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Paracetamol Duct Action(PDA) Trial: Does paracetamol close a patent ductus arteriosus in premature infants?

Not Applicable
Recruiting
Conditions
Patent ductus arteriosus
Cardiovascular - Normal development and function of the cardiovascular system
Reproductive Health and Childbirth - Complications of newborn
Registration Number
ACTRN12611000741987
Lead Sponsor
A/Professor Martin Kluckow
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
60
Inclusion Criteria

1.Babies with a persistent PDA born <33 weeks gestational age who are >4 weeks of postnatal age and tolerating at least 50% (i.e. 80ml/kg/day) of enteral feeds
2.Echocardiographic findings of a PDA with a Colour Doppler duct size more than 1.5mm with pulsatile pattern with or without oxygen and/or CPAP support.
3.Informed written parental consent

Exclusion Criteria

1.PDA with evidence of congestive cardiac failure, signs include tachycardia; venous congestion; high catecholamine levels; and, ultimately, insufficient cardiac output with poor perfusion and end-organ compromise.
2.Abnormal liver function tests :
a.Elevated alanine transaminase (twice normal level for corrected gestation)
b.Elevated aspartate transaminase (twice normal level for corrected gestation)
c.Elevated conjugated bilirubin (>80mmol/L)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Closure of the PDA confirmed by echocardiography[At 5 days post commencement of treatment]
Secondary Outcome Measures
NameTimeMethod
Paracetamol serum level - measured in blood using an immunoassay techique[Day 2 and Day 5]
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