MedPath

Treatment of a PDA With Acetaminophen in Preterm Neonates: Exploring Various Indications

Completed
Conditions
Patent Ductus Arteriosus
Interventions
Registration Number
NCT03289390
Lead Sponsor
Albany Medical College
Brief Summary

This study will evaluate the use of acetaminophen in preterm infants when a patent ductus arteriosus (PDA) is of concern. We will perform two simultaneous prospective observational studies over a 3 year period. The first will be of infants with clinically significant PDAs beyond 14 days of life who are medically treated with acetaminophen as a means to avoid surgical ligation, and the second will be of infants who received acetaminophen for a PDA closure during the first 2 weeks of life as a result of ibuprofen, the current standard of care in our NICU, contraindication due to medical status.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
11
Inclusion Criteria
  • Infants born at 23 0/7 to 29 6/7 weeks gestation, with PDA determined by medical team to need treatment and infant is beyond 14 days of life.
Exclusion Criteria
  • Congenital heart disease Pneumonia Pulmonary hypertension Pulmonary hemorrhage ALT and AST ≥ 2X the upper limit of normal (=AST> 150 U/L, ALT>90 U/L) Sepsis/meningitis Abnormal chromosomes Hydrops Major congenital malformations

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Acetaminophen to close PDAAcetaminophenInfants with PDA treated with acetaminophen beyond 14 days of life or in whom acetaminophen is used due to contraindication to ibuprofen
Primary Outcome Measures
NameTimeMethod
Change in PDA size3 days

Size of PDA will be measured by echocardiography to determine if the size has changed after treatment is complete.

Rate of PDA closure3 days

PDA will be evaluated by echocardiography to determined whether it has closed after treatment is complete.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Albany Medical Center

🇺🇸

Albany, New York, United States

© Copyright 2025. All Rights Reserved by MedPath