Serum Level Measurement of Oral Paracetamol and Oral Ibuprofen for Patent Ductus Arteriosus Treatment in Preterm Infants

NCT ID: NCT01544972

Last Updated: 2012-12-17

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

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

80 participants

Study Classification

INTERVENTIONAL

Study Start Date

2012-02-29

Study Completion Date

2012-12-31

Brief Summary

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The purpose of this study is to determine oral paracetamol and ibuprofen efficacy and safety in relation to serum levels in closure of patent ductus arteriosus in preterm infants.

Detailed Description

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To determine oral paracetamol and ibuprofen efficacy and safety in relation to serum levels in closure of patent ductus arteriosus in preterm infants.

Eighty preterm infants with patent ductus arteriosus will be enrolled in this prospective-randomized study. Patients will receive oral ibuprofen at an initial dose of 10 mg/kg, followed by 5 mg/kg at 24 and 48 h or oral paracetamol 15 mg/kg per dose every 6 hours for 3 days.

One of the following echocardiographic criteria of a duct size \> 1.5 mm, a left atrium-to-aorta ratio \> 1.5, left-to-right shunting of blood, end diastolic reversal of blood flow in the aorta, or poor cardiac function in addition signs of patent ductus arteriosis determined the need of treatment.

Three consecutive blood sample from infants for 3 days before dose application of drugs(ibuprofen and paracetamol will be obtained.

The relation of pharmacokinetics of drugs to drug response will be evaluated

Conditions

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Patent Ductus Arteriosus

Keywords

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Patent Ductus Arteriosus Paracetamol Ibuprofen Serum levels Preterm infant

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

SINGLE

Participants

Study Groups

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Oral paracetamol

Patients will receive oral paracetamol 15 mg/kg per dose every 6 hours for 3 days

Group Type ACTIVE_COMPARATOR

Oral paracetamol

Intervention Type DRUG

Patients will receive oral paracetamol 15 mg/kg per dose every 6 hours.

Oral ibuprofen

Patients will receive oral ibuprofen at an initial dose of 10 mg/kg, followed by 5 mg/kg at 24 and 48 h.

Group Type ACTIVE_COMPARATOR

Oral ibuprofen

Intervention Type DRUG

Patients will receive oral ibuprofen at an initial dose of 10 mg/kg, followed by 5 mg/kg at 24 and 48 h.

Interventions

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Oral paracetamol

Patients will receive oral paracetamol 15 mg/kg per dose every 6 hours.

Intervention Type DRUG

Oral ibuprofen

Patients will receive oral ibuprofen at an initial dose of 10 mg/kg, followed by 5 mg/kg at 24 and 48 h.

Intervention Type DRUG

Other Intervention Names

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Calpol Pedifen

Eligibility Criteria

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Inclusion Criteria

* Birth weight below 1250 gram
* Diagnosed patent ductus arteriosus by Echocardiographic examination

Exclusion Criteria

* Accompanied other congenital cardiac anomalies
* Severe thrombocytopenia \< 60.000
* Severe intracranial bleeding (Grade III - IV)
* Intestinal abnormality and necrotising enterocolitis
Minimum Eligible Age

2 Days

Maximum Eligible Age

10 Days

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Zekai Tahir Burak Women's Health Research and Education Hospital

OTHER

Sponsor Role lead

Responsible Party

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Sadik Yurttutan

Zekai Tahir Burak Maternity and Teaching Hospital

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Sadık Yurttutan, MD

Role: PRINCIPAL_INVESTIGATOR

Zekai Tahir Burak Women's Health Research and Education Hospital

Locations

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Zekai Tahir Burak Maternity Teaching Hospital, Division of Neonatology

Ankara, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Sadık Yurttutan, MD

Role: CONTACT

Email: [email protected]

Mehmet Yekta Oncel, MD

Role: CONTACT

Email: [email protected]

Facility Contacts

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Ugur Dilmen, Professor

Role: primary

Omer Erdeve, As.Prof

Role: backup

Other Identifiers

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ZTB170212

Identifier Type: -

Identifier Source: org_study_id