Preventing bronchopulmonary dysplasia (BPD) or death in extremely-low-birth-weight (ELBW) infants.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Neonates with a birth weight 2.5 / =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: =1 major congenital abnormalities. Congenital nonbacterial infection with overt signs at birth. Terminal illness as evidenced by pH 2 hours or persistent bradycardia (heart rate 2 hours. Birth weight <400 g. Participation in another clinical trial according to German Drug Law (AMG).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To investigate whether early postnatal additional high dose oral vitamin A supplementation (5000 IU/kg body weight/day) for 28 days reduces the absolute risk of bronchopulmonary dysplasia (moderate/severe) or death at 36+0 weeks PMA or at date of discharge to home, whichever comes first in ELBW infants when compared to placebo treatment.;Secondary Objective: To assess the impact on high dose oral vitamin A supplementation on: 1.All-cause mortality 2.All grade BPD (mild/moderate/severe) 3.Duration of PPV and PPS 4.Duration of evolving BPD since birth 5.Serum VA status 6.Retinopathy of prematurity (ROP) 7.Intraventricular hemorrhage (IVH) 8.Periventricular leukomalacia (PVL) 9.Necrotizing enterocolitis (NEC) 10.Safety and tolerability of study medication ;Primary end point(s): The primary endpoint of the study is the combined incidence of BPD (moderate/severe) or death at 36+0 weeks PMA or at date of discharge to home, whichever comes first. ;Timepoint(s) of evaluation of this end point: 36+0 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1. Any death 2. Any occurrence of BPD (mild/moderate/severe) 3. Days of PPV or PPS 4. Days of evolving BPD 5. Serum retinol levels, RBP, RE 6. Diagnosis of ROP using ophthalmological examination 7. Diagnosis of all grades of IVH using cranial ultrasound investigation 8. Diagnosis of PVL using cranial ultrasound investigation 9. Diagnosis of NEC using clinical examination and X-ray investigation 10. Occurrence of any adverse event 11. Total number of antibiotic treatments at 12 and 24 months of c.a. 12. Total number of antibiotic treatments for pulmonary infections at 12 and 24 months of c.a. 13. Total number of hospital admissions at 12 and 24 months of c.a. 14. Total number of hospital admissions for pulmonary infections at 12 and 24 months of c.a. 15. Results of Bayley-II or Bayley III scale at 24 months of c.a. 16. Anthropometric data at 12 and 24 months of c.a. 17. Neurological and non-neurological diseases during the first 12 and 24 months c.a. 18. Use of supportive therapies and specific drug Treatment;Timepoint(s) of evaluation of this end point: 36+0 weeks 12 months corrected age 24 months corrected age | — |
Countries
Austria, Germany
Contacts
Saarland University, Department of Pediatrics