NCT00638092

Brief Summary

The purpose of this trial is to determine whether iodide supplementation of neonates born under 31 weeks gestation improves neurodevelopment measured at two years of age.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
1,275

participants targeted

Target at P75+ for phase_4

Timeline
Completed

Started Mar 2010

Longer than P75 for phase_4

Geographic Reach
1 country

19 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

March 14, 2008

Completed
4 days until next milestone

First Posted

Study publicly available on registry

March 18, 2008

Completed
2 years until next milestone

Study Start

First participant enrolled

March 1, 2010

Completed
5.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2015

Completed
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

May 1, 2015

Completed
Last Updated

May 18, 2015

Status Verified

May 1, 2015

Enrollment Period

5.1 years

First QC Date

March 14, 2008

Last Update Submit

May 15, 2015

Conditions

Keywords

hypothyroxinemiapreterm infantsiodineneurodevelopmental outcomeIodine supplementationRandomised controlled trial

Outcome Measures

Primary Outcomes (1)

  • Appreciable neurodevelopmental impairment at 2 years corrected age. As measured by the three main domains of the Bayley III score: i.e. cognitive score, language composite score and motor composite score.

    P ≤0.05 will be the level used to indicate statistical significance.Deaths and those infants with severe neurodevelopment disability will be scored 55 in the cognitive domain, 46 in the motor domain and 47 in the language domain. The primary outcome will be ordered as cognitive score, motor composite score and language composite score in all results presented.

    at 2 years corrected age

Secondary Outcomes (16)

  • Blood levels of T4, TSH and TBG on day 7, 14, 28 and 34 weeks corrected age.

    2 years corrected age

  • Neurodevelopment impairment as a composite of death or a Bayley III score of <85 in any of the score's three main subsets domains: cognitive, language and motor composites.

    2 years corrected age

  • Neurodevelopmental impairment assessed as a difference between the iodine supplemented and placebo groups in each of the four subset scores of the Bayley III i.e. receptive communication, expressive communication, fine motor or gross motor.

    2 years corrected age

  • Type and severity of illness: necrotising enterocolitis

    2 years corrected age

  • Type and severity of illness:persistent ductus arteriosus

    2 years corrected age

  • +11 more secondary outcomes

Study Arms (2)

Iodine

EXPERIMENTAL

This is the hypothetical active arm

Drug: sodium iodide

Placebo

PLACEBO COMPARATOR

this is the hypothetical placebo

Drug: Sodium Chloride

Interventions

sodium iodide 30 micrograms/kg/day, daily dose, from randomisation (within 42 hours of birth) to 34 corrected weeks gestation

Iodine

Sodium Chloride 30 micrograms/kg/day, daily dose, from randomisation (from within 42 hours of birth)to 34 corrected weeks gestation

Placebo

Eligibility Criteria

Age1 Hour - 42 Hours
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • All infants born under 31 weeks gestation

You may not qualify if:

  • Mother exposed to excess iodine during pregnancy or delivery

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (19)

Ninewells Hospital and Medical School

Dundee, Tayside, DD1 9SY, United Kingdom

Location

Royal Maternity Hospital

Belfast, BT12 6BB, United Kingdom

Location

Heartlands Hospital

Birmingham, B9 5SS, United Kingdom

Location

University Hospital Coventry

Coventry, CV2 2DX, United Kingdom

Location

Derbyshire Childrens Hospital

Derby, DE22 3NE, United Kingdom

Location

Princess Royal Maternity Hospital

Glasgow, G31 2ER, United Kingdom

Location

Southern General Hospital

Glasgow, G51 4TF, United Kingdom

Location

Crosshouse Hospital

Kilmarnock, KA2 0BE, United Kingdom

Location

Leicester Royal Infirmary

Leicester, LE1 5WW, United Kingdom

Location

Altnagelvin Area Hospital

Londonderry, BT47 6SB, United Kingdom

Location

James Cook University Hospital

Middlesbrough, TS4 3BW, United Kingdom

Location

Royal Victoria Infirmary

Newcastle upon Tyne, United Kingdom

Location

Nottingham City Hospital

Nottingham, NG5 1PW, United Kingdom

Location

Queen's Medical Centre

Nottingham, NG7 2UH, United Kingdom

Location

Royal Berkshire Hospital

Reading, RG1 5AN, United Kingdom

Location

Jessops Wing Hospital

Sheffield, S10 2SF, United Kingdom

Location

University Hospital of North Tees

Stockton-on-Tees, United Kingdom

Location

Sunderland City Hospitals

Sunderland, SR4 7TP, United Kingdom

Location

Wishaw General Hospital

Wishaw, ML2 0DP, United Kingdom

Location

Related Publications (1)

  • Williams F, Hume R, Ogston S, Brocklehurst P, Morgan K, Juszczak E; I2S2 team. A summary of the iodine supplementation study protocol (I2S2): a UK multicentre randomised controlled trial in preterm infants. Neonatology. 2014;105(4):282-9. doi: 10.1159/000358247. Epub 2014 Feb 27.

    PMID: 24576827BACKGROUND

Related Links

MeSH Terms

Interventions

Sodium IodideSodium Chloride

Intervention Hierarchy (Ancestors)

IodidesIodine CompoundsInorganic ChemicalsSodium CompoundsChloridesHydrochloric AcidChlorine Compounds

Study Officials

  • Fiona Williams, Dr

    University of Dundee

    STUDY DIRECTOR
  • Peter Brocklehurst, Professor

    UCL

    STUDY CHAIR

Study Design

Study Type
interventional
Phase
phase 4
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

March 14, 2008

First Posted

March 18, 2008

Study Start

March 1, 2010

Primary Completion

April 1, 2015

Study Completion

May 1, 2015

Last Updated

May 18, 2015

Record last verified: 2015-05

Locations