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Prenatal Administration of Spermine Promotes Maturation of Premature Fetal Gut Epithelial Tight Junction: Experimental Study on Fetal Rabbit

Primary Purpose

Premature Birth, NEC

Status
Completed
Phase
Early Phase 1
Locations
Indonesia
Study Type
Interventional
Intervention
Spermine
Sponsored by
dr. Riana Pauline Tamba, SpB(K)BA
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Premature Birth focused on measuring Premature Birth, Spermine, Necrotizing Enterocolitis, Tight Junction

Eligibility Criteria

24 Days - 28 Days (Child)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  • Intestinal tissue of fetal rabbit that is prematurely alive

Exclusion Criteria:

  • Intestinal tissue of fetal rabbit that is dead before termination
  • Intestinal tissue of fetal rabbit, in which the parent died before termination

Sites / Locations

  • Dr. Cipto Mangunkusumo National Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

No Intervention

No Intervention

No Intervention

Arm Label

24-Day Spermine Group

26-Day Spermine Group

28-Day Spermine Group

24-Day Non Spermine Group

26-Day Non Spermine Group

28-Day Non Spermine Group

Arm Description

Subjects are given prenatal spermine (20 mg per body weight) during 24 days of pregnancy. On day 24 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Subjects are given prenatal spermine (20 mg per body weight) during 26 days of pregnancy. On day 26 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Subjects are given prenatal spermine (20 mg per body weight) during 28 days of pregnancy. On day 28 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Subjects are not given any intervention. On day 24 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Subjects are not given any intervention. On day 26 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Subjects are not given any intervention. On day 28 pregnancy is terminated and intestinal tissue sample is taken to be examined.

Outcomes

Primary Outcome Measures

Occludin
Measurement of occludin (ng/mg protein) from intestinal tissue sample is assessed using Rabbit Occludin ELISA Kit
β-catenin
Measurement of β-catenin (pg/mg protein) from intestinal tissue sample is assessed using Rabbit β-Catenin ELISA Kit
β-actin
Measurement of β-actin (ng/mg protein) from intestinal tissue sample is assessed using β-Actin ELISA Kit

Secondary Outcome Measures

Histologic Findings
Identifying the development of epithelial tight junction cells based on the morphologic findings of the villi structure, including Goblet cells' distribution, enterocytes, enteroendocrine cells, and crypts.

Full Information

First Posted
June 26, 2019
Last Updated
March 13, 2020
Sponsor
dr. Riana Pauline Tamba, SpB(K)BA
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1. Study Identification

Unique Protocol Identification Number
NCT04004091
Brief Title
Prenatal Administration of Spermine Promotes Maturation of Premature Fetal Gut Epithelial Tight Junction: Experimental Study on Fetal Rabbit
Official Title
Prenatal Administration of Oral Spermine Promotes Maturation of Premature Fetal Gut Epithelial Tight Junction: Experimental Study on Oryctolagus Cuniculus
Study Type
Interventional

2. Study Status

Record Verification Date
March 2020
Overall Recruitment Status
Completed
Study Start Date
March 1, 2019 (Actual)
Primary Completion Date
September 30, 2019 (Actual)
Study Completion Date
September 30, 2019 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
dr. Riana Pauline Tamba, SpB(K)BA

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
Infections, particularly on the gastrointestinal tract, has been known to be one of the leading causes of death in preterm infants. This is due to the immaturity of the intestinal epithelial cells. Recent studies have shown that polyamines have a role on the development of cells during embryonal phase. By this experimental study, the investigators would like to evaluate the administration of spermine on the maturation of premature fetal gut epithelial tight junction.
Detailed Description
This experimental study is conducted with minimum 24 subjects which divided into 6 groups; 1) 24-days pregnant and is given prenatal spermine, 2) 26-days pregnant and is given prenatal spermine, 3) 28-days pregnant and is given prenatal spermine, 4) 24-days pregnant and is not given prenatal spermine, 5) 26-days pregnant and is not given prenatal spermine, and 6) 28-days pregnant and is not given prenatal spermine. At the end of desired pregnancy period, hysterectomy is done and fetus are born. From each parent subject, three fetal samples are chosen using a random sampling. Intestinal tissues are taken from each fetal sample to be examined. Several data will be collected i.e. occludin, β-catenin, and β-actin, as well as histological morphologies.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Premature Birth, NEC
Keywords
Premature Birth, Spermine, Necrotizing Enterocolitis, Tight Junction

7. Study Design

Primary Purpose
Prevention
Study Phase
Early Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
42 (Actual)

8. Arms, Groups, and Interventions

Arm Title
24-Day Spermine Group
Arm Type
Experimental
Arm Description
Subjects are given prenatal spermine (20 mg per body weight) during 24 days of pregnancy. On day 24 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Arm Title
26-Day Spermine Group
Arm Type
Experimental
Arm Description
Subjects are given prenatal spermine (20 mg per body weight) during 26 days of pregnancy. On day 26 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Arm Title
28-Day Spermine Group
Arm Type
Experimental
Arm Description
Subjects are given prenatal spermine (20 mg per body weight) during 28 days of pregnancy. On day 28 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Arm Title
24-Day Non Spermine Group
Arm Type
No Intervention
Arm Description
Subjects are not given any intervention. On day 24 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Arm Title
26-Day Non Spermine Group
Arm Type
No Intervention
Arm Description
Subjects are not given any intervention. On day 26 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Arm Title
28-Day Non Spermine Group
Arm Type
No Intervention
Arm Description
Subjects are not given any intervention. On day 28 pregnancy is terminated and intestinal tissue sample is taken to be examined.
Intervention Type
Biological
Intervention Name(s)
Spermine
Intervention Description
Spermine is a polyamine. It is an organic molecule that is involved in cellular metabolism and development.
Primary Outcome Measure Information:
Title
Occludin
Description
Measurement of occludin (ng/mg protein) from intestinal tissue sample is assessed using Rabbit Occludin ELISA Kit
Time Frame
2 weeks
Title
β-catenin
Description
Measurement of β-catenin (pg/mg protein) from intestinal tissue sample is assessed using Rabbit β-Catenin ELISA Kit
Time Frame
2 weeks
Title
β-actin
Description
Measurement of β-actin (ng/mg protein) from intestinal tissue sample is assessed using β-Actin ELISA Kit
Time Frame
2 weeks
Secondary Outcome Measure Information:
Title
Histologic Findings
Description
Identifying the development of epithelial tight junction cells based on the morphologic findings of the villi structure, including Goblet cells' distribution, enterocytes, enteroendocrine cells, and crypts.
Time Frame
2 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
24 Days
Maximum Age & Unit of Time
28 Days
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Intestinal tissue of fetal rabbit that is prematurely alive Exclusion Criteria: Intestinal tissue of fetal rabbit that is dead before termination Intestinal tissue of fetal rabbit, in which the parent died before termination
Facility Information:
Facility Name
Dr. Cipto Mangunkusumo National Hospital
City
Jakarta Pusat
State/Province
Jakarta
ZIP/Postal Code
10340
Country
Indonesia

12. IPD Sharing Statement

Plan to Share IPD
No
Citations:
PubMed Identifier
26997172
Citation
van Wettere WH, Willson NL, Pain SJ, Forder RE. Effect of oral polyamine supplementation pre-weaning on piglet growth and intestinal characteristics. Animal. 2016 Oct;10(10):1655-9. doi: 10.1017/S1751731116000446. Epub 2016 Mar 21.
Results Reference
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PubMed Identifier
15308338
Citation
Peulen O, Gharbi M, Powroznik B, Dandrifosse G. Differential effect of dietary spermine on alkaline phosphatase activity in jejunum and ileum of unweaned rats. Biochimie. 2004 Jul;86(7):487-93. doi: 10.1016/j.biochi.2004.06.002.
Results Reference
background
PubMed Identifier
15097442
Citation
Peulen O, Dandrifosse G. Spermine-induced maturation in wistar rat intestine: a cytokine-dependent mechanism. J Pediatr Gastroenterol Nutr. 2004 May;38(5):524-32. doi: 10.1097/00005176-200405000-00012.
Results Reference
background
PubMed Identifier
11435503
Citation
Greco S, Niepceron E, Hugueny I, George P, Louisot P, Biol MC. Dietary spermidine and spermine participate in the maturation of galactosyltransferase activity and glycoprotein galactosylation in rat small intestine. J Nutr. 2001 Jul;131(7):1890-7. doi: 10.1093/jn/131.7.1890.
Results Reference
background
PubMed Identifier
9783060
Citation
Peulen O, Pirlet C, Klimek M, Goffinet G, Dandrifosse G. Comparison between the natural postnatal maturation and the spermine-induced maturation of the rat intestine. Arch Physiol Biochem. 1998 Feb;106(1):46-55. doi: 10.1076/apab.106.1.46.4392.
Results Reference
background
PubMed Identifier
8818200
Citation
Wery I, Deloyer P, Dandrifosse G. Effects of a single dose of orally-administered spermine on the intestinal development of unweaned rats. Arch Physiol Biochem. 1996;104(2):163-72. doi: 10.1076/apab.104.2.163.12886.
Results Reference
background
PubMed Identifier
8529008
Citation
Harada E, Hashimoto Y, Syuto B. Orally administered spermine induces precocious intestinal maturation of macromolecular transport and disaccharidase development in suckling rats. Comp Biochem Physiol A Physiol. 1994 Nov;109(3):667-73. doi: 10.1016/0300-9629(94)90208-9.
Results Reference
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Prenatal Administration of Spermine Promotes Maturation of Premature Fetal Gut Epithelial Tight Junction: Experimental Study on Fetal Rabbit

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