Status:

RECRUITING

WithHolding Enteral Feeds Around Blood Transfusion (International)

Lead Sponsor:

IWK Health Centre

Collaborating Sponsors:

Canadian Institutes of Health Research (CIHR)

Imperial College London

Conditions:

Necrotizing Enterocolitis

Eligibility:

All Genders

Up to 30 years

Phase:

NA

Brief Summary

The WHEAT International trial is a comparative effectiveness trial exploring whether withholding enteral feeds around the time of blood transfusion in very premature infants (\<30 weeks) will reduce t...

Detailed Description

BACKGROUND: Necrotizing enterocolitis (NEC) is a devastating disease that affects mostly the intestine of premature infants. The wall of the intestine is invaded by bacteria, which cause local infecti...

Eligibility Criteria

Inclusion

  • 1\. Preterm birth at \<30+0 gestational weeks + days

Exclusion

  • Parent(s) opt-out of trial participation.
  • Packed red cell transfusion with concurrent enteral feeds prior to enrolment. (Infants who have received a packed red cell transfusion while nil-by-mouth are eligible; or minimal enteral nutrition (\<15 ml/kg/day feeds) at the time of transfusion; defined as before, during and for at least 4 hours after transfusion, are eligible.
  • Infants who are not being fed at the time of randomization or where enteral feeding is contraindicated \[e.g. Major congenital abnormality of the gastrointestinal tract (GIT)\].
  • Previous episode of NEC Bell stage 2 or higher or SIP prior to first study packed cell transfusion.

Key Trial Info

Start Date :

January 28 2022

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

March 31 2027

Estimated Enrollment :

4333 Patients enrolled

Trial Details

Trial ID

NCT05213806

Start Date

January 28 2022

End Date

March 31 2027

Last Update

November 24 2025

Active Locations (1)

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IWK Health

Halifax, Nova Scotia, Canada, B3K 6R8