Could daily antibiotics shield babies from Post-Surgery infections?
NCT ID NCT05925309
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether giving oral antibiotics after Kasai surgery can prevent cholangitis, a serious bile duct infection, in infants with biliary atresia. About 356 babies will be randomly assigned to receive either preventive antibiotics or standard care, and they will be followed for two years. The goal is to see if the antibiotics reduce infection rates without causing major side effects.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- oral antibiotics (prophylactic)
- What this could lead to
- If it works, this could show that preventive antibiotics lower the risk of serious bile duct infections after Kasai surgery, improving outcomes for babies with biliary atresia.
- What could go wrong
- This is an early-stage trial with no phase designation, and the results may not apply to all patients. Antibiotics can cause side effects like diarrhea or resistance.
This is an AI summary of the original study and may miss details. Read our disclaimer.
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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About 356 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2023
- Expected to finish
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Dec 2029
An estimate. End dates often move.
- 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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14 to 90 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.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients whose age of operation is 14-90 d. Sex and race are not restricted; * Patients who are born with gestational age older than 36 weeks; * Patients whose body weight before operation \> 2 kg; * Patients diagnosed of type-III BA and underwent KP in Children's Hospital of Fudan University; * The type-III BA diagnosis is based on cholangiography or operation; * Patients whose histological features of liver biopsies are reported. HE staining and Masson staining are required, and edema, inflammation, fibrosis, and hyperplasia of intrahepatic bile duct should be reported; * Patients who are not allergic to postoperative medications; * Patients who haven't accepted other antibiotic or probiotic therapy. Exclusion Criteria: * Patients with cholestasis of non-BA disease; * Patients who have undergone KP at other institutions; * Patients whose pathohistological diagnosis is in doubt; * Patients who undergo liver transplantation immediately after KP; * Patients with other liver diseases or severe complications (e.g., severe pulmonary hypertension, renal failure, intracranial hemorrhage, etc.) requiring surgical intervention or other medical therapy; * Patients with severe cardiac, renal, or central nerve system malformations (e.g., tetralogy of Fallot, transposition of the great arteries, cerebral dysplasia, etc.) and have poor prognosis; * Patients judged by the researchers that they can not comply with the study requirements.
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Children's Hospital of Fudan University
RECRUITINGShanghai, Shanghai Municipality, 201102, China
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Other studies related to the condition(s) this trial covers.
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