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Clinical Trial Summary

The ductus arteriosus directs blood away from the pulmonary circulation and toward the systemic circulation during fetal life, then closes after birth. In preterm infants the incidence of spontaneous closure decreases with gestational age. Patent ductus arteriosus (PDA) increases the risks of bronchopulmonary dysplasia (BPD) and necrotizing enterocolitis (NEC). However, this association may not be a causal relationship.

Echocardiography is required to diagnose PDA. However, routine screening echocardiograms lead to detection of asymptomatic PDAs, for which the benefit of therapy remains unproven.

A randomized controlled trial has been designed in which 88 infants with birth weight less than or equal to 1250 grams and gestational age less than or equal to 30 weeks will be enrolled. The investigators' goal is to determine how screening echocardiography influences clinical management and outcomes in these infants.


Clinical Trial Description

n/a


Study Design

Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Screening


Related Conditions & MeSH terms


NCT number NCT01031316
Study type Interventional
Source University of Pennsylvania
Contact
Status Completed
Phase N/A
Start date October 2009
Completion date August 2011

See also
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Completed NCT00000494 - Management of Patent Ductus in Premature Infants Phase 3
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Completed NCT00828334 - NIT-OCCLUD PDA Phase II Sentinel Trial N/A
Completed NCT00009646 - Trial of Indomethacin Prophylaxis in Preterm Infants (TIPP) Phase 3
Withdrawn NCT00470743 - Comparing Ibuprofen And Indomethacin For The Treatment Of The Patent Ductus Arteriosus in Very Premature Babies Phase 4
Completed NCT00725647 - Plasma N-terminal proBNP Concentrations and Patent Ductus Arteriosus in Preterm Babies N/A
Terminated NCT00239512 - New Management Strategy of PDA for VLBW Preterm Infants N/A
Recruiting NCT04508036 - Ductus Arteriosus Closure and D-Dimer and Fibrinogen Levels
Completed NCT01243996 - High-dose Ibuprofen for Patent Ductus Arteriosus (PDA) in Preterm Infant Phase 2/Phase 3
Completed NCT00005190 - Reproduction and Survival After Cardiac Defect Repair N/A
Not yet recruiting NCT04205877 - The U.S. PDA Registry
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Completed NCT02422966 - Paracetamol in Patent Ductus Arteriosus Phase 2
Completed NCT02803671 - Analysis of the Impact of Patent Ductus Arteriosus on Brain Function in Preterm Neonates: Multimodal Approach Integrating EEG-NIRS, Ultrasound and Clinical Data N/A
Completed NCT00799123 - Urine NT-proBNP Levels and Echocardiographic Findings in Very Low Birth Weight (VLBW) Infants N/A
Completed NCT00528736 - Plasma B-Type Natriuretic Peptide Concentrations in Preterm Infants < 28 Weeks N/A
Completed NCT02002741 - Adding Paracetamol to Ibuprofen for Treatment of Patent Ductus Arteriosus in Preterm Infants Phase 2/Phase 3