Impact of Maternal-infant Therapeutics on Safety, Mortality, and Disability

NCT ID: NCT01028183

Last Updated: 2013-01-16

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

WITHDRAWN

Study Classification

OBSERVATIONAL

Study Start Date

2010-08-31

Study Completion Date

2013-07-31

Brief Summary

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The purpose of this research is to address the comparative effectiveness and harm of the therapeutics frequently given to pregnant women and their young infants including antibiotics, tocolytic agents, non-steroidal anti-inflammatory drugs, H2 blockers, and steroids.

Our overall hypothesis is that the use of an existing electronic medical record with additional resources for precise data collection and 18 month follow up will successfully address current knowledge gaps in therapeutic effectiveness and relative therapeutic harm.

We will use an existing electronic medical record into which detailed healthcare information is entered for over 100,000 newborns each year. These infants will comprise the "Source Cohort". Nested within that database, we will prospectively enroll 10% of the population (10,000 newborns) as the Follow-Up Cohort.

The current electronic medical record for the Source Cohort does not capture therapeutic dosing with sufficient precision to conduct comparative effectiveness research sufficient to change medical practice. The proposed research will: 1) ensure accurate data collection through electronic monitoring and real-time quality assurance evaluation in the Source Cohort; and 2) conduct 18 months post-hospital follow-up for neurologic outcomes and disability for the Follow-Up Cohort. We will complete assessments of neurologic outcomes and disability using an interactive web-based system, mail, telephone follow up, and in-person examination.

Detailed Description

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Conditions

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Gastroesophageal Reflux Presumed Sepsis Patent Ductus Arteriosus Chronic Lung Disease Neurodevelopmental Impairment

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Extremely Premature Infants

\< 30 weeks gestation (N=5000)

No interventions assigned to this group

Premature Infants

30-36 weeks gestation (N=2000)

No interventions assigned to this group

Hospitalized Term Infants

\>=37 weeks gestation (N=2000)

No interventions assigned to this group

Healthy Term Infants

\>=37 weeks gestation (N=1000)

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Admitted to the a Pediatrix Medical Group NICU
* \<=5 days of life
* likely to follow-up at 18 months adjusted age

Exclusion Criteria

* failure to consent
Maximum Eligible Age

5 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Duke University

OTHER

Sponsor Role lead

Responsible Party

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Duke Clinical Research Institute

Principal Investigators

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Daniel K Benjamin, MD PhD MPH

Role: PRINCIPAL_INVESTIGATOR

Duke Clinical Research Institute

Locations

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Duke Clinical Research Institute

Durham, North Carolina, United States

Site Status

Countries

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United States

Other Identifiers

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IRB pending

Identifier Type: -

Identifier Source: org_study_id

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