Actively Recruiting

Phase Not Applicable
Age: 23Weeks - 32Weeks
All Genders
ID07216664

Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants to Enhance Stress Regulation, Neurodevelopment, and Oral Feeding Skills

Led by Loyola University · Updated on 2026-01-20

125

Participants Needed

2

Research Sites

52 weeks

Total Duration

On this page

Sponsors

L

Loyola University

Lead Sponsor

E

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Collaborating Sponsor

AI-Summary

What this Trial Is About

This research aims to find out if the multisensory early oral administration of human milk (M-MILK) helps very preterm infants born before 32 weeks gestational age. The study will evaluate whether M-MILK can improve stress regulation, support healthy brain development, and enhance oral feeding skills compared to standard care. Researchers will measure factors like cortisol levels, DNA changes in stress-related genes, neurodevelopment, and feeding abilities in these infants. Participants will be randomly assigned to one of two groups. Infants in the M-MILK group will receive the M-MILK intervention and standard care starting on day 3 of life during the day shift, up to four times daily. M-MILK is given in small amounts via a syringe, using either mother's milk or donor milk, based on availability, and continues until the infant begins oral feeding. The control group will receive standard care without M-MILK. During the study, infants will be monitored for oral feeding skills using the Early Feeding Skills (EFS) assessment up to 12 weeks after birth and again at 36 weeks postmenstrual age. Researchers will also measure stress regulation through salivary cortisol and DNA methylation tests, and assess neurodevelopment with detailed neurological and behavioral scores at 36 weeks postmenstrual age. This comprehensive follow-up aims to capture the effects of M-MILK on early development and feeding in very preterm infants.

CONDITIONS

Brief Title

Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants

Who Can Participate

Age: 23Weeks - 32Weeks
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Born at or before 32 weeks gestational age.
  • Receiving mother's own milk and/or donor human milk at the time of screening.
Not Eligible

You will not qualify if you...

  • Receiving only formula feeding.
  • Having gastrointestinal defects such as cleft lip or cleft palate.
  • Having congenital cardiac defects that require surgery.
  • Diagnosed with necrotizing enterocolitis.
  • Having chromosomal abnormalities.

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Treatment

Duration - From day 3 of life until oral feeding initiation

Participants in the M-MILK group receive multisensory early oral administration of human milk starting on day 3 of life, given during the day shift after hands-on care and up to 4 times a day. This continues until oral feeding initiation. Participants in the control group receive standard of care.

Daily visits during treatment period

Follow-up

Duration - Up to 12 weeks after birth to 36 weeks postmenstrual age

Participants are assessed for oral feeding skills, stress regulation, and neurodevelopmental outcomes up to 36 weeks postmenstrual age.

Approximately 2 visits up to 36 weeks postmenstrual age

Trial Site Locations

Total: 2 locations

1

Loyola University Chicago

Maywood, Illinois, United States, 60153

Actively Recruiting

2

Loyola University Medical Center

Maywood, Illinois, United States, 60153

Actively Recruiting

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Research Team

T

Thao Griffith, PhD

C

Cara Joyce, PhD

How is the study designed?

Study Type

INTERVENTIONAL

Masking

SINGLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

PREVENTION

Number of Arms

2

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Frequently Asked Questions

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Published Research Related To This Trial

Study Protocol for a Randomized Controlled Trial of Multisensory Early Oral Administration of Human Milk (M-MILK) for Very Preterm Infants: Enhancing Stress Regulation, Neurodevelopment, and Oral Feeding Skills.

Thao Griffith, Linda Janusek, Rosemary White-Traut...

https://pubmed.ncbi.nlm.nih.gov/41554032