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Autologous Umbilical Cord Blood Transfusion for Preterm Neonates

Phase 1
Withdrawn
Conditions
Intraventricular Hemorrhage
Respiratory Distress Syndrome
Anemia of Prematurity
Prematurity
Interventions
Biological: Autologous cord blood transfusion for preterm neonates
Biological: Autologous cord blood transfusion
Registration Number
NCT01121328
Lead Sponsor
Sahar M.A. Hassanein, MD
Brief Summary

This is a pilot study to test feasibility of collection, preparation and infusion of a baby's own (autologous) umbilical cord blood in the first 14 days after birth if the baby is born premature \<35 weeks of gestation.

Detailed Description

In Egypt, 12-15.8% of live neonates are low birth weight and it is estimated that about one third of such infants are preterm \[1\] (UNICEF, 2001). In a study that Campbell et al. (2004) conducted in Egypt, the neonatal mortality rate was estimated to be 25 per 1000 live births. prematurity was considered the main cause of neonatal deaths (39%), followed by asphyxia (18%), infection (7%), especially in the late neonatal period, and congenital malformations (6%). A substantial proportion (29%) could not be classified \[2\]. In developing countries, prematurity was the main cause of early neonatal deaths (62%)\[3\] Autologous cord blood transfusion will be safe, and cheap. The preterm neonates need transfusion of whole blood or any of its components at a time during NICU admission.

Recruitment & Eligibility

Status
WITHDRAWN
Sex
All
Target Recruitment
Not specified
Inclusion Criteria
  • Preterm neonates less than 34 weeks of gestation.
  • Low birth weight less than 1500 grams
Exclusion Criteria
  • Congenital malformations.
  • Suspected inborn error of metabolism.
  • Suspected inherited neurologic disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Autologous cord blood transfusionAutologous cord blood transfusion for preterm neonatesCollected cord blood at birth will be transfused for the preterm neonate
Autologous cord blood transfusionAutologous cord blood transfusionCollected cord blood at birth will be transfused for the preterm neonate
Primary Outcome Measures
NameTimeMethod
Duration of mechanical ventilation30 days

-No need for mechanical ventilation.

Secondary Outcome Measures
NameTimeMethod
Survival18 months

* Survival until 12 months of age.

* Improved physical growth and weight gain.

* Neurodevelopmental outcome at 6, 12 and 18 months of age.

Trial Locations

Locations (1)

Children's Hospital, Faculty of Medicine, Ain Shams University

🇪🇬

Cairo, Egypt

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