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The Use of B-Type Natriuretic Peptide (BNP) to Predict Closure of a Patent Ductus Arteriosus (PDA) in Premature Infants

Information source: University of Virginia
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Indomethacin Therapy; Patent Ductus Arteriosus

Intervention: Withhold standard INDO dose if BNP < 100 pg/ml (Procedure)

Phase: N/A

Status: Completed

Sponsored by: University of Virginia

Official(s) and/or principal investigator(s):
D Sc Lim, MD, Principal Investigator, Affiliation: University of Virginia

Summary

A patent ductus arteriosus (PDA) is associated with increased morbidity in premature infants. Standard indomethacin treatment is associated with intestinal and renal morbidity. B-type natriuretic peptide is elevated in significant PDAs. This study will determine whether BNP guided therapy could reduce doses of indomethacin.

Clinical Details

Study design: Diagnostic, Randomized, Open Label, Active Control, Parallel Assignment, Safety/Efficacy Study

Primary outcome: Number of indomethacin doses given on study

Secondary outcome:

rate of PDA ligation

Rate of Chronic lung disease

Eligibility

Minimum age: N/A. Maximum age: 4 Months. Gender(s): Both.

Criteria:

Inclusion Criteria:

- Infants with echocardiographically confirmed PDA

- Infants determined by attending physician to require PDA closure

Exclusion Criteria:

- infants with congenital hearts disease

- infants with creatinine value > 2. 0

Locations and Contacts

Additional Information

Starting date: April 2004
Ending date: March 2007
Last updated: July 10, 2007

Page last updated: June 20, 2008

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