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Indomethacin Germinal Matrix Hemorrhage/Intraventricular Hemorrhage (GMH/IVH) Prevention Trial

This study is ongoing, but not recruiting participants.
Study NCT00033917.   Last updated on December 5, 2007.   Information provided by National Institute of Neurological Disorders and Stroke (NINDS)

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Descriptive Information Fields
Brief Title  Indomethacin Germinal Matrix Hemorrhage/Intraventricular Hemorrhage (GMH/IVH) Prevention Trial
Official Title  Randomized Indomethacin Germinal Matrix Hemorrhage/Intraventricular Hemorrhage (GMH/IVH) Prevention Trial
Brief Summary

The purpose of this multicenter trial is to determine if indomethacin prevents bleeding in the brain of very low birth weight preterm infants.

Detailed Description

Intraventricular hemorrhage (IVH) or bleeding in the brain remains a major problem of preterm infants. This randomized, placebo-controlled multicenter trial enrolled 505 infants of 600 to 1250g birth weight to determine if indomethacin lowers the incidence of IVH, and 125 term infant controls. During this longitudinal trial, follow-up assessments have been performed at the ages of 3, 4 1/2, 6 and 8. The initial results at age 3 years revealed no advantages to the indomethacin group over and above the decreases in IVH, however, the results did show a significant increase in ventriculomegaly in the indomethacin negative or "placebo" group. Later results at 4 1/2 and 6 years of age showed beneficial effects of indomethacin on cognitive and behavioral outcomes over and above the effects on preventing IVH. The study investigators continue to followup with the children to find out if early use of indomethacin will continue to improve the outcomes of extremely low birth weight children.

Study Phase Phase III
Study Type  Interventional
Study Design  Prevention, Randomized, Double Blind (Subject, Investigator), Placebo Control, Parallel Assignment
Primary Outcome Measure  IVH [ Time Frame: at 16 years ] [ Designated as safety issue: No ]
Secondary Outcome Measure  neurodevelopmental outcome, volumetric MRI, diffusion tensor MRI, functional MRI [ Time Frame: at 16 years ] [ Designated as safety issue: No ]
Condition  Intraventricular Hemorrhage (IVH)
Bleeding in the Brain
Prematurity
Very Low Birth Weight Infants
Intervention  Drug: indomethacin
Other: placebo
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  630
Start Date  September 1989
Completion Date March 2010
Eligibility Criteria 
  • Preterm infants < 1250 g birth weight
  • Admitted to participating institution < 6 hrs of age
  • No evidence for congenital malformations
  • Cranial US at 6 postnatal hours without evidence of Grades III - IV intraventricular hemorrhage
Gender Both
Ages up to 6 Hours
Accepts Healthy Volunteers Yes
Contacts ††
Location Countries  United States
Administrative Information Fields
NCT ID  NCT00033917
Organization ID R01NS27116
Secondary IDs ††
Study Sponsor  National Institute of Neurological Disorders and Stroke (NINDS)
Collaborators ††
Investigators 
Principal Investigator:     Laura R. Ment, M.D.     Department of Pediatrics, Yale University School of Medicine    
Information Provided By National Institute of Neurological Disorders and Stroke (NINDS)
Verification Date December 2007
First Received Date  April 12, 2002
Last Updated Date December 5, 2007

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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