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Efficacy of Herbal Galactagogue Silitidil After Preterm Birth

Primary Purpose

Breast Milk Production, Human Milk Feeding, Hypogalactia

Status
Completed
Phase
Not Applicable
Locations
Germany
Study Type
Interventional
Intervention
Silitidil for 21 days
Placebo for 21 days
Sponsored by
Waldkrankenhaus Protestant Hospital, Spandau
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional supportive care trial for Breast Milk Production focused on measuring galactagogue, milk thistle, silymarin, Silitidil

Eligibility Criteria

undefined - undefined (Child, Adult, Older Adult)FemaleAccepts Healthy Volunteers

Inclusion Criteria:

  • mothers after preterm birth <= 32 weeks of gestation
  • Age of the newborn 1 - 5 days
  • Human milk feeding intended

Exclusion Criteria:

  • Ingestion of other galactagogues
  • maternal chronical disease requiring therapy (e.g. severe hypothyreosis, preexistent arterial hypertension, Type I or 2 Diabetes, chronic inflammatory bowel disease, severe bronchial asthma, pollinosis)
  • medication influencing prolactine levels
  • Mastitis at time of enrollment
  • mammary tumors or surgery influencing milk production

Sites / Locations

  • Evangelic Waldkrankenhaus Spandau, Paul Gerhardt Diakonie

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Placebo Comparator

No Intervention

Arm Label

Verum

Placebo

Reference group

Arm Description

Silitidil for 21 days

Placebo for 21 days

Non-randomized healthy volunteering mothers after term birth receiving no intervention

Outcomes

Primary Outcome Measures

Daily milk production (ml/24h) at end of Intervention period
Daily milk production (ml/24h) according to pumping protocol

Secondary Outcome Measures

Percentual increase in daily milk production
Percentual increase in daily milk production comparing daily milk production (ml/24h) before and at end of intervention
Percentual increase in daily milk production
Percentual increase in daily milk production comparing daily milk production (ml/24h) before and 1 week after intervention
Milk Protein Content during intervention
Protein content in breast milk sample (mg/100ml)
Milk Protein Content at end of intervention
Protein content in breast milk sample (mg/100ml)
Milk Protein Content after intervention
Protein content in breast milk sample (mg/100ml)
Milk lactose Content during intervention
Lactose content in breast milk sample (mg/100ml)
Milk lactose Content at end of intervention
Lactose content in breast milk sample (mg/100ml)
Milk lactose Content after intervention
Lactose content in breast milk sample (mg/100ml)
Milk fatty acids Content during intervention
Fatty acids content in breast milk sample (mg/100ml)
Milk fatty acids Content at end of intervention
Fatty acids content in breast milk sample (mg/100ml)
Milk fatty acids Content after intervention
Fatty acids content in breast milk sample (mg/100ml)
Incidence of formula feeding
Incidence of (additional) formula feeding at 4 weeks of life
Time point when enteral feeding volumes reach 120 ml/kgbw
day of life when enteral feeding volumes of the preterm Infant have reached 120 ml per kg bodyweight
Percentage of human milk feeding
Percentage of human milk feeding on total feeding volume of the preterm infant
daily milk production (ml/24h), baseline
Daily milk production (ml/24h) according to pumping protocol
daily milk production (ml/24h), follow-up
Daily milk production (ml/24h) according to pumping protocol

Full Information

First Posted
January 9, 2018
Last Updated
May 1, 2022
Sponsor
Waldkrankenhaus Protestant Hospital, Spandau
Collaborators
DMK Group
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1. Study Identification

Unique Protocol Identification Number
NCT03577587
Brief Title
Efficacy of Herbal Galactagogue Silitidil After Preterm Birth
Official Title
Effect and Efficacy of the Herbal Galactagogue Silitidil From Milk Thistle in Mothers of Very Preterm Newborns
Study Type
Interventional

2. Study Status

Record Verification Date
May 2022
Overall Recruitment Status
Completed
Study Start Date
August 14, 2017 (Actual)
Primary Completion Date
February 10, 2022 (Actual)
Study Completion Date
February 10, 2022 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Waldkrankenhaus Protestant Hospital, Spandau
Collaborators
DMK Group

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
After preterm birth mothers often suffer from hypogalactia. Herbal galactogogues can be used in order to increase milk production. In this double-blind, randomized, placebo-controlled clinical trial the effect of Silitidil, an extract from milk thistle, on the postpartal milk production in mothers of very premature newborns is investigated.
Detailed Description
Mothers of preterm infants born at a gestational age <= 32 wg are asked to participate in this double-blind, randomized, placebo-controlled interventional trial, where they will receive a preparation of the herbal galactogogue Silitidil or placebo over an intervention period of 3 weeks. The influence of the galactagogue will be investigated by monitoring daily milk production before, during and 1 week after cessation of the intervention. As secondary outcome parameters weight gain, the progress of enteral feeding, and the percentage of human milk feeding on total enteral feeding volumes will be monitored in the newborn infants. Also the breast milk composition (in terms of fatty acids, protein and carbohydrates content) will be investigated and compared between study groups. Saliva and urine probes will be collected at specific time points to survey hormonal reactions during the various phases of lactation and the relation of maternal hormone levels on milk production.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Breast Milk Production, Human Milk Feeding, Hypogalactia, Preterm Infant Nutrition
Keywords
galactagogue, milk thistle, silymarin, Silitidil

7. Study Design

Primary Purpose
Supportive Care
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
106 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Verum
Arm Type
Experimental
Arm Description
Silitidil for 21 days
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
Placebo for 21 days
Arm Title
Reference group
Arm Type
No Intervention
Arm Description
Non-randomized healthy volunteering mothers after term birth receiving no intervention
Intervention Type
Dietary Supplement
Intervention Name(s)
Silitidil for 21 days
Other Intervention Name(s)
Silitidil
Intervention Description
daily ingestion of herbal galactagogue Silitidil over time period of 3 weeks
Intervention Type
Dietary Supplement
Intervention Name(s)
Placebo for 21 days
Other Intervention Name(s)
Placebo
Intervention Description
daily ingestion of Placebo preparation over time period of 3 weeks
Primary Outcome Measure Information:
Title
Daily milk production (ml/24h) at end of Intervention period
Description
Daily milk production (ml/24h) according to pumping protocol
Time Frame
3 weeks after study initiation
Secondary Outcome Measure Information:
Title
Percentual increase in daily milk production
Description
Percentual increase in daily milk production comparing daily milk production (ml/24h) before and at end of intervention
Time Frame
from 0 to 3 weeks after study initiation
Title
Percentual increase in daily milk production
Description
Percentual increase in daily milk production comparing daily milk production (ml/24h) before and 1 week after intervention
Time Frame
from 0 to 4 weeks after study initiation
Title
Milk Protein Content during intervention
Description
Protein content in breast milk sample (mg/100ml)
Time Frame
at 1 week after study initiation
Title
Milk Protein Content at end of intervention
Description
Protein content in breast milk sample (mg/100ml)
Time Frame
at 3 weeks after study initiation
Title
Milk Protein Content after intervention
Description
Protein content in breast milk sample (mg/100ml)
Time Frame
at 4 weeks after study initiation
Title
Milk lactose Content during intervention
Description
Lactose content in breast milk sample (mg/100ml)
Time Frame
at 1 week after study initiation
Title
Milk lactose Content at end of intervention
Description
Lactose content in breast milk sample (mg/100ml)
Time Frame
at 3 weeks after study initiation
Title
Milk lactose Content after intervention
Description
Lactose content in breast milk sample (mg/100ml)
Time Frame
at 4 weeks after study initiation
Title
Milk fatty acids Content during intervention
Description
Fatty acids content in breast milk sample (mg/100ml)
Time Frame
at 1week after study initiation
Title
Milk fatty acids Content at end of intervention
Description
Fatty acids content in breast milk sample (mg/100ml)
Time Frame
at 3 weeks after study initiation
Title
Milk fatty acids Content after intervention
Description
Fatty acids content in breast milk sample (mg/100ml)
Time Frame
at 4 weeks after study initiation
Title
Incidence of formula feeding
Description
Incidence of (additional) formula feeding at 4 weeks of life
Time Frame
4 weeks
Title
Time point when enteral feeding volumes reach 120 ml/kgbw
Description
day of life when enteral feeding volumes of the preterm Infant have reached 120 ml per kg bodyweight
Time Frame
4 weeks
Title
Percentage of human milk feeding
Description
Percentage of human milk feeding on total feeding volume of the preterm infant
Time Frame
4 weeks
Title
daily milk production (ml/24h), baseline
Description
Daily milk production (ml/24h) according to pumping protocol
Time Frame
at 0, 1 and 2 weeks after study initiation
Title
daily milk production (ml/24h), follow-up
Description
Daily milk production (ml/24h) according to pumping protocol
Time Frame
4 weeks after study initiation
Other Pre-specified Outcome Measures:
Title
Maternal urine oxytocin/creatinin-ratio
Description
Maternal urine oxytocin and creatinin levels before and after breast pumping are determined to create oxytocin/creatin-ratio
Time Frame
4 weeks
Title
Maternal Urine prolactin/creatinin-ratio
Description
Maternal urine prolactin and creatinin levels before and after breast pumping are determined to create prolactin/creatin-ratio
Time Frame
4 weeks
Title
Maternal alpha-Amylase level in saliva
Description
Maternal alpha-amylase levels before and after breast pumping are determined in saliva samples
Time Frame
4 weeks
Title
Maternal cortisol level in saliva
Description
Maternal cortisol levels before and after breast pumping are determined in saliva samples
Time Frame
4 weeks
Title
Incidence of mastitis
Description
Incidence of clinical mastitis during intervention period
Time Frame
4 weeks

10. Eligibility

Sex
Female
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: mothers after preterm birth <= 32 weeks of gestation Age of the newborn 1 - 5 days Human milk feeding intended Exclusion Criteria: Ingestion of other galactagogues maternal chronical disease requiring therapy (e.g. severe hypothyreosis, preexistent arterial hypertension, Type I or 2 Diabetes, chronic inflammatory bowel disease, severe bronchial asthma, pollinosis) medication influencing prolactine levels Mastitis at time of enrollment mammary tumors or surgery influencing milk production
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Frank Jochum, MD
Organizational Affiliation
Head of Paediatric Department
Official's Role
Study Director
Facility Information:
Facility Name
Evangelic Waldkrankenhaus Spandau, Paul Gerhardt Diakonie
City
Berlin-Spandau
ZIP/Postal Code
13589
Country
Germany

12. IPD Sharing Statement

Plan to Share IPD
No

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Efficacy of Herbal Galactagogue Silitidil After Preterm Birth

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