1 out of 100 children born extremely early, or more than 8 weeks before the expected date. 20% of these extremely preterm children shows a cerebral hemorrhage at birth, leading to a significantly increased risk for neurodevelopmental deficits through to cerebral palsy. Recombinant erythropoietin is approved as a drug for the prevention of anemia of prematurity. Retrospective analyzes of Epo-treated preterm infants show improved neurological development in children after cerebral hemorrhage.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Informed written parental consent - IVH (grade II-IV) - GA =65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Genetically defined syndrome - Severe congenital malformation adversely affecting life expectancy or neurodevelopment - Admitted a priori for palliative care - Unlikely to participate at 5-year follow-up examination - Lack of willingness to storage and disclosure of pseudonymous disease data in the context of the clinical trial; - patients enrolled in this EPO-repair study are not allowed to receive EPO for other purposes;
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Primary objective: At 5 years of age: Intelligence quotient (Kaufman Assessment Battery for Children, german version (K-ABC);Secondary Objective: Secondary objectives: 1) cerebral ultrasound (cUS) findings until discharge 2) At term equivalent age: Brain injury score assessed on brain MRI 3) At 24 months: Mental development (Bayley III), incidence of visual, hearing and motor impairment;Primary end point(s): At 5 years of age: Intelligence quotient (Kaufman Assessment Battery for Children, german version (K-ABC);Timepoint(s) of evaluation of this end point: At 5 years of age | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): 1) cerebral ultrasound (cUS) findings until discharge 2) At term equivalent age: Brain injury score assessed on brain MRI 3) At 24 months: Mental development (Bayley III), incidence of visual, hearing and motor impairment;Timepoint(s) of evaluation of this end point: ad 1) At term equivalent age ad 2) At term equivalent age ad 3) At 24 months | — |
Countries
Austria, Switzerland
Contacts
UniversitätsSpital Zürich