LIFT-UP: Randomized Controlled Trial of Fortification of Human Milk

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
AgeUp to 48
SponsorHarvard School of Public Health (HSPH)

About this trial

The goal of the LIFT-UP randomized controlled trial is to evaluate the efficacy of feeding routinely and fortified human milk using a standardized clinical protocol to very low birthweight (VLBW) or very preterm (VPT) infants in the NICU compared to not feeding routinely fortified human milk using the standardized clinical protocol.

The primary research question is: Will VLBW or VPT infants in the NICU who are fed fortified human milk using a standardized feeding protocol have better growth outcomes by facility discharge and at 3 months of age, less illness by discharge, and decreased mortality by discharge and at one month compared to those who are not routinely fed fortified human milk using the same feeding protocol?

Eligibility criteria

Qualifiers

Very LBW (≤1.5kg)* or very preterm (≤32 weeks) infants admitted to NICU at study facility within 24 hours of birth for in-born infants and up to 48 hours for out-born**

Mother and infant alive during screening

Mother age 18+ years

Lives within catchment areas of the facility

Disqualifiers

Lives outside the defined catchment area

Congenital abnormalities or acquired conditions that interfere with feeding or placement of nasogastric/orogastric tube [cleft lip/palate, toxoplasmosis, other agents, rubella, cytomegalovirus, and herpes (TORCH), Trisomy 21, congenital cardiac defect, neural tube defect, gastrointestinal tract anomalies, hydrocephalus, NEC]

Severe birth asphyxia

Critically ill (i.e. not on enteral feeds)

Trial design

Treatments tested in this trial

  • Human Milk Fortifier
  • Volume targets

Treatment groups

776 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Harvard School of Public Health (HSPH)

Lead sponsor

Boston Children's Hospital

Collaborator

Brigham and Women's Hospital

Collaborator

Emory University

Collaborator

Muhimbili University of Health and Allied Sciences

Collaborator

Jawaharlal Nehru Medical College

Collaborator

PATH

Collaborator

University of North Carolina

Collaborator