Probiotics may reshape newborn gut health after C-Section or antibiotics
NCT ID NCT04304014
First seen Jul 24, 2026 · Last updated Jul 24, 2026
Summary
This trial tests whether giving specific probiotics to healthy newborns can help restore a balanced gut microbiome after a dysbiotic delivery — birth by C-section or after maternal antibiotics. Around 120 infants will receive either L. reuteri or a mix of B. longum and P. pentosaceus daily for one month. Researchers will measure changes in beneficial gut bacteria and track digestive symptoms like spit-ups and constipation.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- two different probiotic supplements: L. reuteri or a combination of B. longum and P. pentosaceus
- What this could lead to
- If successful, this could point toward a simple probiotic strategy to support healthy gut bacteria in babies born by C-section or after maternal antibiotics.
- What could go wrong
- This is a small, early-stage trial with only 120 infants, and it focuses on gut bacteria levels rather than health outcomes. The benefits may not translate to fewer symptoms or long-term effects.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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120 people
The number who actually took part.
- Started
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Mar 2020
- Finished
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Nov 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Up to 25 days
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Healthy infants up to 25 days of life * Infants with adequate weight according to the gestational age. * Infants born by vaginal delivery whose mother was given antimicrobial prophylaxis or infants born by C-section. * Gestational birth equal or greater than 37 weeks. * Exclusive or almost exclusive breastfeeding (understanding almost exclusive the one in which there is a maximum of one formula feeding per day) or mixed feeding (in which there is more than one formula feeding per day). Exclusion Criteria: * Infants with smoker mother during pregnancy and after delivery. * Infants whose parents cannot follow the study requirements * Infants who have suffered neonatal admission or have suffered or suffer necrotizing enterocolitis, infectious disease, congenital malformation, short bowel syndrome or any serious illness. * Infants who have taken probiotics before the start of the trial or who take formula with probiotics. * Breast-fed infants whose mothers have taken probiotics within the two weeks before study inclusion. * Infants who ingest special formulas as extensively hydrolysed formulas. * Breast-fed infants whose mothers have excluded dairy products and egg products in their diet during breastfeeding * Infants who take specific medication for the treatment of functional digestive disorders: antacids (type IBP or H2 blockers), laxatives (PEG, lactulose, magnesia), lactase and simethicone at the time of inclusion. * Infants undergoing therapies with acupuncture, homeopathy, medicinal herbs, anti-inflammatories and antispasmodics at the time of inclusion.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Fundación HM Hospitales (Hospital HM Puerta Sur)
Madrid, Madrid, 28938, Spain
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Hospital Universitari General de Catalunya
Sant Cugat del Vallès, Barcelona, 08195, Spain
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Neonatal Unit, Hospital Clinic-Maternitat
Barcelona, Spain
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