Evidence map›Paper›PMID 40664419›Full record

ArticleBMJ open2025

Varying oropharyngeal colostrum administration dosages on outcomes associated with very low birth weight infants: a randomised controlled trial protocol.

Yao Jin, Zhenyan Fu, Ji Jin, Yingping Hu, Chi Huang, Xu Zou, Ruiping Han, Juan Chen, Mingtao Quan

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yao Jin *Nursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.ORCID http://orcid.org/0009-0002-8118-1327
Zhenyan Fu *Department of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Ji JinDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Yingping HuDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Chi HuangDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Xu ZouDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Ruiping HanDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Juan ChenDepartment of Neonatology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.
Mingtao QuanNursing Department, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China 865768818@qq.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOropharyngeal colostrum administration (OCA) confers immunological benefits to very low birth weight infants (VLBWIs) through nutrient absorption via oropharyngeal lymphatic tissue, potentially reducing complication rates and improving clinical outcomes. Current evidence demonstrates significant variability in OCA protocols regarding the initiation timing, application frequency, treatment duration and dosage of this therapy across studies, and limited research exists on its impact on haematological indices in infants. Notably, the dose-dependent effects of OCA on both clinical outcomes and haematological immunological parameters in VLBWIs remain insufficiently investigated. We hypothesise that varying OCA doses will demonstrate differential impacts on clinical outcomes and systemic levels of key immunological markers in VLBWIs. METHODS AND ANALYSIS: This single-centre, three-arm, parallel-controlled randomised controlled trial will enrol 129 VLBWIs to evaluate the efficacy of OCA. Using a blinded design, both outcome assessors and data analysts will be masked to group allocation throughout the study. Participants will be randomly assigned in a 1:1:1 ratio into three groups: two receiving OCA (0.2 mL colostrum every 3 hours or 6 hours for 10 days) and a control group with standard care only. The primary endpoints of this trial are to compare the incidence of necrotising enterocolitis, bronchopulmonary dysplasia and retinopathy of prematurity across the three groups. Additionally, we will assess haematological and immunological indicators, including IL-2, IL-4, IL-6, IL-10, TNF-α, IFN-γ and serotype immunoglobulin A levels, to evaluate the potential effects of different OCA dosages on these parameters. ETHICS AND DISSEMINATION: This study protocol received full ethical approval (No. KLL-2023-505) from the ethics committee of the Affiliated Hospital of Zunyi Medical University on 5 September 2023, after a thorough review. The study findings will be disseminated through publication in peer-reviewed journals. TRIAL REGISTRATION NUMBER: ChiCTR2300077114. Registration on 31 October 2023.

Indexed as

ColostrumInfant, Very Low Birth WeightFemaleHumansInfant, NewbornMaleOropharynxRandomized Controlled Trials as TopicImmunityNeonatal intensive & critical careNutritional supportPaediatric gastroenterologyRandomized Controlled Trial

Identifiers

PMID40664419
PMCPMC12278152

What Socratic holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.