Feeding Intolerance, Premature Birth, Domperidone Overdose, Gastric Retention
Conditions
Keywords
feeding intolerance, premature infant, domperidone
Brief summary
The purpose of this clinical multi-center study is to determine whether different doses of domperidone are effective in the treatment of feeding intolerance in premature infant
Detailed description
the premature infant have been divided into four group.The first group take the 0.2mg/kg/tds domperidone as treatment ,while the other group take the 0.4mg/kg/tds domperidone,0.6mg/kg/tds domperidone and the placebo respectively . An objective index has been decided to evaluate the severity of feeding intolerance in the premature infant. 3kg/kg 5% glucose will be injected into the gastric tube .The residual glucose will be drawed out from the gastric tube. The residual percentage is the main result of the study. The main result will be compared by the secondary result to help to explain the accuracy. The secondary result is the percentage of residual milk drawed out from the gastric tube from how many milk the infant take 3 hours ago. Any adverse effect will be recorded and analysed to figure out whether is associate with the domperidone.
Interventions
0.2mg group-The premature infant will be fed with 0.2mg/kg/tds domperidone and will be tested the residual glucose everyday in a 7-days period.
0.4mg group-The premature infant will be fed with 0.4mg/kg/tds domperidone and will be tested the residual glucose everyday in a 7-days period.
0.6mg group-The premature infant will be fed with 0.6mg/kg/tds domperidone and will be tested the residual glucose everyday in a 7-days period.
Glucose group-The premature infant will be fed with glucose and will be tested the residual glucose everyday in a 7-days period.
Sponsors
Study design
Eligibility
Inclusion criteria
* the residual milk and glucose over 55% * abdominal distention or vomiting; * Reduce,delay or disruption of enteral feeding
Exclusion criteria
* Four weeks before the start of this study had participated in other clinical trials * pulmonary hypertension; * Infants with necrotizing enterocolitis * Gastrointestinal tract malformation, congenital heart disease * Pre-existing QT extend/between long QT syndrome; * ascites * Have been used or will use drugs suppress CYP3A4 * Other risk factors for prolong the QT
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the residual glucose percentage | 7 days | 3kg/kg 5% glucose will be injected into the gastric tube .The residual glucose will be drawed out from the gastric tube after 30 min |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the percentage of residual milk | 7 days | the percentage of residual milk drawed out from the gastric tube from how many milk the infant take 3 hours ago. |
Other
| Measure | Time frame |
|---|---|
| Incidence of Treatment-Emergent Adverse Events | 1 month |
Countries
China