Status:

COMPLETED

Randomized Trial of Hydrocortisone in Very Preterm High-Risk Infants

Lead Sponsor:

Nationwide Children's Hospital

Collaborating Sponsors:

National Institutes of Health (NIH)

National Institute of Neurological Disorders and Stroke (NINDS)

Conditions:

Bronchopulmonary Dysplasia

Encephalomalacia

Eligibility:

All Genders

1-3 years

Phase:

PHASE2

Brief Summary

The purpose of this study is to determine whether treatment of very preterm infants at high-risk for lung and brain injury with low dose hydrocortisone results in improved pulmonary and neurologic out...

Detailed Description

Hypothesis: Among extremely low birth weight infants (ELBW; BW ≤ 1000 g) at high risk for bronchopulmonary dysplasia (BPD) and neurologic impairments, those infants randomized to seven days of hydroco...

Eligibility Criteria

Inclusion

  • Patient in the Memorial Hermann Children's Hospital (MHCH) neonatal intensive care unit with a birth weight ≤ 1000 grams.
  • Ventilator-dependent between 10 and 21 days of age.
  • Respiratory index score (RIS: mean airway pressure x fraction of inspired oxygen) of ≥ 2.0 that is increasing or stable for the previous 24 hours or a RIS ≥ 3.0 if improvement noted in the past 24 hours.

Exclusion

  • Prior postnatal steroid treatment.
  • Evidence of sepsis or necrotizing enterocolitis.
  • Known major congenital anomalies of the cardiopulmonary or central nervous system.
  • Infants being treated with indomethacin or those likely to require treatment in the next 7 days as judged by the treating physician.
  • Inability or unwillingness of parent or legal guardian/representative to give written informed consent.
  • Gestational age \< 23 weeks.

Key Trial Info

Start Date :

November 1 2005

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 1 2012

Estimated Enrollment :

64 Patients enrolled

Trial Details

Trial ID

NCT00167544

Start Date

November 1 2005

End Date

November 1 2012

Last Update

August 30 2013

Active Locations (1)

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1

Nationwide Children's Hospital

Columbus, Ohio, United States, 432025