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Population Pharmacokinetics and Dosage Individualization of Paracetamol and Ibuprofen in Children With PDA

Conditions
Patent Ductus Arteriosus
Interventions
Registration Number
NCT04397913
Lead Sponsor
Shandong University
Brief Summary

The investigator's purpose is to study the population pharmacokinetics of paracatamol and ibuprofen in neonates with patent ductus arteriosus (PDA) and assess the feasibility of dosage individualization.

Detailed Description

The investigator's purpose is to study the population pharmacokinetics of paracatamol and ibuprofen in neonates with patent ductus arteriosus (PDA) and assess the feasibility of dosage individualization. In this study, the investigator will detect drug concentration in plasma and other clinical test to construct population pharmacokinetic models.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
500
Inclusion Criteria
  • Patients have been diagnosed with PDA;
  • Age: postnatal age ≤ 28 days;
  • Paracetamol or ibuprofen used as part of regular treatment;
  • Paracetamol or ibuprofen was administered orally.
Exclusion Criteria
  • Patients who die within the treatment cycle;
  • Patients with other heart diseases;
  • Other factors that the researcher considers unsuitable for inclusion.

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Arm && Interventions
GroupInterventionDescription
Treatment(paracetamol or ibuprofen)ParacetamolParacetamol and ibuprofen are administered at standard dose for children with PDA.
Treatment(paracetamol or ibuprofen)IbuprofenParacetamol and ibuprofen are administered at standard dose for children with PDA.
Primary Outcome Measures
NameTimeMethod
Plasma drug concentration of paracetamolat (0-1) hour, (1-3) hours, (3-5) hours, (5-6) hours after oral administration

To detect the plasma concentration of paracetamol after administration

Plasma drug concentration of ibuprofenat (0-1.5) hours, (1-4) hours, (4-12) hours,(12-24) hours after oral administration

To detect the plasma concentration of ibuprofen after administration

EchocardiographyThrough study completion, an average of 3 days

To measure arterial duct diameter, shunt speed and direction of shunt

Cardiac functionThrough study completion, an average of 3 days

To detect brain natriuretic peptide(BNP) and troponin T(cTnT)

Secondary Outcome Measures
NameTimeMethod
Adverse eventsThrough study completion, an average of 3 days

Drug-related adverse events and serious adverse events

Trial Locations

Locations (1)

West China Second University Hospital

🇨🇳

Chengdu, Sichuan, China

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