Status:

COMPLETED

MRI and Neurodevelopment in Preterm Infants Following Administration of High-Dose Caffeine

Lead Sponsor:

Washington University School of Medicine

Collaborating Sponsors:

Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)

Conditions:

Apnea of Prematurity

Intraventricular Hemorrhage

Eligibility:

All Genders

24-30 years

Phase:

PHASE4

Brief Summary

Over the last 30 years the survival rates for babies born prematurely have improved greatly with research. As these babies grow up, we have found that many of the premature babies have learning and mo...

Detailed Description

Apnea is defined as a cessation of breathing for twenty seconds or greater, or as a brief episode if associated with bradycardia, cyanosis, or pallor. Recurrent apnea of prematurity occurs in up to 85...

Eligibility Criteria

Inclusion

  • Preterm infants from 24 to 30 weeks completed PMA admitted to the neonatal intensive care unit (NICU) at St. Louis Children's Hospital. The estimated post menstrual age will be provided by the obstetrical records and compared with a Dubowitz exam at admission. The provided PMA will be used unless the Dubowitz exam has a discrepancy of greater or equal to 2 weeks, where then the Dubowitz age will be used.
  • Infants must be recruited within the first 24 hours of life.

Exclusion

  • Infants over 30 weeks gestation.
  • Infants who are moribund with severe sepsis, in respiratory failure, or have severe brain injury present in the first 24 hours of life. This would be defined as physiologic instability requiring \>80% FiO2 for 6 hours and/or more than 2 inotropic drugs (excluding hydrocortisone), or in the attending or recruiting physicians' opinion the infant is likely to die within 24 hours or would not tolerate any handling for the protocol.
  • Infants must not have received any doses of caffeine citrate prior to enrollment.

Key Trial Info

Start Date :

November 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

December 1 2015

Estimated Enrollment :

74 Patients enrolled

Trial Details

Trial ID

NCT00809055

Start Date

November 1 2008

End Date

December 1 2015

Last Update

February 24 2016

Active Locations (1)

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1

St. Louis Children's Hospital

St Louis, Missouri, United States, 63110