Study 11 of 19 for search of: "Asphyxia"
Previous Study Return to Search Results Next Study

  Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Ascorbic Acid and Ibuprofen in Infants With Hypoxic Ischemic Encephalopathy
This study has been completed.
Sponsored by: Al-Azhar University
Information provided by: Al-Azhar University
ClinicalTrials.gov Identifier: NCT00624871
  Purpose

Oxygen radicals and inflammation are important causes for brain injury in neonates following perinatal asphyxia. Animal studies demonstrated potential benefits to the brain when using both of vitamin C and ibuprofen. The efficacy of these 2 drugs when combined in protecting the human brain has not been studied. We aimed in this study to test the hypothesis that a combination of anti-oxidants (vitamin C) and anti-inflammatory (ibuprofen) drugs can decrease the brain injury in perinatal asphyxia and improve outcomes when given to infants immediately after birth.


Condition Intervention
Hypoxic Ischemic Encephalopathy
Perinatal Asphyxia
Drug: Ascorbic acid (vitamin C)
Drug: Ibuprofen
Drug: Placebo

Drug Information available for: Ibuprofen Dexibuprofen Ascorbic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Randomized, Double Blind (Subject, Caregiver, Investigator, Outcomes Assessor), Placebo Control, Parallel Assignment, Efficacy Study
Official Title: Ascorbic Acid Combined With Ibuprofen in Hypoxic Ischemic Encephalopathy: A Randomized Controlled Trial.

Further study details as provided by Al-Azhar University:

Primary Outcome Measures:
  • DDST-II [ Time Frame: 6 months ] [ Designated as safety issue: No ]
  • Neurological Examination [ Time Frame: 6 months ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Death [ Time Frame: On Discharge ] [ Designated as safety issue: Yes ]
  • Neurological Examination [ Time Frame: On Discharge ] [ Designated as safety issue: No ]

Enrollment: 60
Study Start Date: April 2004
Study Completion Date: April 2006
Primary Completion Date: April 2006 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
A: Active Comparator
Infants will receive intravenous ascorbic acid and oral ibuprofen for 3 days
Drug: Ascorbic acid (vitamin C)
IV, 100 mg/kg/day, every day, for 3 days
Drug: Ibuprofen
PO, 10 mg/kg on day 1, 5 mg/kg/day on days 2 and 3 of life
B: Placebo Comparator
Infants will receive equivalent amount of placebo
Drug: Placebo

  Eligibility

Ages Eligible for Study:   up to 2 Hours
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Apgar score at 5 minutes < 6
  • Profound metabolic or mixed acidosis with pH < 7 in the initial blood gas
  • Evidence of encephalopathy such as coma, seizures or hypotonia
  • Evidence of multi-system compromise, in addition to encephalopathy

Exclusion Criteria:

  • Major congenital anomalies
  • Early sepsis
  • Gastrointestinal bleeding
  • Thrombocytopenia
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00624871

Locations
Egypt
Bab El-Shariya Hospital
Cairo, Egypt
Sponsors and Collaborators
Al-Azhar University
Investigators
Principal Investigator: Ahmed Elsayed, MD Al-Azhar University
Study Chair: Laila Abd-Rabboh, MD Al-Azhar University
  More Information

Responsible Party: Al-Azhar University ( Ahmed Helal Elsayed )
Study ID Numbers: 2004-MD-thesis-ahmed
Study First Received: February 20, 2008
Last Updated: February 27, 2008
ClinicalTrials.gov Identifier: NCT00624871  
Health Authority: Egypt: Institutional Review Board

Keywords provided by Al-Azhar University:
Interleukin 1-beta
Interleukin 6
Vitamin C
HIE
neonates

Study placed in the following topic categories:
Liver Diseases
Death
Neurotoxicity Syndromes
Hypoxia, Brain
Brain Damage, Chronic
Disorders of Environmental Origin
Brain Diseases
Cerebrovascular Disorders
Signs and Symptoms
Hypoxia-Ischemia, Brain
Mental Disorders
Brain Ischemia
Brain Injuries
Dementia
Neurobehavioral Manifestations
Hepatic Insufficiency
Delirium
Liver Failure
Ibuprofen
Metabolic Diseases
Neurotoxicity syndromes
Poisoning
Wounds and Injuries
Vascular Diseases
Central Nervous System Diseases
Confusion
Ischemia
Encephalitis
Cognition Disorders
Virus Diseases

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Antioxidants
Molecular Mechanisms of Pharmacological Action
Growth Substances
Cyclooxygenase Inhibitors
Nervous System Diseases
Physiological Effects of Drugs
Enzyme Inhibitors
Central Nervous System Viral Diseases
Protective Agents
Pharmacologic Actions
Pathologic Processes
Sensory System Agents
Analgesics, Non-Narcotic
Therapeutic Uses
Vitamins
Cardiovascular Diseases
Anti-Inflammatory Agents, Non-Steroidal
Peripheral Nervous System Agents
Analgesics
Micronutrients
Antirheumatic Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on January 16, 2009