FIT-04 V7.0

  • Research type

    Research Study

  • Full title

    A Multi-center, Double-blind, Randomized, Three-Arm, Parallel-Group, Placebo Controlled Study to Assess the Efficacy and Safety of NTRA-2112 on Intestinal Malabsorption in Preterm Infants

  • IRAS ID

    227425

  • Contact name

    Jon Dorling

  • Contact email

    jon.dorling@nottingham.ac.uk

  • Sponsor organisation

    Nutrinia Ltd.

  • Eudract number

    2014-002624-28

  • Clinicaltrials.gov Identifier

    NCT02510560

  • Duration of Study in the UK

    3 years, 3 months, 31 days

  • Research summary

    The main purpose of the study is to learn more about the effects of NTRA-2112 (an oral form of drug insulin) in infants born prematurely who have intestinal malabsorption.

    The digestive tract (which includes your esophagus, stomach and intestines) in many preterm infants is not fully developed. These infants are unable to absorb sufficient nutrients, which is described as intestinal malabsorption. Because of this reason, they have difficulties with feedings and are commonly dependent on parenteral nutrition.

    The active ingredient in NTRA-2112 is the same type of human insulin naturally found in our bodies, same as the Insulin found in mother’s milk. The insulin in NTRA-2112 was turned into a powder that can be easily mixed into formula, breast milk, or saline so that it can be delivered to the digestive system orally or through a feeding tube. Blood sugar levels were not shown to be affected by insulin given through oral or enteral feedings. There is adequate evidence from clinical studies that oral administration of insulin in infants speeds up the development of the gastrointestinal tract, and therefore improves the ability of the intestine to absorb food.

    We will measure the time until the premature infant can receive full enteral feeding as measured by 150ml/kg/day. This study will also look at the number of days to achieve discharge or readiness for discharge from the hospital.

    Up to 530 infants will participate in this study across approximately 50 sites in the United States, Canada, Israel and Europe. Patients will be randomly assigned (like flipping a coin) to one of two doses of NTRA-2112 or placebo. The treatment period is 28 days or discharge from the hospital, whichever occurs first.
    A study analysis of efficacy and safety will be conducted after all patients complete treatment.

  • REC name

    East Midlands - Nottingham 2 Research Ethics Committee

  • REC reference

    17/EM/0275

  • Date of REC Opinion

    12 Sep 2017

  • REC opinion

    Further Information Favourable Opinion