Effect of Lactoferrin on Polio Seroconversion

Study Overview
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Brief Summary
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A massive decline in cases of poliomyelitis was observed worldwide since 1988; however its transmission continues in Pakistan and Afghanistan. In 2017, a total of 17 cases were reported from these countries, which represent approximately half of the cases reported in 2016. This achievement was made possible by large scale use of oral polio vaccine (OPV) and inactivated polio vaccine (IPV). Despite vigorous efforts to end poliovirus transmission in endemic areas, several challenges including illiteracy, poverty, malnutrition, difficulty to access health and immunization services adversely affect the effectiveness of the polio eradication efforts. Innovations are thus needed to accomplish the goal of eradication as due to limited funding, the sustainability of a program becomes questionable. The aim of this study is to assess the effectiveness of lactoferrin in increasing mucosal and serum immunity in children following administration of poliovirus vaccines.

Detailed Description
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Lactoferrin was first discovered in bovine milk which was later isolated in human milk as the second most abundant protein; with high levels found in colostrum. Evidence suggests that Lactoferrin enhances a child's immunity against gastrointestinal infections by inhibiting the growth of bacteria through iron deprivation and by preventing attachment of the virus to the intestinal cells thus children become less susceptible to virus replication in the gut. Investigations of enhanced efficacy of the BCG (Bacillus Calmette-Guérin) vaccine after administration of Lactoferrin showed promising results. The use of bovine Lactoferrin in children is generally recognized as safe by the US Food and Drug Administration. Its anti-infective properties creates a new window of opportunity to assess its effects on the level of seroconversion following poliovirus vaccination in children. This is a double-blinded two arm randomized placebo-controlled trial. A total of 377 neonates will be enrolled in each group (754 neonates in both groups). Females ages 18-45 years in their last trimester of pregnancy in Karachi, Pakistan will be recruited for the study by the study team and consent will be obtained. Participants will be newborns (on day 1 of birth) who will be followed through 6 months of age. Newborns who fulfill the inclusion criteria will be randomly assigned to the control or intervention group in 1:1 ratio on the first day of birth. Intervention group will receive a daily bovine lactoferrin supplementation whereas Control group will receive a daily placebo supplementation along with breast milk from day 0 of birth to 6 weeks of life. Newborns will be followed up daily during the course of the hospital stay. After discharge from the hospital, mothers will be provided with a week's supply of lactoferrin or placebo along with instructions on how and when to administer it to the baby. Newborns will be followed up weekly. Compliance will be assessed by counting the used sachets of lactoferrin or placebo because mothers will be instructed to keep the empty sachets in a dedicated container issued by study staff. Mothers will be strictly advised to administer all vaccinations according to the routine immunization schedule. For both groups, a blood sample will be collected in the hospital and containers will be given to the mother for collections of stool for the newborn.

Official Title
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Effect of Bovine Lactoferrin on Seroconversion Following Polio Vaccine Administration in Children: A Randomized Control Trial

Conditions
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Poliomyelitis

Intervention / Treatment
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* Dietary Supplement: Bovine Lactoferrin
* Other: Placebo Glucon D


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Pregnant females aged 18 to 45 years with no underlying complications or co-morbidities Residence less than 30 kms away from the study clinic and have resided there for at least 1 year. Family MUST indicate that they will not move from their current residence for the 5 months after birth of the child (study period) Healthy singleton full-term births born to these mothers, regardless of birth weight and an APGAR score of 7 or higher 5 minutes after delivery with no underlying complication (randomization will take place at this stage) Exclusion Criteria: Females with health issues and high risk pregnancies Neonates presenting with any morbidities and congenital anomalies will be excluded from the study Preterm birth (<37 weeks of gestation) Immunodeficiency disorder in immediate family member Parents refusing to consent

Ages Eligible for Study
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Minimum Age: 1 Hour
Maximum Age: 23 Hours

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Group 1: Bovine lactoferrin (bLF) will be administered (300mg) from day 0 of birth to 6 weeks of life with a single daily dose mixed with milk (preferentially breast milk otherwise premature formula milk). Group 2: Placebo will be administered from day 0 of birth to 6 weeks of life. (Placebo will be physically identical to the bLF mixed with breast milk or premature formula milk).
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Bovine Lactoferrin<br>Intervention group will receive bovine lactoferrin supplementation daily once a day from day 0 of birth to 6 weeks of life. | Dietary Supplement: Bovine Lactoferrin<br>* Lactoferrin is a nutritional supplement which was first discovered in bovine milk which was later isolated in human milk as the second most abundant protein; with high levels found in colostrum. The use of bovine Lactoferrin in children is generally recognized as safe by the US Food and Drug Administration.<br>|
| Placebo Comparator: Glucon D<br>Control group will receive Glucon-D supplementation daily once a day from day 0 of birth to 6 weeks of life. | Other: Placebo Glucon D<br>* This group will be given 100mg Glucon-D (99.4% glucose) which will be similar in shape, color to the bLF.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Assessment of humoral immunity by seroconversion | Presence of detectable antibodies to poliovirus types 1 and 3 in serum) after receipt of two doses of OPV | 10 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Comparison of humoral immunity represented by seroconversion | Presence of detectable antibodies to poliovirus types 1, 2 and 3 in serum) after completion of the routine immunization doses/schedule | 18 weeks | 
| Comparison of intestinal immunity represented by shedding of poliovirus types 1 and 3 | If lactoferrin is effective in improving intestinal immunity, shedding is expected to be lower in the lactoferrin receiving group. | 19 weeks | 
| Comparison of duration of shedding among the two study arms | Represented by shedding at 20 weeks of age and at 22 weeks of age after the challenge dose of bOPV administered | 20 and 22 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Bovine Lactoferrin, Poliovirus, Routine immunization