 2027Enrolled200ConditionsHiv, Vaccine Reaction, Microbial Colonization, Infant DevelopmentArmsB. infantis Rosell®-33, Placebo
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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

9 authors at 5 institutions in 2 countries.

Anna-Ursula HappelDepartment of Pathology, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa. anna.happel@uct.ac.za.
Lerato RametseDepartment of Pathology, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Brandon PerumaulDepartment of Pathology, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
Christian DienerInstitute for Systems Biology, Seattle, WA, 98109, USA.
Sean M GibbonsInstitute for Systems Biology, Seattle, WA, 98109, USA.
Donald D NyangahuSeattle Children's Research Institute, 307 Westlake Ave. N, Seattle, WA, 98109, USA.
Kirsten A DonaldDivision of Developmental Paediatrics, Department of Paediatrics and Child Health, Red Cross War Memorial Children's Hospital, University of Cape Town, Klipfontein Road Rondebosch, Cape Town, 7700, South Africa.
Clive GrayDivision of Molecular Biology and Human Genetics, Stellenbosch University, Francie Van Zijl Drive, Tygerberg, 7505, South Africa.
Heather B JaspanDepartment of Pathology, University of Cape Town, Anzio Road, Observatory, Cape Town, 7925, South Africa.
University of Cape Town · ZAInstitute for Systems Biology · USRed Cross War Memorial Children's Hospital · ZAStellenbosch University · ZAUniversity of Washington · US

Funding

Bifidobacterium infantis supplementation in early life to improve immunity in infants exposed to HIV: a randomized, placebo-controlled, double-blind trialR01HD109089 · NICHD · SEATTLE CHILDREN'S HOSPITAL · PI Heather Beryl Jaspan · 2022 to 2026
$3.6M
NICHD NIH HHS R01 HD109089NIH HHS R01HD109089
6 · The paper itself

Abstract

introductionInfants who are born from mothers with HIV (infants who are HIV exposed but uninfected; iHEU) are at higher risk of morbidity and display multiple immune alterations compared to infants who are HIV-unexposed (iHU). Easily implementable strategies to improve immunity of iHEU, and possibly subsequent clinical health outcomes, are needed. iHEU have altered gut microbiome composition and bifidobacterial depletion, and relative abundance of Bifidobacterium infantis has been associated with immune ontogeny, including humoral and cellular vaccine responses. Therefore, we will assess microbiological and immunological phenotypes and clinical outcomes in a randomized, double-blinded trial of B. infantis Rosell®-33 versus placebo given during the first month of life in South African iHEU.

methodsThis is a parallel, randomised, controlled trial. Two-hundred breastfed iHEU will be enrolled from the Khayelitsha Site B Midwife Obstetric Unit in Cape Town, South Africa and 1:1 randomised to receive 8 × 10 DISCUSSION: The results of this trial will provide evidence whether B. infantis supplementation during early life could improve health outcomes for iHEU. ETHICS AND DISSEMINATION: Approval for this study has been obtained from the ethics committees at the University of Cape Town (HREC Ref 697/2022) and Seattle Children's Research Institute (STUDY00003679).

trial registrationPan African Clinical Trials Registry Identifier: PACTR202301748714019. CLINICAL: TRIALS: gov: NCT05923333. PROTOCOL VERSION: Version 1.8, dated 18 July 2023.

Indexed as

HIV InfectionsVaccinesBifidobacterium longum subspecies infantisDietary SupplementsFemaleHumansInfantPregnancyRandomized Controlled Trials as TopicSouth AfricaVaccinesBifidobacteriumHIV exposureLive biotherapeuticRandomised controlled trialSouth Africa

Identifiers

PMID37853370
PMCPMC10583347
OpenAlexW4387742099

What OpenQuestion holds

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LicenceCC BY
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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.