Status:
COMPLETED
Safety and Efficacy Study of Ibuprofen l-Lysine Solution in Premature Infants for Treatment of PDA
Lead Sponsor:
Farmacon
Conditions:
Patent Ductus Arteriosus
Eligibility:
All Genders
28-34 years
Phase:
PHASE3
Brief Summary
The purpose of this study is to determine the safety and effectiveness of ibuprofen l-lysine iv in premature infants in the early treatment of Patent Ductus Arteriosus.
Detailed Description
The ductus arteriosus remains patent in about 40% to 80% of very low birth weight infants. Early treatment by intravenous ibuprofen L-lysine (IV ibuprofen) has been suggested in preliminary studies to...
Eligibility Criteria
Inclusion
- Premature newborn infant of either gender with a birth weight of 500 to 1000 grams, appropriate for gestational age;
- Non-symptomatic PDA with evidence of ductal shunting documented by an echocardiogram (ECHO);
- Less than 72 hours of age at the time of randomization;
- If infant is one of a multiple birth, he/she is one of the two (2) oldest infants who meet the eligibility criteria;
- Consent form signed by parent.
Exclusion
- Either major congenital malformations and/or chromosomal anomalies;
- Proven, severe congenital bacterial infection;
- Maternal antenatal nonsteroidal anti-inflammatory drug (NSAID) exposure \< 72 hours prior to delivery;
- Treatment with pharmacological replacement steroid therapy at anytime since birth;
- Unremitting shock requiring very high doses of vasopressors (i.e. inability to maintain mean arterial blood pressure appropriate for gestational age ± 2 SD using volume and maximal vasopressor therapy as defined by the individual institution);
- Renal failure or oliguria defined as urine flow rate \< 0.5 mL/kg/hr in the 8 hours prior to randomization (Anuria is acceptable if infant is in first 24 hours of life);
- Platelet count \< 75,000/mm 3;
- Clinical bleeding tendency (i.e. oozing from puncture sites);
- Expected survival less than 48 hours in the opinion of the attending neonatologist;
- Participation in other clinical intervention trials. Exceptions may be made if approved by Medical Director or designee, RPD Pharmaceutical Department;
- Symptomatic PDA as documented by 3 of the following 5 criteria
- Bounding pulse
- Hyperdynamic precordium
- Pulmonary edema
- Increased cardiac silhouette
- Systolic murmur Or, in view of the neonatologist is deemed to have a hemodynamically significant ductus.
- Exposure to NSAIDs at any time since birth.
Key Trial Info
Start Date :
December 1 2002
Trial Type :
INTERVENTIONAL
End Date :
August 1 2005
Estimated Enrollment :
Patients enrolled
Trial Details
Trial ID
NCT00440804
Start Date
December 1 2002
End Date
August 1 2005
Last Update
February 27 2007
Active Locations (0)
Enter a location and click search to find clinical trials sorted by distance.
No Results Found
We couldn’t find results for the location/zipcode entered or within the selected range. Please check your input or adjust your search.