Study Results
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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UNKNOWN
630 participants
OBSERVATIONAL
2016-01-31
Brief Summary
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Detailed Description
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By grouping the patients according to age and subgrouping according to diagnosis/affected organ system and compare the amount of excipient exposure in each group, the study aims at identifying the most vulnerable neonatal and/or pediatric patients in terms of the amount and identity of excipients accumulated in the patient.
The study will use a descriptive, parametric statistic analysis to identify
* an average exposure rate (concentration i mg/l or amount in mg) of each of the listed excipients
* how much the average patient in each age-group is exposed to each excipient
* how much the average patient in each "affected organ system"-subgroup is exposed to each excipient
Conditions
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Study Design
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CASE_CONTROL
RETROSPECTIVE
Study Groups
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Neonatal patients
Receiving 2 or more drugs at one day during their hospitalisation. For each drug, it is listed whether it is an extemporaneous, registered, the preparation, dosis, amount, interval, formulation and route of administration. It is noted if the drug contains ethanol, propylene glycol, benzyl alcohol, methyl-p-hydroxybenzoate, propanyl-p-hydroxybenzoate, acesulfam potassium, aspartame, glycerin and/or sorbitol.
Exposure to ethanol
The drug source(s) and amount administered daily are noted.
Exposure to propylene glycol
The drug source(s) and amount administered daily are noted.
Exposure to benzyl alcohol
The drug source(s) and amount administered daily are noted.
Exposure to acesulfam potassium
The drug source(s) and amount administered daily are noted.
Exposure to aspartame
The drug source(s) and amount administered daily are noted.
Exposure to glycerol
The drug source(s) and amount administered daily are noted.
Exposure to sorbitol
The drug source(s) and amount administered daily are noted.
Exposure to methyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to propanyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to polysorbate-80
The drug source(s) and amount administered daily are noted.
Pediatric patients (28 days ≤ 5 years)
Receiving 3 or more drugs at one day during their hospitalisation. For each drug, it is listed whether it is an extemporaneous, registered, the preparation, dosis, amount, interval, formulation and route of administration. It is noted if the drug contains ethanol, propylene glycol, benzyl alcohol, methyl-p-hydroxybenzoate, propanyl-p-hydroxybenzoate, acesulfam potassium, aspartame, glycerin and/or sorbitol.
Exposure to ethanol
The drug source(s) and amount administered daily are noted.
Exposure to propylene glycol
The drug source(s) and amount administered daily are noted.
Exposure to benzyl alcohol
The drug source(s) and amount administered daily are noted.
Exposure to acesulfam potassium
The drug source(s) and amount administered daily are noted.
Exposure to aspartame
The drug source(s) and amount administered daily are noted.
Exposure to glycerol
The drug source(s) and amount administered daily are noted.
Exposure to sorbitol
The drug source(s) and amount administered daily are noted.
Exposure to methyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to propanyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to polysorbate-80
The drug source(s) and amount administered daily are noted.
Interventions
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Exposure to ethanol
The drug source(s) and amount administered daily are noted.
Exposure to propylene glycol
The drug source(s) and amount administered daily are noted.
Exposure to benzyl alcohol
The drug source(s) and amount administered daily are noted.
Exposure to acesulfam potassium
The drug source(s) and amount administered daily are noted.
Exposure to aspartame
The drug source(s) and amount administered daily are noted.
Exposure to glycerol
The drug source(s) and amount administered daily are noted.
Exposure to sorbitol
The drug source(s) and amount administered daily are noted.
Exposure to methyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to propanyl-p-hydroxybenzoate
The drug source(s) and amount administered daily are noted.
Exposure to polysorbate-80
The drug source(s) and amount administered daily are noted.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* if 28 days ≤ 5 years: must receive 3 or more prescriptions a day
* must have been/be submitted and treated at the neonatal department (units 5021, 5023, 5024) or pediatric department (units 5061, 5062, 5054, 4144) of Rigshospitalet
Exclusion Criteria
* \> 5 years old
5 Years
ALL
No
Sponsors
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Rigshospitalet, Denmark
OTHER
Bispebjerg Hospital
OTHER
Responsible Party
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Kristine Svinning Valeur
MS
Principal Investigators
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Kristine Svinning Valeur, MS
Role: PRINCIPAL_INVESTIGATOR
University Hospital Bispebjerg and Frederiksberg
References
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Nellis G, Metsvaht T, Varendi H, Toompere K, Lass J, Mesek I, Nunn AJ, Turner MA, Lutsar I; ESNEE consortium. Potentially harmful excipients in neonatal medicines: a pan-European observational study. Arch Dis Child. 2015 Jul;100(7):694-9. doi: 10.1136/archdischild-2014-307793. Epub 2015 Apr 8.
Souza A Jr, Santos D, Fonseca S, Medeiros M, Batista L, Turner M, Coelho H. Toxic excipients in medications for neonates in Brazil. Eur J Pediatr. 2014 Jul;173(7):935-45. doi: 10.1007/s00431-014-2272-z. Epub 2014 Feb 6.
Marek E, Kraft WK. Ethanol pharmacokinetics in neonates and infants. Curr Ther Res Clin Exp. 2014 Oct 22;76:90-7. doi: 10.1016/j.curtheres.2014.09.002. eCollection 2014 Dec.
Nguyen KA, Claris O, Kassai B. Unlicensed and off-label drug use in a neonatal unit in France. Acta Paediatr. 2011 Apr;100(4):615-7. doi: 10.1111/j.1651-2227.2010.02103.x. Epub 2010 Dec 17. No abstract available.
Jacqz-Aigrain E. Drug policy in Europe Research and funding in neonates: current challenges, future perspectives, new opportunities. Early Hum Dev. 2011 Mar;87 Suppl 1:S27-30. doi: 10.1016/j.earlhumdev.2011.01.007. Epub 2011 Jan 26.
Allegaert K. Neonates need tailored drug formulations. World J Clin Pediatr. 2013 Feb 8;2(1):1-5. doi: 10.5409/wjcp.v2.i1.1. eCollection 2013 Feb 8.
Bellis JR, Kirkham JJ, Thiesen S, Conroy EJ, Bracken LE, Mannix HL, Bird KA, Duncan JC, Peak M, Turner MA, Smyth RL, Nunn AJ, Pirmohamed M. Adverse drug reactions and off-label and unlicensed medicines in children: a nested case-control study of inpatients in a pediatric hospital. BMC Med. 2013 Nov 7;11:238. doi: 10.1186/1741-7015-11-238.
Nahata MC. Safety of "inert" additives or excipients in paediatric medicines. Arch Dis Child Fetal Neonatal Ed. 2009 Nov;94(6):F392-3. doi: 10.1136/adc.2009.160192. No abstract available.
Whittaker A, Currie AE, Turner MA, Field DJ, Mulla H, Pandya HC. Toxic additives in medication for preterm infants. Arch Dis Child Fetal Neonatal Ed. 2009 Jul;94(4):F236-40. doi: 10.1136/adc.2008.146035. Epub 2009 Jan 21.
Saiyed MM, Lalwani T, Rana D. Is off-label use a risk factor for adverse drug reactions in pediatric patients? A prospective study in an Indian tertiary care hospital. Int J Risk Saf Med. 2015;27(1):45-53. doi: 10.3233/JRS-150642.
Collison KS, Makhoul NJ, Zaidi MZ, Al-Rabiah R, Inglis A, Andres BL, Ubungen R, Shoukri M, Al-Mohanna FA. Interactive effects of neonatal exposure to monosodium glutamate and aspartame on glucose homeostasis. Nutr Metab (Lond). 2012 Jun 14;9(1):58. doi: 10.1186/1743-7075-9-58.
Ornoy A, Ergaz Z. Alcohol abuse in pregnant women: effects on the fetus and newborn, mode of action and maternal treatment. Int J Environ Res Public Health. 2010 Feb;7(2):364-79. doi: 10.3390/ijerph7020364. Epub 2010 Jan 27.
Lass J, Kaar R, Jogi K, Varendi H, Metsvaht T, Lutsar I. Drug utilisation pattern and off-label use of medicines in Estonian neonatal units. Eur J Clin Pharmacol. 2011 Dec;67(12):1263-71. doi: 10.1007/s00228-011-1072-x. Epub 2011 Jun 11.
Fister P, Urh S, Karner A, Krzan M, Paro-Panjan D. The prevalence and pattern of pharmaceutical and excipient exposure in a neonatal unit in Slovenia. J Matern Fetal Neonatal Med. 2015;28(17):2053-61. doi: 10.3109/14767058.2014.976549. Epub 2015 Sep 4.
Valeur KS, Hertel SA, Lundstrom KE, Holst H. Safe excipient exposure in neonates and small children - protocol for the SEEN project. Dan Med J. 2017 Feb;64(2):A5324.
Related Links
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Isaac R, Khan I, Langley C. Ethanol intake of paediatric intensive care patients. Arch Dis Child 2013;98:e1 doi:10.1136/archdischild-2013-303935a.21
Other Identifiers
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BBH-KSV-01
Identifier Type: -
Identifier Source: org_study_id
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