Actively Recruiting

Phase 3
Age: 0 - 1Month
All Genders
NCT04217421

Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass

Led by dr. M.J.N.L. Benders · Updated on 2024-05-16

236

Participants Needed

4

Research Sites

463 weeks

Total Duration

On this page

Sponsors

D

dr. M.J.N.L. Benders

Lead Sponsor

Z

ZonMw: The Netherlands Organisation for Health Research and Development

Collaborating Sponsor

AI-Summary

What this Trial Is About

Neurodevelopmental impairment due to delayed brain development and brain injury is a fundamental problem in children with critical congenital heart disease (CCHD). Significant longterm motor-, cognitive-, and behavioral problems are the result of early postnatally and perioperatively induced brain injury. Allopurinol, a xanthine oxidase inhibitor, prevents the formation of toxic free oxygen radicals, thereby limiting hypoxia-reperfusion damage. Both animal and neonatal studies suggest that administration of allopurinol reduces hypoxic-ischemic brain injury, is cardioprotective, and safe. This study aims to evaluate the efficacy and safety of allopurinol administered early postnatally and perioperatively in children with a CCHD requiring cardiac surgery with cardiopulmonary bypass.

CONDITIONS

Official Title

Cerebrum and Cardiac Protection With Allopurinol in Neonates With Critical Congenital Heart Disease Requiring Cardiac Surgery With Cardiopulmonary Bypass

Who Can Participate

Age: 0 - 1Month
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Neonates with a confirmed prenatal or postnatal diagnosis of critical congenital heart disease requiring cardiac surgery with cardiopulmonary bypass within the first 4 weeks of life
  • Informed consent provided by both parents
Not Eligible

You will not qualify if you...

  • Unable to enroll before delivery if diagnosed prenatally, or within 24 hours before surgery if diagnosed postnatally
  • Uncertainty whether aortic arch anomaly requires neonatal cardiac surgery with cardiopulmonary bypass
  • Gestational age below 36 weeks or birth weight under 2000 grams
  • Surgery planned without cardiopulmonary bypass
  • Decision made for comfort care only

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 4 locations

1

University Medical Center Groningen (UMCG)

Groningen, Netherlands, 9700 RB

Actively Recruiting

2

Radboud University Medical Center Nijmegen (Radboudumc)

Nijmegen, Netherlands, 6525 GA

Active, Not Recruiting

3

Erasmus Medical Center Rotterdam (Erasmus MC)

Rotterdam, Netherlands, 3015 GD

Actively Recruiting

4

University Medical Center Utrecht (UMC Utrecht)

Utrecht, Netherlands, 3584 EA

Actively Recruiting

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Research Team

M

Manon JNL Benders, Prof. MD PhD

CONTACT

M

Maaike Nijman, MD

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

QUADRUPLE

Allocation

RANDOMIZED

Model

PARALLEL

Primary Purpose

TREATMENT

Number of Arms

2

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