UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000035536
Receipt number R000022621
Scientific Title Pilot study to explore additional indication of therapeutic hypothermia for neonates
Date of disclosure of the study information 2019/01/14
Last modified on 2019/01/14 19:13:13

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Basic information

Public title

Pilot study to explore additional indication of therapeutic hypothermia for neonates

Acronym

Additional indication of hypothermia for neonates

Scientific Title

Pilot study to explore additional indication of therapeutic hypothermia for neonates

Scientific Title:Acronym

Additional indication of hypothermia for neonates

Region

Japan


Condition

Condition

Neonatal encephalopathy

Classification by specialty

Neurology Obstetrics and Gynecology Pediatrics
Intensive care medicine

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

To assess the safety of moderate systemic hypothermia for 72 hours in neonates who are either slightly (i) less matured (33-35 weeks), (ii) less severely asphyxiated, (iii) mildly encephalopathic, or (iv) older (6-12 hours) than those cooled in previous phase-III trials.

Basic objectives2

Safety

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Death or severe adverse events until hospital discharge

Key secondary outcomes

Days on mechanical ventilation
Age at hospital discharge
Requirement for tube-feeding at discharge
Death or moderate disability (Time Frame: Birth to 18-22 months corrected age)
Brain MRI findings (Time Frame: 5-14 days)


Base

Study type

Interventional


Study design

Basic design

expanded access

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Device,equipment Other

Interventions/Control_1

Induced whole-body cooling with a target core body temoerature of 33.5C for 72 hours

Interventions/Control_2


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

1 days-old <=

Age-upper limit

1 days-old >=

Gender

Male and Female

Key inclusion criteria

Neonates are first assessed using the standard criteria for therapeutic hypothermia* (Shankaran et al. NEJM 2005).

1. Neonates born at 36 weeks gestation or greater, and body weight >1799g
2. Postnatal age < 6 hours after birth
3. At least one of the following criteria:
- Apgar score 0-5 at 10 minutes
- Cord or first postnatal blood pH less than 7.0
- Cord or first postnatal blood Base deficit greater than 16 mEq/L
- Need for continued resuscitation at least 10 minutes
4. Abnormal neurological exam suggesting the presence of moderate or severe encephalopathy

Neonates who meet 3 of 4 criteria are assessed for eligibility using the following entry criteria.

Category 1: Neonates < 36 weeks gestation but > 33 0/7 weeks, and/or body weight between 1500g and 1799g.
Category 2: Neonates between 6 and 12 hours of birth when cooling is initiated.
Category 3: At least one of the following criteria:
- Apgar 0-5 at 5 minutes
- pH less than 7.1
- Base deficit greater than 10 mEq/L
Category 4: Abnormal neurological exam suggesting the presence of mild encephalopathy

Key exclusion criteria

Gestational age <33 weeks or body weight <1500g.
Older than 12 hours of birth.
Neonates deemed inappropriate for cooling because of critical clinical conditions, such as severe haemorrhagic diathesis, congenital malformations, infection and cardiopulmonary failure.

Target sample size

30


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Osuke Iwata

Organization

Kurume University School of Medicine

Division name

Dept of Paediatrics

Zip code


Address

67 Asahimachi, Kurume, Fukuoka, 830-0011 Japan

TEL

0942-35-3311

Email

oiwata@med.kurume-u.ac.jp


Public contact

Name of contact person

1st name
Middle name
Last name Kennosuke Tsuda

Organization

Yokohama City University Medical Center

Division name

Pediatrics

Zip code


Address

4-57 Urafune, Minami, Yokohama, Kanagawa, Japan

TEL

045-261-5656

Homepage URL


Email

kentsuda1222@hotmail.co.jp


Sponsor or person

Institute

Kurume University School of Medicine

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Japanese Governmental office

Nationality of Funding Organization



Other related organizations

Co-sponsor

Committee on Resuscitation, Japan Society of Perinatal and Neonatal Medicine

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



Other administrative information

Date of disclosure of the study information

2019 Year 01 Month 14 Day


Related information

URL releasing protocol


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

Completed

Date of protocol fixation

2015 Year 09 Month 30 Day

Date of IRB


Anticipated trial start date

2015 Year 10 Month 01 Day

Last follow-up date

2018 Year 12 Month 01 Day

Date of closure to data entry

2018 Year 12 Month 31 Day

Date trial data considered complete

2019 Year 01 Month 31 Day

Date analysis concluded

2019 Year 03 Month 31 Day


Other

Other related information



Management information

Registered date

2019 Year 01 Month 14 Day

Last modified on

2019 Year 01 Month 14 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000022621


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name