Metoclopramide Use in Very Low Birth Weight Newborns
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Purpose
During the first 7 days of life very small babies will receive the drug metoclopramide or a salt solution through an intravenous line. They will also begin to receive a very small amount of breast milk or formula within the first 72 hours of life, in addition toother nourishment that is provided by an intravenous line, according to standard hospital procedure. We think that the babies who receive the medication may reach full oral feeds than babies who receive the salt solution.
| Condition | Intervention | Phase |
|---|---|---|
|
Infant, Premature |
Drug: Metoclopramide |
Phase 4 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Pharmacodynamics Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Prevention |
| Official Title: | The Effect of Metoclopramide on Feeding in Very Low Birthweight Newborns : a Randomized, Double Blind, Placebo Controlled Pilot Study and a Proposal for a Multicentre Trial |
- Days required to attainment of full feeds.
- Weight at full enteral feeds (g).
- Weight at discharge (g).
- Duration of TPN (days).
- Length of stay(days).
| Estimated Enrollment: | 30 |
| Study Start Date: | March 2002 |
| Estimated Study Completion Date: | July 2005 |
Clinically stable, premature babies (birth weight between 500 and 1,250g) will be randomized to receive metoclopramide (0.1 mg/kg IV q8h)or an equal volume of placebo for 7 days.A transition feeding schedule will begin within the first 72 hours of life. The time to full feeds for the 2 groups will be analyzed.
Eligibility| Ages Eligible for Study: | up to 7 Days |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- birth weight 500 to 1,250g
- clinically stable
- no contraindications to initiating minimal enteral feeding
Exclusion Criteria:
- birth weight > 1,250g
- clinically unstable
- any major congenital anomaly
- significant GI pathology
- severe IUGR
- cholestasis
Contacts and Locations| Canada, Ontario | |
| St Joseph's Hospital | |
| London, Ontario, Canada, N6A 4V2 | |
| Principal Investigator: | Orlando daSilva, MD | University of Westen Ontario |
More Information
Publications:
| ClinicalTrials.gov Identifier: | NCT00242450 History of Changes |
| Other Study ID Numbers: | R-02-012, R3356A01 |
| Study First Received: | October 19, 2005 |
| Last Updated: | December 14, 2005 |
| Health Authority: | Canada: Health Canada |
Keywords provided by Lawson Health Research Institute:
|
metoclopramide feeding very low birthweightnewborn |
Additional relevant MeSH terms:
|
Birth Weight Body Weight Signs and Symptoms Metoclopramide Antiemetics Autonomic Agents Peripheral Nervous System Agents Physiological Effects of Drugs |
Pharmacologic Actions Central Nervous System Agents Therapeutic Uses Gastrointestinal Agents Dopamine Antagonists Dopamine Agents Neurotransmitter Agents Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 21, 2013