Study ceased enrolling due to poor overall recruitment. Long-term follow up of enrolled participants ongoing.
Management of Hypotension In the Preterm Infant
HIP
Management of Hypotension In Preterm Infants: The HIP Trial Protocol for a Randomized Controlled Trial of Hypotension Management in the Extremely Low Gestational Age Newborn
The HIP trial is a large pragmatic, multinational, randomised trial of two different strategies for the management of hypotension in extremely low gestational age newborns (Standard with dopamine versus a restricted with placebo approach).
HYPOTHESIS: A restricted approach to the management of hypotension in extremely low gestational age newborns will result in improved neonatal and long-term developmental outcomes.
PRIMARY OBJECTIVE: To determine whether a restricted approach to the management of hypotension compared to using dopamine as first line pressor agent in infants born less than 28 weeks of gestation within the first 72 hrs after birth (transitional period), improves survival without significant brain injury at 36 weeks postmenstrual age (PMA) and improves survival without moderate or severe neurodevelopmental disability at 2 years corrected age.
Registry Overview
Registry-reported information. Elapsed time and enrollment totals alone do not measure study progress or recruitment pace.
Recruitment status
terminated
Actual enrollment (reported)
58 participants
Study completion date
October 2019
Actual (reported)
Listed locations
5 countries · 10 sites
Trial Relationships
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Related Scientific Literature
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Study Timeline
Dates and qualifiers reported by the registry. Estimated dates do not confirm that a milestone has occurred.
First Co-Primary Outcome Measure: Survival to 36 weeks postmenstrual age free of severe brain injury
Survival to 36 weeks postmenstrual age free of severe brain injury (moderate or severe ventricular dilatation, intracerebral echodense lesions, and cystic periventricular leukomalacia) on cranial ultrasound at 36 weeks or discharge home which ever is the earlier.
36 weeks
Second Co-Primary Outcome Measure: Survival without moderate or serious disability as defined using consensus criteria for neurodevelopmental impairment.
Families will be offered routine appointments as per the local follow-up system. At 12-months, the physician will complete a simple disability assessment and all surviving infants will have a locally performed formal neurodisability assessment at 24 months age corrected for weeks of prematurity defined using criteria set out in the consensus statement "Health status...." (ww bapm.org/publications).
Vascular DiseasesCardiovascular DiseasesCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesEncephalomalaciaInfant, Premature, DiseasesInfant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and Abnormalities
Study Officials
Eugene Dempsey
University College Cork
STUDY DIRECTOR
Peter Filan
Cork University Maternity Hospital
PRINCIPAL INVESTIGATOR
Gunnar Naulaers
KU Leuven
PRINCIPAL INVESTIGATOR
Zybnek Stranak
Univerzita Karlova v Praze
PRINCIPAL INVESTIGATOR
Enrollment
58 participants (actual enrollment reported by the registry).
Study Design
Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor Eugene Dempsey, Consultant Neonatologist
Study Record Dates
First Submitted
November 27, 2011
First Posted
November 30, 2011
Study Start
February 2015
Actual (reported)
NCT03390530
Thyroxine Treatment in Premature Infants With Intraventricular Hemorrhage
Registry-reported names are shown in full. Names without a link have not yet been matched to a Syfrah profile.
An indwelling arterial line, either umbilical or peripheral (e.g. radial, posterior tibial), suitably calibrated and zeroed, to monitor BP with the measuring dome at the level of the infant's mid-axillary line when supine
A pre-trial cerebral ultrasound scan demonstrating no evidence of grade 3 or 4 haemorrhage intraventricular haemorrhage (IVH)(i.e. intraparenchymal echodensity or echolucency, with or without acquired cerebral ventriculomegaly)
A mean blood pressure 1 mmHg or more below a mean BP value equivalent to the gestational age in completed weeks, which persists over a 15 minute period (mean BP \< gestational age)
You may not qualify if:
Considered non-viable by attending clinicians.
Life-threatening congenital abnormalities including congenital heart disease (excluding patent ductus arteriosus, small atrial and/or ventricular septal defect). Infants known to require surgical treatment e.g. congenital diaphragmatic hernia, trache-oesophageal fistula, omphalocele, gastroschisis. Neuromuscular disorders. Frank hypovolaemia. Hydrops Fetalis.
Cranial ultrasound abnormality grade 3 IVH or more prior to enrolment
Institut National de la Santé Et de la Recherche Médicale, France
PRINCIPAL INVESTIGATOR
David Van Laere
Neonatale Intensieve Zorgen
PRINCIPAL INVESTIGATOR
David Millar
Royal Maternity Hospital
PRINCIPAL INVESTIGATOR
Primary Completion
September 2017
Actual (reported)
Study Completion
October 2019
Actual (reported)
Last Updated
October 2, 2019
Record last verified: 2019-09
Source record
Download the complete ClinicalTrials.gov record imported by Syfrah, including fields not shown in this page. The registry may contain a newer revision.
Source: ClinicalTrials.gov.
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