UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000000990
Receipt number R000001193
Scientific Title A multicenter randomized control study of the effect of umbilical cord milking in avoiding red cell transfusions in extremely immature infants
Date of disclosure of the study information 2008/01/23
Last modified on 2015/07/23 10:40:43

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Basic information

Public title

A multicenter randomized control study of the effect of umbilical cord milking in avoiding red cell transfusions in extremely immature infants

Acronym

A multicenter randomized control study of the effect of umbilical cord milking

Scientific Title

A multicenter randomized control study of the effect of umbilical cord milking in avoiding red cell transfusions in extremely immature infants

Scientific Title:Acronym

A multicenter randomized control study of the effect of umbilical cord milking

Region

Japan


Condition

Condition

extremely immature infants

Classification by specialty

Obstetrics and Gynecology Pediatrics Blood transfusion
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To investigate the effects of umbilical cord milking on the need for red blood cell transfusion and neulodevelpomental outcomes in extremely premature infants.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Confirmatory

Trial characteristics_2

Pragmatic

Developmental phase

Not applicable


Assessment

Primary outcomes

1) the probability of not needing transfusion and death
2) amount of blood transfusion within the first 4 weeks

Key secondary outcomes

1) Mortality
2) Major complications (intraventricular hemorrage, chronic lung disease, periventricular leukomalasia, retionopath of prematurity, ontestinal perfolation)
3) serious adverse event
4) hemoglobin values within the first 24 hours
5) stabilization of blood pressure and use of volume expander and/or inotoropes
6) incidence of polycythemia and hyperbilirubinemia
7) developmental disorder at 18 months and 3 years of age (neurodevelopmental delay, cerebral palsy, epilepsy, visual impairment, hearing loss)


Base

Study type

Interventional


Study design

Basic design

Parallel

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -no one is blinded

Control

No treatment

Stratification

YES

Dynamic allocation

YES

Institution consideration

Institution is considered as a block.

Blocking

YES

Concealment

Central registration


Intervention

No. of arms

2

Purpose of intervention

Prevention

Type of intervention

Maneuver

Interventions/Control_1

First, umbilical cord is cut and clamped at 30cm from infants. Next the baby is placed on a radiant wormer. Finally, a Pediatrician straightens a kink of the umbilical cord and then milks the umbilical cord steadily once.

Interventions/Control_2

early cord clamping (less than 30 seconds)

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit


Not applicable

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

1) infants born at 24 to less than 28 weeks of gestation
2) informed cocents obtained from parents

Key exclusion criteria

1) Major anomalies diagnosed in utero
2) intrauterin growth retardation ( less than 3SD)
3) monochorionic twins
4) super twin

Target sample size

566


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Shigeharu Hosono

Organization

Nihon University School of Medicine

Division name

Department of Pediatrics and Child Health

Zip code


Address

30-1 Oyaguchi Itabashi Tokyo Japan

TEL

03-3972-8111(2442)

Email

hosono.shigeharu@nihon-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Shigeharu Hosono

Organization

Nihon University School of Medicine

Division name

Department of Pediatrics and Child Health

Zip code


Address

30-1 Oyaguchi Itabashi Tokyo Japan

TEL

03-3972-8111(2442)

Homepage URL

http://nrn.shiga-med.ac.jp/milking/

Email

hosonos@med.nihon-u.ac.jp


Sponsor or person

Institute

Neonatal Resarch Network

Institute

Department

Personal name



Funding Source

Organization

The Ministry of Health, Labor and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

Japan


Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions

君津中央病院(千葉県)、群馬県立小児医療センター(群馬県)、国立成育医療研究センター病院(東京都)、埼玉医科大学総合医療センター(埼玉県)、新潟市民病院(新潟県)、静岡県立こども病院(静岡県)、仙台赤十字病院周産期センター(宮城件)、倉敷中央病院(岡山県)、大垣市民病院(愛知県)、大分県立病院(大分県)、東京医科大学病院(東京都)、東京都立小児総合医療センター(東京都)、日本大学医学部附属板橋病院(東京都)、北海道大学病院(北海道)


Other administrative information

Date of disclosure of the study information

2008 Year 01 Month 23 Day


Related information

URL releasing protocol

http://nrn.shiga-med.ac.jp/milking/

Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

No longer recruiting

Date of protocol fixation

2007 Year 11 Month 29 Day

Date of IRB


Anticipated trial start date

2008 Year 01 Month 01 Day

Last follow-up date

2016 Year 03 Month 31 Day

Date of closure to data entry

2016 Year 03 Month 31 Day

Date trial data considered complete

2016 Year 03 Month 31 Day

Date analysis concluded

2016 Year 12 Month 31 Day


Other

Other related information



Management information

Registered date

2008 Year 01 Month 22 Day

Last modified on

2015 Year 07 Month 23 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001193


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name