The Effect of Stimulating Substances on Brain Activity of Preterm Infants
Recruitment status was Recruiting
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Purpose
Introduction: Methylxanthines and doxapram have been widely used for the treatment of apneas of prematurity. Both substances have effects on the central nervous system. While there are data available concerning the use of caffeine (the methylxanthine used at our NICU) even proposing a positive effect on neurodevelopmental outcome of very preterm infants, there are data which suggest a negative effect of the central stimulants doxapram on longterm outcome in this group of infants. Nevertheless concerning both medications only few studies have been published and only scarce data are available concerning the effect of these medications on brain activity of very preterm infants until now.
The aim of this study: is the assessment of the effect of stimulating substances on brain activity of preterm infants born below 30 weeks of gestation and their longterm neurodevelopmental follow-up.
Methods: This study is a prospective study including preterm infants born below 30 weeks of gestational age. Brain activity is measured by one-channel amplitude-integrated EEG (aEEG). The first aEEG measurement is performed without caffeine and/or doxapram medication. At least one hour of brain activity is registrated. The second measurement is done at least 24 hours after the start of caffeine and/ or doxapram treatment.
The percentage of different background patterns, the occurrence and duration of sleep-wake-cycling, and the occurrence and duration of seizures is assessed and analysed. Neurodevelopmental outcome is assessed at one and two years of corrected age by assessment of the Bayley Scales of Infant Development II and standardized clinical neurological examination.
| Condition |
|---|
|
Apneas of Prematurity |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Prospective |
| Official Title: | The Effect of Stimulating Substances on Brain Activity Measured by Amplitude-integrated EEG and Long-term Neurodevelopmental Outcome of Preterm Infants Born Below 30 Weeks of Gestation |
| Estimated Enrollment: | 60 |
| Study Start Date: | June 2009 |
| Estimated Study Completion Date: | November 2012 |
| Primary Completion Date: | November 2010 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
Caffeine group
Premature infants below 30 weeks of gestation who receive Caffeine treatment
|
|
Caffeine and Doxapram group
Premature infants below 30 weeks of gestation who receive Caffeine and Doxapram treatment
|
|
Group with no treatment
Premature infants below 30 weeks of gestation with no stimulating treatment
|
Eligibility| Ages Eligible for Study: | 23 Weeks to 30 Weeks |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | Yes |
| Sampling Method: | Non-Probability Sample |
Preterm infants born below a gestational age of 30 weeks
Inclusion Criteria:
see above
Exclusion Criteria:
- intraventricular hemorrhage
- posthaemorrhagic hydrocephalus
- cerebral infection
- cerebral malformation
Contacts and Locations| Contact: Christine Czaba, MD | 004340400 ext 2930 | Christine.Czaba@meduniwien.ac.at |
| Contact: Katrin Klebermaß-Schrehof, Md | 004340400 ext 2930 | katrin.klebermass-schrehof@meduniwien.ac.at |
| Austria | |
| Medical University of Vienna, Department of Pediatrics and Adolescent Medicine, Neonatology | Completed |
| Vienna, Austria, 1090 | |
| Medical University of Vienna | Recruiting |
| Vienna, Austria, 1090 | |
| Contact: Arnold Pollak, MD, PhD 004340400 ext 3224 arnold.pollak@meduniwien.ac.at | |
| Principal Investigator: Christine Czaba, MD | |
| Sub-Investigator: Katrin Klebermaß-Schrehof, MD | |
| Sub-Investigator: Manfred Weninger, MD, PhD | |
| Principal Investigator: | Manfred Weninger, MD, PhD | Medical University of Vienna |
More Information
No publications provided
| Responsible Party: | Arnold Pollak, MD, PhD, Medical University of Vienna |
| ClinicalTrials.gov Identifier: | NCT01344317 History of Changes |
| Other Study ID Numbers: | Nationalbankprojekt Nr.13660 |
| Study First Received: | April 27, 2011 |
| Last Updated: | April 28, 2011 |
| Health Authority: | Austria: Ethikkommission |
ClinicalTrials.gov processed this record on June 17, 2013