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Sponsors and Collaborators: |
Hopital La Rabta maternity and neonatal center |
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Information provided by: | Hopital La Rabta |
ClinicalTrials.gov Identifier: | NCT00642330 |
it is a prospective randomized simple-blinded pilot trial with the principal aim to compare efficacy and tolerance between oral ibuprofen and intravenous ibuprofen in early curative closure of PDA in very low birth weight infants. The likelihood of ductal closure with only one or two doses of treatment is a secondary objective.
Condition | Intervention | Phase |
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Patent Ductus Arteriosus |
Drug: oral ibuprofen Drug: intravenous ibuprofen |
Phase IV |
Study Type: | Interventional |
Study Design: | Treatment, Randomized, Single Blind (Outcomes Assessor), Dose Comparison, Crossover Assignment, Efficacy Study |
Official Title: | Randomized Pilot Study Comparing Oral Ibuprofen With Intravenous Ibuprofen in Very Low Birth Weight Infants With Patent Ductus Arteriosus |
Enrollment: | 62 |
Study Start Date: | January 2007 |
Study Completion Date: | December 2007 |
Primary Completion Date: | March 2007 (Final data collection date for primary outcome measure) |
Arms | Assigned Interventions |
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I: Active Comparator |
Drug: intravenous ibuprofen
one (10 mg / kg), two (10 mg / kg followed 24 hours after by 5 mg /kg) or three (10 mg / kg followed at 24-hour intervals by two doses of 5 mg /kg each) doses of oral ibuprofen starting on the third day of life.the number of doses is depending on echocardiographic findings concerning ductal closure.
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O: Active Comparator |
Drug: oral ibuprofen
one (10 mg / kg), two (10 mg / kg followed 24 hours after by 5 mg /kg) or three (10 mg / kg followed at 24-hour intervals by two doses of 5 mg /kg each) doses of oral ibuprofen starting on the third day of life.the number of doses is depending on echocardiographic findings concerning ductal closure.
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We calculated that a study group of 62 patients would be necessary for the study to be able to detect a difference of at least 25 percentage points in the closure rate between the oral ibuprofen and intravenous ibuprofen groups, assuming a closure rate of 65 percent with intravenous ibuprofen, with a p value of 0, 05 and a power of 80 percent.Patients (gestational age, 25 to 32 weeks) with echocardiographically confirmed patent ductus arteriosus and respiratory distress will randomly be assigned to receive one (10 mg / kg), two (10 mg / kg followed 24 hours after by 5 mg /kg) or three (10 mg / kg followed at 24-hour intervals by two doses of 5 mg /kg each) doses of either intravenous ibuprofen (group I, n = 32) or oral ibuprofen (group O, n = 32), starting on the third day of life. The rate of ductal closure, side effects, complications, and the patients' clinical course will be recorded.
Ages Eligible for Study: | up to 96 Hours |
Genders Eligible for Study: | Both |
Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Responsible Party: | Hopital La Rabta ( khrouf naima ) |
Study ID Numbers: | IBU-001, TIS-1447, FMND-4585 |
Study First Received: | March 17, 2008 |
Last Updated: | March 24, 2008 |
ClinicalTrials.gov Identifier: | NCT00642330 History of Changes |
Health Authority: | Tunisia: Ministry of Public Health |
patent ductus arteriosus |
ibuprofen premature infant |
Birth Weight Anti-Inflammatory Agents Ibuprofen Heart Diseases Cardiovascular Abnormalities Patent Ductus Arteriosus Cyclooxygenase Inhibitors Body Weight Signs and Symptoms |
Analgesics, Non-Narcotic Anti-Inflammatory Agents, Non-Steroidal Peripheral Nervous System Agents Analgesics Antirheumatic Agents Congenital Abnormalities Heart Defects, Congenital Ductus Arteriosus, Patent |
Anti-Inflammatory Agents Birth Weight Ibuprofen Heart Diseases Molecular Mechanisms of Pharmacological Action Cardiovascular Abnormalities Cyclooxygenase Inhibitors Physiological Effects of Drugs Enzyme Inhibitors Pharmacologic Actions Body Weight Signs and Symptoms |
Sensory System Agents Analgesics, Non-Narcotic Therapeutic Uses Cardiovascular Diseases Anti-Inflammatory Agents, Non-Steroidal Peripheral Nervous System Agents Analgesics Antirheumatic Agents Congenital Abnormalities Central Nervous System Agents Heart Defects, Congenital Ductus Arteriosus, Patent |