Patent Ductus Arteriosus After Premature Birth Clinical Trial
Official title:
Oral Ibuprofen Versus Placebo in Management of Patent Ductus Arteriosus in Preterm Infants: A Double Blind, Randomized Control Trial
The management options of Patent Ductus Arteriosus are still controversial and differ between centers. Recently, conservative management has been gaining interest as the evidence of benefit from medical treatment in terms of mortality and morbidity is lacking. This study will compare oral ibuprofen (the standard treatment) with the conservative treatment, in terms of ductal closure and morbidity and mortality at discharge in preterm neonates less than 34 weeks.
A double-blinded, randomized, placebo-control non-inferiority trial was conducted in the neonatal intensive care unit (NICU) of Ain Shams University children's hospital, Cairo, Egypt. Informed consent was taken from the parents or legal guardians before enrolment, after fully explaining to them the nature of the study. The approval of the Research Ethics Committee at Ain Shams University was also obtained. All preterm neonates less than 34 weeks were assessed in the first 48 hours by clinical and echocardiographic examination by a cardiologist to detect PDA and exclude any congenital heart disease. All neonates meeting the inclusion criteria will be randomized into one of two groups: Medical treatment group and Placebo group. Targeted neonatal Echo was repeated after 5 days of the start of medical treatment by a neonatologist or a cardiologist to assess PDA closure. After 7 days of intervention, open-label is offered to all patients with the option of another course for patients in the medical treatment group and Rescue therapy in the Placebo group. The short-term morbidity is documented. Withdrawal and replacement of individual subjects: - The attending physician can decide to withdraw a subject from the study for urgent medical reasons. If they wish, parents or caregivers can leave the study at any time for any reason. - Infants who are withdrawn from the study will be managed according to NICU Protocols. ;
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT04126512 -
Timing of Surgical PDA Ligation and Neonatal Outcomes
|
||
Recruiting |
NCT04359134 -
Combined Lung Ultrasounds and Transthoracic Electrical Bioimpedance in Preterm Infants With Respiratory Distress.
|
||
Recruiting |
NCT05325177 -
PDA Treatment With Ibuprofen and Changes in Tissue Oxygenation.
|
Phase 4 | |
Active, not recruiting |
NCT03675425 -
The Effects of Phototherapy in Preterm Infants Pda
|
N/A | |
Recruiting |
NCT04037514 -
Paracetamol Versus Ibuprofen in Premature Infants With Hemodynamically Significant Patent Ductus Arteriosus
|
Phase 3 | |
Recruiting |
NCT05686343 -
Hemodynamically Important Patent Ductus Arteriosus in Newborns Under 32 Weeks
|
||
Withdrawn |
NCT04025177 -
Indomethacin PK-PD in Extremely Preterm Neonates
|
Phase 2 | |
Recruiting |
NCT05011149 -
Selective Early Medical Treatment of Patent Ductus Arteriosus in Extremely Low Gestational Age Infants: A Pilot RCT
|
Phase 3 | |
Recruiting |
NCT03456336 -
Management of the PDA Trial
|
Phase 3 | |
Recruiting |
NCT05340582 -
Co-administration of Acetaminophen With Ibuprofen to Improve Duct-Related Outcomes in Extremely Premature Infants
|
Phase 2 |