Autologous Umbilical Cord Blood Transfusion for Preterm Neonates
- Conditions
- Intraventricular HemorrhageRespiratory Distress SyndromeAnemia of PrematurityPrematurity
- Interventions
- Biological: Autologous cord blood transfusion for preterm neonatesBiological: 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- WITHDRAWN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
- Preterm neonates less than 34 weeks of gestation.
- Low birth weight less than 1500 grams
- Congenital malformations.
- Suspected inborn error of metabolism.
- Suspected inherited neurologic disease.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Autologous cord blood transfusion Autologous cord blood transfusion for preterm neonates Collected cord blood at birth will be transfused for the preterm neonate Autologous cord blood transfusion Autologous cord blood transfusion Collected cord blood at birth will be transfused for the preterm neonate
- Primary Outcome Measures
Name Time Method Duration of mechanical ventilation 30 days -No need for mechanical ventilation.
- Secondary Outcome Measures
Name Time Method Survival 18 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