Clinical trial NCT00308334: Effect of Domperidone on the Nutrient Composition of Preterm Mother's Breast Milk
Official title: A Double Blind Placebo Controlled Trial Examining the Effect of Domperidone on the Composition of Breast Milk
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: PHASE2
PHASE3
Conditions: Low Breast Milk Supply
Keywords: Domperidone
breast milk
breast milk composition
preterm infant
neonate
nutrition
Lead sponsor: IWK Health Centre
Sponsor class: OTHER
Collaborators: name: Canadian Nurses Foundation (CNF)
name: Dalhousie University
First posted: 2006-03-29
Enrollment: 46
Sex: FEMALE
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The purpose of this study is to evaluate the effect of domperidone (given to lactating mothers of very preterm infants) on the macronutrient composition of human milk.

Detailed description: Domperidone, a drug that enhances upper gastric motility, is an anti-dopaminergic medication that also elevates prolactin levels. It has been shown to safely increase the milk supply of lactating women. To date, researchers have analyzed the effects of domperidone on lactating woman with respect to the quantity of their milk production, adverse effects, and drug levels in the breast milk. However, the effect of domperidone on the macronutrient composition of breast milk has not been studied and current guidelines for fortification of human milk for premature infants do not distinguish between those women using or those not using domperidone. The purpose of this study is to evaluate the effect of domperidone (given to lactating mothers of very preterm infants) on the macronutrient composition of human milk.

Eligibility criteria: Inclusion Criteria:

* i. Mother of an infant born less than 31 weeks gestation
* ii. Women mechanically expressing breast milk using a double collecting system
* iii. Experiencing lactation failure indicated by at least one of the following: A decreasing milk supply (by greater than 30 percent from peak volume based on maternal account) An inability to provide adequate breast milk to meet the daily nutritional intake of their infant
* iv. Women who have had little or no improvement in milk production following education/counseling with a lactation consultant/Neonatal Intensive Care nurse with respect to non-pharmacological techniques.
* v. Postpartum period equal to or greater than three weeks.

Exclusion Criteria:

* i. Participants receiving any medication known to alter the effect of domperidone (e.g.cimetidine, ranitidine, famotidine, and nizatidine) or medication that interacts with domperidone (e.g. haloperidol, lithium).
* ii. Experiencing mastitis
* iii. Having a chronic or debilitating illness.
* iv. Previous breast surgery
* v. Having a known lactose intolerance

Primary outcomes:
measure: The protein levels from breast milk will be compared, between the two groups (taking into consideration the expected rate of decline associated with increasing postpartum days).
timeFrame: days 0, 4, 7, and 14
Secondary outcomes:
measure: The fat, carbohydrate, lactose, energy, calcium, phosphorus and sodium content of breast milk will be compared between domperidone and placebo groups.
timeFrame: days 0, 4, 7, and 14,
measure: Breast milk volumes (if the infant breast feeds, volume will be estimated using pre and post feeding weights)
timeFrame: Daily X 14 days
measure: Serum prolactin level
timeFrame: Day 0, 4 and 14
measure: infant weights
timeFrame: daily X 14 days
measure: breastfeeding rates
timeFrame: two weeks after treatment completion and at discharge
Other outcomes:
Locations:
city: Halifax
country: Canada
facility: IWK Health Centre
state: Nova Scotia
Study officials:
affiliation: IWK Health Centre
name: Marsha L Campbell-Yeo, MN NNP-BC PhDc
role: PRINCIPAL_INVESTIGATOR
References:
citation: Campbell-Yeo ML, Allen AC, Joseph KS, Ledwidge JM, Allen VM, Dooley KC. Study protocol: a double blind placebo controlled trial examining the effect of domperidone on the composition of breast milk [NCT00308334]. BMC Pregnancy Childbirth. 2006 May 23;6:17. doi: 10.1186/1471-2393-6-17.
citation: Campbell-Yeo ML, Allen AC, Joseph KS, Ledwidge JM, Caddell K, Allen VM, Dooley KC. Effect of domperidone on the composition of preterm human breast milk. Pediatrics. 2010 Jan;125(1):e107-14. doi: 10.1542/peds.2008-3441. Epub 2009 Dec 14.