Could probiotics stop preterm birth? new trial investigates
NCT ID NCT05966649
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study tests whether a daily oral synbiotic (a mix of probiotics and prebiotics) can help women with a history of preterm birth carry their baby longer. About 400 pregnant women will take either the supplement or a placebo from early pregnancy. The goal is to see if the supplement improves vaginal health and reduces the chance of delivering too early.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Oral synbiotic (8 probiotic Lactobacillus strains, inulin, FOS, D-mannose)
- What this could lead to
- If it works, this could offer a simple, safe way to reduce the risk of preterm birth in women who have had one before.
- What could go wrong
- This is a mid-sized trial, and the effect may be small or not work for everyone. The supplement is generally safe, but results are not guaranteed.
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 402 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Mar 2023
- Expected to finish
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Jun 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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18 years and older
- Sex
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Female participants only
- Healthy volunteers
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Accepted
You do not need to have the condition being studied to take part.
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: 1. Signed written informed consent must be obtained before any study assessment is performed; 2. 18 years of age or older; 3. Singleton pregnancy; 4. Pregnancy consultation between 8 and 10 weeks gestation. 5. At least one of the following risk factors for spontaneous preterm birth: * Prior spontaneous preterm birth, defined as delivery between 24 and 36 weeks following PPROM, preterm labor or cervical insufficiency * PPROM ≤36 weeks in previous pregnancy * Prior spontaneous second-trimester pregnancy loss, defined as PPROM, preterm labor or cervical insufficiency with birth between 14 and 24 weeks. Exclusion Criteria: 1. Patients who are already using pro-, pre- or synbiotics and not willing to stop 2. Multiple pregnancy 3. Need for primary (type 1) cerclage 4. Inflammatory bowel disease 5. Known congenital uterine anomaly 6. History of LLETZ conization
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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
9 sites. 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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AZ Groeninge
RECRUITINGKortrijk, 8500, Belgium
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AZ Maria Middelares
RECRUITINGGhent, West-Vlaanderen, 9000, Belgium
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AZ Sint-Jan
RECRUITINGBruges, West-Vlaanderen, 8300, Belgium
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AZ Sint-Lucas
RECRUITINGBruges, West-Vlaanderen, 8310, Belgium
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CHR Citadelle
RECRUITINGLiège, Liège, 4000, Belgium
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UZ Gent
RECRUITINGGhent, Oost-Vlaanderen, 9000, Belgium
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Universitaire Ziekenhuis Antwerpen
RECRUITINGEdegem, Antwerpen, 2650, Belgium
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Universitaire Ziekenhuizen Leuven
RECRUITINGLeuven, Limburg, 3000, Belgium
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Ziekenhuis Oost-Limburg
RECRUITINGGenk, Limburg, 3600, Belgium
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