Trial Outcomes & Findings for Management of the PDA Trial (NCT NCT03456336)

NCT ID: NCT03456336

Last Updated: 2026-05-12

Results Overview

A composite outcome for infants who were diagnosed with physiologic bronchopulmonary dysplasia (BPD) or died by 36 weeks postmenstrual age (PMA). Physiologic BPD is determined using existing Neonatal Research Network Generic Database criteria at 36 weeks PMA. Infants alive an in hospital are classified based on respiratory status at 36 weeks PMA or by a room air weaning challenge performed between 36 and 37 weeks PMA. Infants who are transferred or discharged before 36 weeks are classified based on the support they are receiving at that time. Infants who died before 36 weeks PMA are not assessed for BPD. Deaths include all-cause deaths between randomization and 36 weeks PMA.

Recruitment status

ACTIVE_NOT_RECRUITING

Study phase

PHASE3

Target enrollment

482 participants

Primary outcome timeframe

Randomization to 36 weeks PMA

Results posted on

2026-05-12

Participant Flow

One infant was randomized but withdrew consent for use of any data. This infant is included in the Period table below, but excluded from all analyses.

Participant milestones

Participant milestones
Measure
Active Treatment Group
Infants assigned to the active treatment group will receive indomethacin, ibuprofen or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin, ibuprofen, or acetaminophen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
Infants assigned to the expectant management group will receive indomethacin, ibuprofen, or acetaminophen only if cardiopulmonary compromise occurs.
Overall Study
STARTED
240
242
Overall Study
COMPLETED
213
223
Overall Study
NOT COMPLETED
27
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Active Treatment Group
Infants assigned to the active treatment group will receive indomethacin, ibuprofen or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin, ibuprofen, or acetaminophen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
Infants assigned to the expectant management group will receive indomethacin, ibuprofen, or acetaminophen only if cardiopulmonary compromise occurs.
Overall Study
Death
23
10
Overall Study
Withdrawal by Subject
4
8
Overall Study
Withdrew consent for any use of data
0
1

Baseline Characteristics

Gestational age was based on the obstetric estimate (last menstrual period, obstetrical assessments, or early ultrasound). If that was not available or disagreed by more than two weeks with the neonatologist's assessment based on physical or neurologic exams, the neonatologist's estimate was used. If gestational age in days was not recorded, sites entered zero for days.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Active Treatment Group
n=240 Participants
Infants assigned to the active treatment group will receive indomethacin, ibuprofen, or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin, ibuprofen, or acetaminophen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
n=241 Participants
Infants assigned to the expectant management group will receive indomethacin, ibuprofen, or acetaminophen only if cardiopulmonary compromise occurs.
Total
n=481 Participants
Total of all reporting groups
Race (NIH/OMB)
Asian
7 Participants
n=1512 Participants
9 Participants
n=504 Participants
16 Participants
n=2016 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=1512 Participants
1 Participants
n=504 Participants
2 Participants
n=2016 Participants
Age, Continuous
25.6 Weeks
n=1512 Participants • Gestational age was based on the obstetric estimate (last menstrual period, obstetrical assessments, or early ultrasound). If that was not available or disagreed by more than two weeks with the neonatologist's assessment based on physical or neurologic exams, the neonatologist's estimate was used. If gestational age in days was not recorded, sites entered zero for days.
25.6 Weeks
n=504 Participants • Gestational age was based on the obstetric estimate (last menstrual period, obstetrical assessments, or early ultrasound). If that was not available or disagreed by more than two weeks with the neonatologist's assessment based on physical or neurologic exams, the neonatologist's estimate was used. If gestational age in days was not recorded, sites entered zero for days.
25.6 Weeks
n=2016 Participants • Gestational age was based on the obstetric estimate (last menstrual period, obstetrical assessments, or early ultrasound). If that was not available or disagreed by more than two weeks with the neonatologist's assessment based on physical or neurologic exams, the neonatologist's estimate was used. If gestational age in days was not recorded, sites entered zero for days.
Sex: Female, Male
Female
117 Participants
n=1512 Participants
120 Participants
n=504 Participants
237 Participants
n=2016 Participants
Sex: Female, Male
Male
123 Participants
n=1512 Participants
121 Participants
n=504 Participants
244 Participants
n=2016 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
1 Participants
n=1512 Participants
1 Participants
n=504 Participants
2 Participants
n=2016 Participants
Race (NIH/OMB)
Black or African American
82 Participants
n=1512 Participants
93 Participants
n=504 Participants
175 Participants
n=2016 Participants
Race (NIH/OMB)
White
120 Participants
n=1512 Participants
112 Participants
n=504 Participants
232 Participants
n=2016 Participants
Race (NIH/OMB)
More than one race
5 Participants
n=1512 Participants
7 Participants
n=504 Participants
12 Participants
n=2016 Participants
Race (NIH/OMB)
Unknown or Not Reported
24 Participants
n=1512 Participants
18 Participants
n=504 Participants
42 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
58 Participants
n=1512 Participants
55 Participants
n=504 Participants
113 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
182 Participants
n=1512 Participants
186 Participants
n=504 Participants
368 Participants
n=2016 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=1512 Participants
0 Participants
n=504 Participants
0 Participants
n=2016 Participants

PRIMARY outcome

Timeframe: Randomization to 36 weeks PMA

Population: An intent-to-treat (ITT) analysis which included all infant participants who were randomized and who provided outcome data.

A composite outcome for infants who were diagnosed with physiologic bronchopulmonary dysplasia (BPD) or died by 36 weeks postmenstrual age (PMA). Physiologic BPD is determined using existing Neonatal Research Network Generic Database criteria at 36 weeks PMA. Infants alive an in hospital are classified based on respiratory status at 36 weeks PMA or by a room air weaning challenge performed between 36 and 37 weeks PMA. Infants who are transferred or discharged before 36 weeks are classified based on the support they are receiving at that time. Infants who died before 36 weeks PMA are not assessed for BPD. Deaths include all-cause deaths between randomization and 36 weeks PMA.

Outcome measures

Outcome measures
Measure
Active Treatment Group
n=240 Participants
Infants assigned to the active treatment group will receive indomethacin, ibuprofen, or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin, ibuprofen, or acetaminophen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
n=241 Participants
Infants assigned to the expectant management group will receive indomethacin or ibuprofen only if cardiopulmonary compromise occurs.
Death or Bronchopulmonary Dysplasia (BPD) at 36 Weeks PMA
Yes
191 Participants
195 Participants
Death or Bronchopulmonary Dysplasia (BPD) at 36 Weeks PMA
No
49 Participants
46 Participants

SECONDARY outcome

Timeframe: birth to 36 week postmenstrual age

mortality assessed at 36 week postmenstrual age

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 120 days of life

mortality assessed prior to hospital discharge

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 week postmenstrual age

BPD defined by the physiologic test of oxygen therapy

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 week postmenstrual age

BPD defined by the NIH consensus definition of moderate or severe

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 weeks post menstrual age

Proven NEC, no surgery, Stages IIA, IIB, or IIIA AND proven, surgery, Stage IIIB

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 weeks post menstrual age

Stage 3 or worse in either eye AND as any intervention therapy-retinal ablation, scleral buckle/vitrectomy, avastin or other anti-VEGF drug

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 120 days

Defined as ligation or cardiac catheterization

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 weeks post menstrual age

Weight assessed at 36 weeks post menstrual age

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 weeks post menstrual age

Height assessed at 36 weeks post menstrual age

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: birth to 36 weeks post menstrual age

Head Circumference assessed at 36 weeks post menstrual age

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Proven NEC, no surgery, Stages IIA, IIB, or IIIA AND proven, surgery, Stage IIIB

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Stage 3 or worse in either eye AND as any intervention therapy-retinal ablation, scleral buckle/vitrectomy, avastin or other anti-VEGF drug

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Weight assessed at status (2 years)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Height assessed at status (2 years)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Head Circumference assessed at status (2 years)

Outcome measures

Outcome data not reported

OTHER_PRE_SPECIFIED outcome

Timeframe: 26 months corrected age

Severe NDI will be defined by any of the following: a Bayley Scales of Infant and Toddler Development (BSID) III cognitive score \< 70, Gross Motor Functional (GMF) Level of 3-5, blindness (\<20/200 vision) or profound hearing loss (inability to understand commands despite amplification); moderate NDI will be defined as a BSID III cognitive score 70-84 and either a GMF level of 2 or a hearing deficit requiring amplification to understand commands or unilateral blindness; mild NDI will be defined by a cognitive score 70-84, or a cognitive score ≥ 85 and any of the following: presence of a GMF level 1 or hearing loss not requiring amplification. Normal (no NDI) will be defined by a cognitive score ≥ 85 and absence of any neurosensory deficits.

Outcome measures

Outcome data not reported

Adverse Events

Active Treatment Group

Serious events: 43 serious events
Other events: 3 other events
Deaths: 23 deaths

Expectant Management Group

Serious events: 32 serious events
Other events: 9 other events
Deaths: 10 deaths

Serious adverse events

Serious adverse events
Measure
Active Treatment Group
n=240 participants at risk
Infants assigned to the active treatment group will receive indomethacin, ibuprofen, or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin or ibuprofen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
n=241 participants at risk
Infants assigned to the expectant management group will receive indomethacin, ibuprofen, or acetaminophen only if cardiopulmonary compromise occurs.
Gastrointestinal disorders
Necrotising enterocolitis neonatal
7.9%
19/240 • Number of events 19 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
7.1%
17/241 • Number of events 17 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Sepsis neonatal
2.5%
6/240 • Number of events 6 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
1.7%
4/241 • Number of events 4 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Gastrointestinal disorders
Neonatal intestinal perforation
0.83%
2/240 • Number of events 2 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Appendicitis perforated
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Group B streptococcus neonatal sepsis
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Vascular device infection
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Septic shock
1.2%
3/240 • Number of events 3 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Pneumonia escherichia
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Enterobacter pneumonia
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Staphylococcal sepsis
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Fungal sepsis
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Neonatal respiratory failure
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
1.2%
3/241 • Number of events 3 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Neonatal respiratory distress syndrome
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.83%
2/241 • Number of events 2 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Acute respiratory failure
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Neonatal pulmonary hypertension
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage neonatal
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Cardio-respiratory arrest neonatal
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Neonatal pneumothorax
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Cardiac disorders
Cardiopulmonary failure
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Cardiac disorders
Supraventricular tachycardia
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Cardiac disorders
Ventricular tachycardia
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Cardiac disorders
Cardiac arrest neonatal
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Renal and urinary disorders
Renal failure
1.2%
3/240 • Number of events 3 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Eye disorders
Retinopathy of prematurity
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Hepatobiliary disorders
Hepatic infarction
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Nervous system disorders
Posthaemorrhagic hydrocephalus
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.

Other adverse events

Other adverse events
Measure
Active Treatment Group
n=240 participants at risk
Infants assigned to the active treatment group will receive indomethacin, ibuprofen, or acetaminophen per their local site usual care dosing and schedule if the infant has a sPDA. The choice of indomethacin or ibuprofen will be left to the center, however, infants may only receive one or the other.
Expectant Management Group
n=241 participants at risk
Infants assigned to the expectant management group will receive indomethacin, ibuprofen, or acetaminophen only if cardiopulmonary compromise occurs.
Gastrointestinal disorders
Necrotising enterocolitis neonatal
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
1.7%
4/241 • Number of events 4 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Infections and infestations
Neonatal pneumonia
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Respiratory, thoracic and mediastinal disorders
Pulmonary haemorrhage neonatal
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Cardiac disorders
Neonatal sinus bradycardia
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Renal and urinary disorders
Renal failure
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.83%
2/241 • Number of events 3 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Blood and lymphatic system disorders
Splenic infarction
0.42%
1/240 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.00%
0/241 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
Vascular disorders
Neonatal hypotension
0.00%
0/240 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.
0.41%
1/241 • Number of events 1 • Adverse events are reported from time of randomization to 36 completed weeks PMA.
A serious adverse events is defined as: resulting in death, is life-threatening, requires prolongation of hospitalization, resulting in persistent or significant disability/incapacity, or any other serious important medical events.

Additional Information

Matthew Laughon

University of North Carolina at Chapel Hill

Phone: (984) 974-7851

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place