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study for optimizing appropriate dosage of Caffeine and Aminophylline in premature new born babies with pause of breathing lasting atleast for 20 seconds

Not Applicable
Conditions
Health Condition 1: null- Premature neonates with apnea of prematurityHealth Condition 2: P073- Preterm [premature] newborn [other]
Registration Number
CTRI/2017/10/010132
Lead Sponsor
Science and Engineering Research Board
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Open to Recruitment
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Preterms (<= 34wk gestation) with > 6 apneic episodes within 24hr of life, who will be receiving Methylxanthines for AOP.

Exclusion Criteria

Congenital anomalies, secondary causes of apnea (sepsis, significant Patent Ductus Arteriosus, Glucose, electrolytes abnormality), receiving drugs with enzyme inducing or inhibiting property, previously receiving Methylxanthine.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Clearance and volume of distributionTimepoint: Time of dosing and exact time of blood sampling will be recorded. Every 6th month of sampling (in bulk), plasma samples will be evaluated by LCMS technique to obtain drug clearance and volume of distribution
Secondary Outcome Measures
NameTimeMethod
Apnea count, desaturations, Bradycardia, Heart rate, duration of NICU stay, type of and duration of ventilator support, full feed attainment and adverse events.Timepoint: Apnea counts, desaturations, Bradycardia will be noted at every 24 hours. The frequency of individual event will be summed up at the intervals of 1 to 3 days, 4 to 7 days and 8th to 14 days of methylxanthine adminsitration for statistical analysis. Heart rate will be recorded at every 24 hours.Duration of NICU stay, type of and duration of ventilator support, full feed attainment and adverse events will be monitored till discharge from NICU.
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