UMIN-CTR Clinical Trial

Unique ID issued by UMIN C000000160
Receipt number R000000229
Scientific Title Randomized Controlled Trial for the Prevention of Intraventricular Hemorrhage by Indomethacin in Japanese Extremely Low Birth Weight Infants.
Date of disclosure of the study information 2005/09/11
Last modified on 2006/09/20 16:18:14

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Basic information

Public title

Randomized Controlled Trial for the Prevention of Intraventricular Hemorrhage by Indomethacin in Japanese Extremely Low Birth Weight Infants.

Acronym

Randomized Controlled Trial for the Prevention of Intraventricular Hemorrhage by Indomethacin in Japanese Extremely Low Birth Weight Infants.

Scientific Title

Randomized Controlled Trial for the Prevention of Intraventricular Hemorrhage by Indomethacin in Japanese Extremely Low Birth Weight Infants.

Scientific Title:Acronym

Randomized Controlled Trial for the Prevention of Intraventricular Hemorrhage by Indomethacin in Japanese Extremely Low Birth Weight Infants.

Region

Japan


Condition

Condition

Extremely Low Birth Weight Infants
(Intraventricular Hemorrhage , Patent ductus arteriosus)

Classification by specialty

Pediatrics

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To study the efficacy and complications of low dose IND with six hours' continuous infusion started within 6 hours after birth in the reduction of severe IVH in Japanese ELBW infants.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Phase III


Assessment

Primary outcomes

1. Incidence of grade 3, 4 Intraventricular hemorrhage on day 6.
2. Incidence of Patent ductus arteriosus on day 6.
3. Incidence of Periventricular Leukomalacia, Necrotizing Enterocolitis, Retinopathy of prematurity

Key secondary outcomes

1.Developmental impairment at 1 and a half year old.
2.Developmental impairment at 3 years of age.
3.Mortality rate at 0-27 days after birth.
4.Requirement of surgery for Patent ductus arteriosus.


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Double blind -all involved are blinded

Control

Placebo

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as adjustment factor in dynamic allocation.

Blocking

NO

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

A dose of intravenous injection of 0.1 mg /kg of indomethacin will be given continuously in 6 hours. Two additional dose will be given in the same manner in every 24 hours. Administration will be completed when the third administration is completed.

Interventions/Control_2

Placebo (A same dose of intravenous indomethacin of 0.1 mg /kg) will be given continuously in 6 hours. Two additional dose will be given in the same manner in every 24 hours. Administration will be completed when the third administration is completed.

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

0 weeks-old <=

Age-upper limit

0 weeks-old >=

Gender

Male and Female

Key inclusion criteria

1.Extremely low birth weight infants weighing more than 400 g and less than 1000 g at birth.
2.Gestation above 22 weeks 0 day at birth.
3.Birth weight standard deviation -1.99 sd. All infants born less than 24 weeks 0 day is to be included.
4.First dose to be given within 6 hours of birth.
5.Informed consent to participate to the study is obtained from the guardians.

Key exclusion criteria

1. Subjects diagnosed as grade 3 and 4 Intraventricular hemorrhage.
2. Subjects with Patent ductus arteriosus which requires the usual treatment.
3.Subjects with hemorrhage tendency.
4.Subjects with platelet count < 50,000/mm3.
5.Subjects with necrotizing enterocolitis
6.Subjects with significant birth defects.
7.Subjects with mother given indomethacin or PG inhibitor within 48hours before delivery
8. Subjects judged by the investigator to be inappropriate as study subjects.

Target sample size

600


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Fujimura Masanori

Organization

Osaka Medical Center for Maternal and Child Health

Division name

President

Zip code


Address

840, Murodocho, Izumi, Osaka, Japan

TEL

0725-56-1220

Email



Public contact

Name of contact person

1st name
Middle name
Last name Fujimura Masanori

Organization

Osaka Medical Center for Maternal and Child Health

Division name

President

Zip code


Address

840, Murodocho, Izumi, Osaka, Japan

TEL

0725-56-1220

Homepage URL

http://nrn.shiga-med.ac.jp/

Email

mfuji@mch.pref.osaka.jp


Sponsor or person

Institute

Neonatal Research Network Japan

Institute

Department

Personal name



Funding Source

Organization

Government

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2005 Year 09 Month 11 Day


Related information

URL releasing protocol

http://nrn.shiga-med.ac.jp/indo/

Publication of results

Unpublished


Result

URL related to results and publications

http://nrn.shiga-med.ac.jp/

Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

1999 Year 10 Month 05 Day

Date of IRB


Anticipated trial start date

1999 Year 11 Month 01 Day

Last follow-up date

2006 Year 12 Month 01 Day

Date of closure to data entry

2007 Year 05 Month 01 Day

Date trial data considered complete

2007 Year 08 Month 01 Day

Date analysis concluded

2008 Year 08 Month 01 Day


Other

Other related information



Management information

Registered date

2005 Year 09 Month 11 Day

Last modified on

2006 Year 09 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000000229