Status:

COMPLETED

Safety and Efficacy of a Low Dose Naloxone Infusion in NICU Patients

Lead Sponsor:

Children's Mercy Hospital Kansas City

Conditions:

Opioid Tolerance

Pain

Eligibility:

All Genders

1-30 years

Brief Summary

When narcotic pain medicine, like fentanyl or morphine, is given to adults and children for several days, they often develop a tolerance to the medicine. This means they may need higher doses over tim...

Detailed Description

This is a prospective, non-randomized, single center, open label dose escalation study. We hypothesize that critically ill patients in the NICU may benefit from a low dose naloxone infusion resulting ...

Eligibility Criteria

Inclusion

  • Neonates \> 36 0/7 weeks estimated gestational age
  • Less than 30 days of life
  • Requiring admission to to the Neonatal Intensive Care Unit
  • Requiring continuous infusions of fentanyl or morphine analgesia
  • Anticipated to require opioid infusions for at least four days
  • Patients must be enrolled within 120 hours of initiating opioid infusions
  • All patients will also require mechanical ventilation prior to study entry.

Exclusion

  • Preterm infants \< 36 weeks gestation
  • Neonates with major neurologic anomalies, seizures
  • Opioid infusion administration for \> 120 hours prior to study entry
  • Patients requiring ECMO support prior to study entry
  • Neonates born to mothers who are known to be opioid dependent

Key Trial Info

Start Date :

February 1 2008

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

June 1 2011

Estimated Enrollment :

25 Patients enrolled

Trial Details

Trial ID

NCT00669175

Start Date

February 1 2008

End Date

June 1 2011

Last Update

July 21 2011

Active Locations (1)

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Children's Mercy Hospital

Kansas City, Missouri, United States, 64108

Safety and Efficacy of a Low Dose Naloxone Infusion in NICU Patients | DecenTrialz