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Indomethacin Germinal Matrix Hemorrhage/Intraventricular Hemorrhage (GMH/IVH) Prevention Trial
This study is ongoing, but not recruiting participants.

First Received on April 12, 2002.   Last Updated on January 25, 2012   History of Changes
Sponsor: Yale University
Information provided by (Responsible Party): Laura R. Ment, Yale University
ClinicalTrials.gov Identifier: NCT00033917
  Purpose

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


Condition Intervention Phase
Intraventricular Hemorrhage (IVH)
Bleeding in the Brain
Prematurity
Very Low Birth Weight Infants
Drug: indomethacin
Other: placebo
Phase III

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double Blind (Subject, Investigator)
Primary Purpose: Prevention
Official Title: Randomized Indomethacin Germinal Matrix Hemorrhage/Intraventricular Hemorrhage (GMH/IVH) Prevention Trial

Resource links provided by NLM:


Further study details as provided by Yale University:

Primary Outcome Measures:
  • IVH [ Time Frame: at 16 years ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • neurodevelopmental outcome, volumetric MRI, diffusion tensor MRI, functional MRI [ Time Frame: at 16 years ] [ Designated as safety issue: No ]

Enrollment: 630
Study Start Date: September 1989
Estimated Study Completion Date: March 2012
Estimated Primary Completion Date: March 2012 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: 1
indomethacin
Drug: indomethacin
an anti-inflammatory drug
Placebo Comparator: 2
placebo
Other: placebo
an inactive substance

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, 6 and 8 years of age showed beneficial effects of indomethacin on cognitive and behavioral outcomes over and above the effects on preventing IVH but not at later ages. The study will close on March 31, 2012.

  Eligibility

Ages Eligible for Study:   up to 6 Hours
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
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
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00033917

Locations
United States, Connecticut
Yale University School of Medicine
New Haven, Connecticut, United States
United States, Maine
Maine Medical Center
Portland, Maine, United States
United States, Rhode Island
Brown University School of Medicine
Providence, Rhode Island, United States
Sponsors and Collaborators
Yale University
Investigators
Principal Investigator: Laura R. Ment, M.D. Department of Pediatrics, Yale University School of Medicine
  More Information

No publications provided

Responsible Party: Laura R. Ment, Professor Pediatrics and Neurology, Yale University
ClinicalTrials.gov Identifier: NCT00033917     History of Changes
Other Study ID Numbers: R01NS27116
Study First Received: April 12, 2002
Last Updated: January 25, 2012
Health Authority: United States: Federal Government

Keywords provided by Yale University:
intraventricular hemorrhage (IVH)
bleeding in the brain
indomethacin
prematurity
very low birth weight infants

Additional relevant MeSH terms:
Birth Weight
Hemorrhage
Cerebral Hemorrhage
Body Weight
Signs and Symptoms
Pathologic Processes
Intracranial Hemorrhages
Cerebrovascular Disorders
Brain Diseases
Central Nervous System Diseases
Nervous System Diseases
Vascular Diseases
Cardiovascular Diseases
Indomethacin
Gout Suppressants
Antirheumatic Agents
Therapeutic Uses
Pharmacologic Actions
Tocolytic Agents
Reproductive Control Agents
Physiological Effects of Drugs
Cyclooxygenase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Anti-Inflammatory Agents, Non-Steroidal
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Anti-Inflammatory Agents

ClinicalTrials.gov processed this record on February 12, 2012