The Neonatal Hemorrhagic Risk Assessment in Thrombocytopenia Study

NCT ID: NCT02371330

Last Updated: 2017-11-17

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

COMPLETED

Total Enrollment

76 participants

Study Classification

OBSERVATIONAL

Study Start Date

2015-04-30

Study Completion Date

2017-09-30

Brief Summary

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This is a prospective longitudinal study that evaluates Platelet Function Analyzer-100 (PFA-100) CT-ADPs (closure time-ADP) and incidence of bleeding using the Neonatal Bleeding Assessment Tool - Neo-BAT in preterm neonates \<32 weeks gestational age or with a birth weight \<1500 grams and with different degrees of thrombocytopenia.

The investigators hypothesized that PFA-100 CT-ADP, a global in vitro test of primary hemostasis, will be a better predictor of clinical bleeding in neonates than platelet count alone. A bleeding risk assessment marker could help physicians more accurately determine the risk/benefit ratio of platelet transfusions, guiding platelet transfusion decisions in neonates with thrombocytopenia.

Detailed Description

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Conditions

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Thrombocytopenia

Keywords

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Thrombocytopenia Neonate PFA-100 Neo-BAT Hemorrhage

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* \<32 weeks gestation or with a birth weight \<1500 grams;
* Have confirmed moderate-to-severe thrombocytopenia, defined as a platelet count \<100x109/L;
* Have a parent/guardian willing to comply with the protocol and provide written informed consent.

Exclusion Criteria

* Are not expected to survive by the Attending Neonatologist;
* Are thought to have a congenital thrombocytopenia or platelet dysfunction, based on family history or clinical presentation (e.g. associated congenital malformations, platelet morphology);
* Have a major chromosomal anomaly such as Trisomy 13, 18, or 21.
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Thrasher Research Fund

OTHER

Sponsor Role collaborator

Karolinska Institutet

OTHER

Sponsor Role lead

Responsible Party

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Emoke Deschmann

M.D., M.M.Sc., Attending Neonatologist

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Emoke Deschmann, M.D., M.M.Sc.

Role: PRINCIPAL_INVESTIGATOR

Department of Women's and Children's Health, Karolinska Institutet

Locations

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Department of Pediatrics, Levine Children's Hospital, Carolinas Healthcare System

Charlotte, North Carolina, United States

Site Status

Astrid Lindgren Children's Hospital, Karolinska University Hospital

Stockholm, , Sweden

Site Status

Countries

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United States Sweden

References

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Deschmann E, Sola-Visner M, Saxonhouse MA. Primary hemostasis in neonates with thrombocytopenia. J Pediatr. 2014 Jan;164(1):167-72. doi: 10.1016/j.jpeds.2013.08.037. Epub 2013 Oct 3.

Reference Type BACKGROUND
PMID: 24094764 (View on PubMed)

Other Identifiers

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TRF-1516

Identifier Type: -

Identifier Source: org_study_id