Influence of Treatment for Patent Ductus Arteriosus on Cerebral Oxygenation in Preterm Infants

NCT ID: NCT01428180

Last Updated: 2016-04-06

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

Total Enrollment

35 participants

Study Classification

OBSERVATIONAL

Study Start Date

2011-04-30

Study Completion Date

2016-03-31

Brief Summary

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The purpose of this study is to examine the influence medical or surgical treatment for patent ductus arteriosus in preterm infants on cerebral and renal tissue oxygenation and on cardiac output.

Detailed Description

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In this observational trial the investigators want to examine whether clinical or echocardiographic parameters of patent ductus arteriosus are related to

* cerebral tissue oxygen saturation, total hemoglobin, fractional tissue oxygen extraction and HbD
* renal tissue oxygen saturation, total hemoglobin, fractional tissue oxygen extraction and HbD

as measured by near infrared spectroscopy

and to

* stroke volume
* cardiac output

as measured by electrical cardiometry.

The investigators want to examine the impact of surgical and medical treatment for patent ductus on these parameters. The investigators want to compare the change of these parameters between responders to medical treatment and nonresponders.

Conditions

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Prematurity of Fetus Patent Ductus Arteriosus

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Indomethacin

Infants treated with Indomethacin

Indomethacin

Intervention Type DRUG

3 doses of 0,2mg/kg every 12h (first week of life) or every 8h (after first week of life)

Ibuprofen

Infants treated with Ibuprofen

Ibuprofen

Intervention Type DRUG

3 doses every 24h; first dose 10mg/kg, second and third dose 5mg/kg

Ligation

Infants undergoing surgical ligation

Surgical Ligation

Intervention Type PROCEDURE

In nonresponders to medical treatment with persistent hemodynamically relevant patent ductus arteriosus surgical ligation is performed.

Interventions

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Indomethacin

3 doses of 0,2mg/kg every 12h (first week of life) or every 8h (after first week of life)

Intervention Type DRUG

Surgical Ligation

In nonresponders to medical treatment with persistent hemodynamically relevant patent ductus arteriosus surgical ligation is performed.

Intervention Type PROCEDURE

Ibuprofen

3 doses every 24h; first dose 10mg/kg, second and third dose 5mg/kg

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Newborn infant below 34 weeks postmenstrual age at the time of birth
* Patent ductus arteriosus with signs of hemodynamic relevance (as judged by the attending neonatologist)
* parental informed consent

Exclusion Criteria

* Patent ductus arteriosus as part of malformation syndrome
* Additional major cardiovascular malformations
Maximum Eligible Age

34 Weeks

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Ulm

OTHER

Sponsor Role lead

Responsible Party

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Manuel Schmid

Dr. med.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Manuel B Schmid, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

University of Ulm

Locations

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University Medical Center

Ulm, Baden-Wurttemberg, Germany

Site Status

Countries

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Germany

Other Identifiers

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ULMNEONIRS03

Identifier Type: -

Identifier Source: org_study_id

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