Status:

WITHDRAWN

Addition of Acetaminophen in Standard PDA Management

Lead Sponsor:

University of Florida

Conditions:

Patent Ductus Arteriosus

Eligibility:

All Genders

23-28 years

Phase:

PHASE2

Brief Summary

Patent ductus arteriosus is a common morbidity in preterm infants and management of PDA varies among neonatologist. The investigators are conducting a randomized controlled trial to determine the rate...

Eligibility Criteria

Inclusion

  • Infants 23 0/7 to 27 6/7 weeks' gestational age and birth weight \< 1000 grams
  • Hemodynamically significant PDA as defined by any of the following:
  • Increased ventilator or oxygen support attributed by the clinician to be due to increased left-right shunting through the PDA
  • Hypotension and/or widening pulse pressure requiring continuous dopamine infusion (hypotension is defined as mean arterial pressure (MAP) at least 2-3 mmHg below the infants' post menstrual age)
  • Signs of congestive heart failure (e.g increased pulmonary congestion on chest radiograph or hepatomegaly on physical examination)
  • Echocardiographic criteria:
  • Ratio of the smallest ductal diameter to the ostium of the left pulmonary artery \> 0.5

Exclusion

  • No enteral feedings
  • PDA-dependent congenital heart disease
  • Prior treatment with prophylactic indomethacin
  • Prior PDA treatment with any medications
  • Suspected or diagnosed acute necrotizing enterocolitis (NEC) or spontaneous intestinal perforation
  • Abnormal liver enzymes (ALT \> 60 IU/L and AST \> 60 IU/L)
  • Platelets count \< 50,000 /μl; and / or active intracranial, gastrointestinal, or other bleeding
  • Major congenital anomalies such as neural tube defect, known or suspected chromosomal abnormality, and gastrointestinal defect
  • Prior enrollment to other interventional clinical study where PDA is an outcome variable

Key Trial Info

Start Date :

April 1 2021

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 12 2021

Estimated Enrollment :

Patients enrolled

Trial Details

Trial ID

NCT04026464

Start Date

April 1 2021

End Date

May 12 2021

Last Update

June 24 2021

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