NCT03681314

Brief Summary

An extension of the MIDAB trial, the MIDAB-Follow-up trial will evaluate the neurodevelopmental outcomes at 22-26 months age of term/late preterm infants who were depressed at birth and received umbilical cord milking (UCM) or immediate cord clamping (ICC).

Trial Health

50
Monitor

Trial Health Score

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

Timeline
4mo left

Started Oct 2022

Longer than P75 for not_applicable

Geographic Reach
1 country

3 active sites

Status
withdrawn

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

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress93%
Oct 2022Aug 2026

First Submitted

Initial submission to the registry

September 20, 2018

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 24, 2018

Completed
4.1 years until next milestone

Study Start

First participant enrolled

October 17, 2022

Completed
1.7 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 16, 2024

Completed
2.2 years until next milestone

Study Completion

Last participant's last visit for all outcomes

August 16, 2026

Expected
Last Updated

April 25, 2023

Status Verified

April 1, 2023

Enrollment Period

1.7 years

First QC Date

September 20, 2018

Last Update Submit

April 23, 2023

Conditions

Outcome Measures

Primary Outcomes (1)

  • Neurodevelopmental Outcome at 2 Years of Age

    Overall and Domain Scores - Ages and Stages, 3rd ed. Questionnaire

    22-26 months

Secondary Outcomes (3)

  • Fidgety Movements at 3 months of age

    3-5 months

  • Neurodevelopmental Outcome at 1 Year of Age

    10-14 months

  • Autism Outcome

    22-26 months

Study Arms (2)

Umbilical Cord Milking

ACTIVE COMPARATOR

At delivery, the umbilical cord is grasped, and blood is pushed toward the infant 4 times before the cord is clamped. This procedure infuses a placental transfusion of blood into the infant and can be done in 10-15 seconds.

Other: Umbilical Cord Milking

Immediate Cord Clamping

NO INTERVENTION

The umbilical cord is clamped immediately after the delivery.

Interventions

At delivery, the umbilical cord is grasped, and blood is pushed toward the infant 4 times before the cord is clamped. This procedure infuses a placental transfusion of blood into the infant and can be done in 10-15 seconds.

Umbilical Cord Milking

Eligibility Criteria

Age3 Months - 26 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Enrolled in MIDAB trial

You may not qualify if:

  • None

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (3)

Daga Memorial Woman and Children Hospital

Nagpur, MS, 440002, India

Location

Government Medical College and Hospital

Nagpur, MS, 440009, India

Location

NKP Salve Institute of Medical Sciences and Lata Mangeshkar Hospital

Nagpur, MS, 440019, India

Location

MeSH Terms

Conditions

Hypoxia-Ischemia, BrainAsphyxia Neonatorum

Interventions

Umbilical Cord Clamping

Condition Hierarchy (Ancestors)

Brain IschemiaCerebrovascular DisordersBrain DiseasesCentral Nervous System DiseasesNervous System DiseasesHypoxia, BrainVascular DiseasesCardiovascular DiseasesHypoxiaSigns and Symptoms, RespiratorySigns and SymptomsPathological Conditions, Signs and SymptomsInfant, Newborn, DiseasesCongenital, Hereditary, and Neonatal Diseases and Abnormalities

Intervention Hierarchy (Ancestors)

Delivery, ObstetricObstetric Surgical ProceduresSurgical Procedures, Operative

Study Officials

  • Zubair Aghai, MD

    Nemours Children's Clinic

    PRINCIPAL INVESTIGATOR
0

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Masking Details
Neurodevelopmental providers will be blinded to the randomization of the toddler during the examination.
Purpose
SUPPORTIVE CARE
Intervention Model
PARALLEL
Model Details: Neurodevelopmental assessments will be done at 2 years of age (22-26 months) for subjects who were randomized to receive either immediate cord clamping or umbilical cord milking as part of the MIDAB trial.
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor of Pediatrics

Study Record Dates

First Submitted

September 20, 2018

First Posted

September 24, 2018

Study Start

October 17, 2022

Primary Completion

June 16, 2024

Study Completion (Estimated)

August 16, 2026

Last Updated

April 25, 2023

Record last verified: 2023-04

Locations