Dobutamine Versus Placebo for Low Superior Vena Cava Flow in Newborns
NCT01605279 · Status: COMPLETED · Phase: PHASE2 · Type: INTERVENTIONAL · Enrollment: 127
Last updated 2015-03-09
Summary
Low systemic flow as measured by Doppler-echocardiography has been associated with poor neurological outcome. Yet, it has not been systematically evaluated whether the treatment of this hemodynamic condition is beneficial or not. This study aims to evaluate if treating low systemic flow in preterm infants with dobutamine has any effect on the cerebral circulation and in newborn prognosis.
Conditions
- Hemodynamic Instability
Interventions
- DRUG
-
Dobutamine
Patients with low SVCF in the first 12 hours of life will be randomized to receive Dobutamine or Placebo. First dose: 5 microg/k/min; second dose: 10 microg/k/min; third dose: 15 microg/k/min; forth dose: 20 microg/k/min. Dobutamine concentration will be prepared in a 20 ml syringe and the dose will be adjusted so each 0.1 ml/kg per hour increase in flow rate would deliver the corresponding step-increase in the drug infusion dose. Dose increments will be 5, 10, 15, 20 microg/kg per minute The study drug was increased in a stepwise manner every 30 minutes until the optimal SVCF was attained and maintained for 60 minutes (SVCF-OP). Treatment duration: 24 hours of postnatal age, maintaining the infusion rate which achieves the SVCF-OP.
- DRUG
-
Patients with low SVCF in the first 12 hours of life will be randomised to receive Dobutamine or Placebo (dextrose 5% in water, D5W, as Placebo)
Sponsors & Collaborators
-
Adelina Pellicer
lead OTHER
Principal Investigators
-
María Carmen Bravo, PhDMD · Fundación Investigación Biomédica HULP
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Max Age
- 12 Hours
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-09-30
- Primary Completion
- 2012-10-31
- Completion
- 2012-10-31
Countries
- Spain
Study Locations
More Related Trials
-
Circulatory Changes During Venovenous (VV)- and Venoarterial (VA) Extracorporeal Membrane Oxygenation (ECMO)
NCT00622492 ·Status: UNKNOWN
-
Study of Dopamine Versus Vasopressin for Treatment of Low Blood Pressure in Low Birth Weight Infants
NCT01318278 ·Status: COMPLETED ·Phase: NA
-
Study of Thoracic Ultrasound As a Response to the Closure of Hemodynamically Significant Patent Ductus Arteriosus in Premature Infants
NCT06627374 ·Status: RECRUITING
-
Percutaneous Intervention Versus Observational Trial of Arterial Ductus in Low Weight Infants
NCT05547165 ·Status: RECRUITING ·Phase: NA
-
Treatment of a PDA With Acetaminophen in Preterm Neonates: Exploring Various Indications
NCT03289390 ·Status: COMPLETED
-
Hemodynamic Responses to Cardio-respiratory Events in Preterm Infants
NCT04184245 ·Status: COMPLETED
-
Whole-Body Cooling for Birth Asphyxia in Term Infants
NCT00005772 ·Status: COMPLETED ·Phase: PHASE3
-
Splanchnic Oxygenation Response to Enteral Feeds in Preterm Infants With Abnormal Antenatal Doppler.
NCT02971566 ·Status: COMPLETED
-
Plasma N-terminal proBNP Concentrations and Patent Ductus Arteriosus in Preterm Babies
NCT00725647 ·Status: COMPLETED
-
Comparison of 2 Different Indomethacin Dosing Protocols to Treat Infants Delivered at <28 Weeks Gestation With a Persistent Patent Ductus Arteriosus
NCT00187447 ·Status: COMPLETED ·Phase: PHASE2
-
Repercussions of Respiratory Physiotherapy in Preterm Infants Under Mechanical Ventilation
NCT03159039 ·Status: COMPLETED ·Phase: NA
-
Descriptive Study of Brain Velocity in Transcranial Doppler in Newborns Over 35 Weeks of Gestational Age in the Maternity Ward
NCT03553134 ·Status: COMPLETED
-
Nitric Oxide, Endothelin-1, and the Patency of Ductus Arteriosus in Preterm Infants
NCT00162903 ·Status: COMPLETED
-
Alternative Paracetamol Treatments for the Neonate With a hsPDA
NCT03604796 ·Status: UNKNOWN ·Phase: PHASE2/PHASE3
-
Transitional Cerebrovascular Reactivity in Very Preterm Infants
NCT04423016 ·Status: COMPLETED
-
Early Blood Pressure Management in Extremely Premature Infants
NCT00874393 ·Status: COMPLETED ·Phase: PHASE1
-
Doxapram Therapy in Preterm Infants (DOXA Trial)
NCT04430790 ·Status: RECRUITING ·Phase: PHASE3
-
Effect of Antenatal Steroid on Pulmonary Artery Blood Flow
NCT02978976 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Transitional Circulation in ELBW Infants
NCT02016599 ·Status: ACTIVE_NOT_RECRUITING
-
The Use of B-type Natriuretic Peptide (BNP) to Predict Closure of a Patent Ductus Arteriosus (PDA) in Premature Infants
NCT00500305 ·Status: COMPLETED ·Phase: NA
-
Delivery Room Assistance With the Placental Circulation Intact
NCT02671305 ·Status: COMPLETED ·Phase: NA
-
Dopamine vs. Norepinephrine for Hypotension in Very Preterm Infants With Late-onset Sepsis
NCT05347238 ·Status: RECRUITING
-
Early Prediction of Spontaneous Patent Ductus Arteriosus (PDA) Closure and PDA-Associated Outcomes
NCT03782610 ·Status: ACTIVE_NOT_RECRUITING
-
Influence of Treatment for Patent Ductus Arteriosus on Cerebral Oxygenation in Preterm Infants
NCT01428180 ·Status: COMPLETED
-
Impact of Suspected Preterm Labour on Cardiometabolic Profile and Neurodevelopment
NCT05211297 ·Status: COMPLETED