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BUBOLight®, a New Phototherapy Device for the Treatment of the Newborn's Jaundice

Not Applicable
Conditions
Neonatal Jaundice
Interventions
Device: BUBOLight® Device
Registration Number
NCT04365998
Lead Sponsor
University Hospital, Lille
Brief Summary

About 50% of full-term newborns and 80% of premature infants develop jaundice which is due to hyperbilirubinemia. In the majority of cases, jaundice disappears naturally without treatment within three weeks of birth, but the bilirubin level may remain too high, which can lead to a serious neurological disease: kernicterus. To avoid this, a therapeutic management must be instituted, and in some cases, one or more phototherapy sessions (PT) may be prescribed.

The aim of this trial is to evaluate the safety and level of satisfaction of parents and healthcare team with one innovative device for phototherapy BUBOLight® included two removable strips of luminous textile incorporating optical fibers.

10 newborns requiring phototherapy, will be illuminated during four hours in one session of PT Bilirubin levels is taken at the start of phototherapy H0 and Controls are made at H+6 hours.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
15
Inclusion Criteria
  • At time of birth, infant is > 35 weeks gestation
  • Presence of jaundice confirmed by measurement of bilirubin (transcutaneous bilirubinometer)
  • Total bilirubinemia rate requiring phototherapy according to National Institute for Health and Clinical Excellence.
  • Weight ≥2.500kg
  • Judged in good health by the investigator following the clinical examination and the medical data (absence of perinatal asphyxia, antibiotic treatment, respiratory disorders)
  • Absence of fœto-maternal rhesus incompatibility or Kell
Exclusion Criteria
  • Newborn already treated with phototherapy
  • Febrile state with body temperature > 37.8°C
  • Total bilirubinaemia level is equal or excess 100 μmol / L of the indication of phototherapy.
  • Patient whose jaundice is due to haemolysis, obstruction functional or anatomical.
  • Minor relative
  • Newborn requiring exchange transfusion
  • Newborn with congenital erythropoietic porphyria or a family history of porphyria.
  • Patient requiring treatment other than phototherapy

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
BUBOLight® DeviceBUBOLight® Device-
Primary Outcome Measures
NameTimeMethod
Number of related adverse events (Safety)at the end of phototherapy exposure (H4)

Safety is defined as the ability to tolerate 4 hours of phototherapy without - Hyperthermia greater than or equal to 38.5 °C

* Hypothermia less than or equal to 36 °C

* Desaturation in O2 lower than 90% for more than 15 seconds

* Heart rate greater than 160 / min at calm or less than 80 / min for more than 15 seconds

* Allergic contact reaction grade ≥3

Secondary Outcome Measures
NameTimeMethod
Transcutaneous bilirubin rateBaseline (H0) and 2 hours after the end of phototherapy (H4+2 hours)

Bilirubin lowering rate

EDIN (Newborn Pain and Discomfort Scale)Baseline (H0) and 2 hours after the end of phototherapy (H4+2 hours)

Variation of the EDIN score between the beginning and 2 hours after phototherapy Minimum value = 0 and maximum value = 15. Above 5 pain is probable, below 5 pain is more likely to be discomfort than pain.

Perceptions of parents with the use of device2 hours after the end of phototherapy (H4+2 hours)

Validated survey at the end of treatment (comfort, heat, humidity, ease of breastfeeding, proximity and possibility of contact with the baby)

Perceptions of the health team with the use of the device2 hours after the end of phototherapy (H4+2 hours)

Validated survey at the end of treatment (comfort, heat, humidity, ease of breastfeeding, proximity and possibility of contact with the baby)

Blood bilirubin rateBaseline and 2 hours after the end of phototherapy (H4+2 hours)

Bilirubin lowering rate

Trial Locations

Locations (1)

Hop Jeanne de Flandre Chu Lille

🇫🇷

Lille, France

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