Ascorbic Acid and Ibuprofen in Infants With Hypoxic Ischemic Encephalopathy

NCT ID: NCT00624871

Last Updated: 2008-02-28

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

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2004-04-30

Study Completion Date

2006-04-30

Brief Summary

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Oxygen radicals and inflammation are important causes for brain injury in neonates following perinatal asphyxia. Animal studies demonstrated potential benefits to the brain when using both of vitamin C and ibuprofen. The efficacy of these 2 drugs when combined in protecting the human brain has not been studied. We aimed in this study to test the hypothesis that a combination of anti-oxidants (vitamin C) and anti-inflammatory (ibuprofen) drugs can decrease the brain injury in perinatal asphyxia and improve outcomes when given to infants immediately after birth.

Detailed Description

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Conditions

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Hypoxic Ischemic Encephalopathy Perinatal Asphyxia

Keywords

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Interleukin 1-beta Interleukin 6 Vitamin C HIE neonates

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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A

Infants will receive intravenous ascorbic acid and oral ibuprofen for 3 days

Group Type ACTIVE_COMPARATOR

Ascorbic acid (vitamin C)

Intervention Type DRUG

IV, 100 mg/kg/day, every day, for 3 days

Ibuprofen

Intervention Type DRUG

PO, 10 mg/kg on day 1, 5 mg/kg/day on days 2 and 3 of life

B

Infants will receive equivalent amount of placebo

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Interventions

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Ascorbic acid (vitamin C)

IV, 100 mg/kg/day, every day, for 3 days

Intervention Type DRUG

Ibuprofen

PO, 10 mg/kg on day 1, 5 mg/kg/day on days 2 and 3 of life

Intervention Type DRUG

Placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Apgar score at 5 minutes \< 6
* Profound metabolic or mixed acidosis with pH \< 7 in the initial blood gas
* Evidence of encephalopathy such as coma, seizures or hypotonia
* Evidence of multi-system compromise, in addition to encephalopathy

Exclusion Criteria

* Major congenital anomalies
* Early sepsis
* Gastrointestinal bleeding
* Thrombocytopenia
Maximum Eligible Age

2 Hours

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Al-Azhar University

OTHER

Sponsor Role lead

Responsible Party

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Al-Azhar University

Principal Investigators

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Ahmed Elsayed, MD

Role: PRINCIPAL_INVESTIGATOR

Al-Azhar University

Laila Abd-Rabboh, MD

Role: STUDY_CHAIR

Al-Azhar University

Locations

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Bab El-Shariya Hospital

Cairo, Cairo Governorate, Egypt

Site Status

Countries

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Egypt

Other Identifiers

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2004-MD-thesis-ahmed

Identifier Type: -

Identifier Source: org_study_id