Premature Infants in Need of Transfusion (PINT)

NCT ID: NCT00182390

Last Updated: 2015-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

424 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-02-28

Study Completion Date

2005-11-30

Brief Summary

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Hypothesis: That a high hemoglobin threshold for transfusion in extremely low birth weight (ELBW) infants is associated with a lower rate of survival without severe morbidity (defined as one or more of retinopathy of prematurity, bronchopulmonary dysplasia, or periventricular leukomalacia/ventriculomegaly).

Primary Objective: To determine whether either a liberal or more restrictive threshold of hemoglobin level for red cell transfusion in ELBW infants is safer, by randomizing to either a high transfusion hemoglobin threshold or a low transfusion hemoglobin threshold.

Follow-up at a corrected age of 18 months represents a conventional age at which to first assess neurodevelopmental outcomes, and to predict long-term outcomes.

Detailed Description

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Conditions

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Anemia of Prematurity

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Red blood cell transfusion

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* birth weight \<1000g
* postnatal age \<48 hours
* no transfusion beyond first 6 hours of life
* estimated gestational age of 30 completed weeks or less

Exclusion Criteria

* infant considered non-viable by attending physician
* infant has cyanotic congenital heart disease
* infant's parents known to be opposed to blood transfusion
* either parent has hemoglobinopathies or congenital anemias
* infant has hemolytic disease
* infant has severe acute hemorrhage, severe shock, severe sepsis with coagulopathy or requires peri-operative transfusion
* prior treatment with or intention to treat with erythropoietin
Maximum Eligible Age

48 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Canadian Institutes of Health Research (CIHR)

OTHER_GOV

Sponsor Role collaborator

McMaster University

OTHER

Sponsor Role lead

Principal Investigators

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Haresh Kirpalani, MD, MSc

Role: PRINCIPAL_INVESTIGATOR

McMaster University

Robin K Whyte, MD

Role: PRINCIPAL_INVESTIGATOR

Dalhousie University

Robin S Roberts, MTech

Role: STUDY_DIRECTOR

McMaster University

Elizabeth Asztalos, MD, MSc

Role: STUDY_DIRECTOR

Sunnybrook & Women's College Health Sciences Centre

Chad Andersen, MD

Role: STUDY_DIRECTOR

Mercy Hospital for Women

Morris Blajchman, PhD

Role: STUDY_DIRECTOR

McMaster University

Nancy Heddle, MSc

Role: STUDY_DIRECTOR

McMaster University

Locations

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Albany Medical Center

Albany, New York, United States

Site Status

Brooklyn Hospital Center

Brooklyn, New York, United States

Site Status

Royal Women's Hospital

Melbourne, Victoria, Australia

Site Status

Mercy Hospital for Women

Melbourne, Victoria, Australia

Site Status

Royal Alexandra Hospital

Edmonton, Alberta, Canada

Site Status

IWK Health Centre

Halifax, Nova Scotia, Canada

Site Status

McMaster University

Hamilton, Ontario, Canada

Site Status

Kingston General Hospital

Kingston, Ontario, Canada

Site Status

Sunnybrook & Women's College Health Science Centre

Toronto, Ontario, Canada

Site Status

Royal Victoria Hospital

Montreal, Quebec, Canada

Site Status

Countries

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United States Australia Canada

References

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Kirpalani H, Whyte RK, Andersen C, Asztalos EV, Heddle N, Blajchman MA, Peliowski A, Rios A, LaCorte M, Connelly R, Barrington K, Roberts RS. The Premature Infants in Need of Transfusion (PINT) study: a randomized, controlled trial of a restrictive (low) versus liberal (high) transfusion threshold for extremely low birth weight infants. J Pediatr. 2006 Sep;149(3):301-307. doi: 10.1016/j.jpeds.2006.05.011.

Reference Type RESULT
PMID: 16939737 (View on PubMed)

Whyte RK, Kirpalani H, Asztalos EV, Andersen C, Blajchman M, Heddle N, LaCorte M, Robertson CM, Clarke MC, Vincer MJ, Doyle LW, Roberts RS; PINTOS Study Group. Neurodevelopmental outcome of extremely low birth weight infants randomly assigned to restrictive or liberal hemoglobin thresholds for blood transfusion. Pediatrics. 2009 Jan;123(1):207-13. doi: 10.1542/peds.2008-0338.

Reference Type RESULT
PMID: 19117884 (View on PubMed)

Other Identifiers

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CIHR MCT-41549

Identifier Type: -

Identifier Source: secondary_id

CIHR MCT-58455

Identifier Type: -

Identifier Source: secondary_id

CTMG-2001-PINT

Identifier Type: -

Identifier Source: org_study_id

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