Minipuberty and Its Effects on Preterm Neonates
Preliminary Study on Activation of the Hypothalamic-pituitary-gonadal Axis in Infancy (Minipuberty) and Its Effects on Catch-up Growth and Neurocognitive Outcome in Male Preterm Neonates Born at <32 Weeks of Gestational Age
1 other identifier
observational
20
0 countries
N/A
Brief Summary
It is generally known that there are some hormonal changes during puberty, but the knowledge about the activation of the same hormonal axis in the first months of life is relatively recent and it is not completely understood. From the first weeks of life there is a progressive increase in hormone levels and this post-natal activation is called "minipuberty". Particularly in males, testosterone and androgen levels are associated with development and maturation of the reproductive system as well as changes in the brain structure and behaviours. Recently, it has also been suggested that the increasing testosterone level during the first 6 months of life, as well as during puberty, translates into an increase of linear growth. In preterm neonates these hormones rise higher and for longer than in full-term newborns, suggesting that its activity is evolutionarily regulated. With this study researchers would like to investigate these changes and correlate hormone levels with linear growth and neurobehavioral development of preterm infants.
Trial Health
Trial Health Score
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participants targeted
Target at below P25 for all trials
Started Mar 2019
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Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
February 15, 2019
CompletedFirst Posted
Study publicly available on registry
February 28, 2019
CompletedStudy Start
First participant enrolled
March 1, 2019
CompletedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2020
CompletedStudy Completion
Last participant's last visit for all outcomes
August 1, 2020
CompletedMarch 7, 2019
February 1, 2019
1.4 years
February 15, 2019
March 5, 2019
Conditions
Outcome Measures
Primary Outcomes (2)
Measurement of urinary luteinising hormone
Urinary LH measured every week on fresh samples using electro- chemiluminescence immunoassay (ECLIA). Sample analysis will be performed by the Biochemistry Department of the Royal Hospital for Children in Glasgow using Abbott Architect i1600 instrument
18 months
Measurement of urinary follicle stimulating hormone
Urinary FSH measured every week on fresh samples using electro- chemiluminescence immunoassay (ECLIA). Sample analysis will be performed by the Biochemistry Department of the Royal Hospital for Children in Glasgow using Abbott Architect i1600 instrument
18 months
Secondary Outcomes (5)
Measurement of weight
18 months
Measurement of occipital frontal circumference
18 months
Measurement of penile growth
18 months
Measurement of penile volume
18 months
Video recording of fidgety movements
18 months
Study Arms (1)
Male infants born <32 weeks gestation
Interventions
Collection of urine sample for measurement of LH and FSH
Short video of infant recorded at home by the parents
Eligibility Criteria
We aim to enroll 20 neonates born under 32 weeks of gestational age at the Royal Hospital for Children in Glasgow. Neonates will be enrolled during the first 3 days of life with written informed consent signed by their parents.
You may qualify if:
- Male preterm infants born ≤32 weeks of gestational age
- Written informed consent provided
You may not qualify if:
- Female sex assignment at birth
- Male preterm infants born \>32 weeks of gestational age
- Male infants born at term
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Officials
- STUDY DIRECTOR
Paul Dearie
NHS GGC R&D
Central Study Contacts
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
February 15, 2019
First Posted
February 28, 2019
Study Start
March 1, 2019
Primary Completion
August 1, 2020
Study Completion
August 1, 2020
Last Updated
March 7, 2019
Record last verified: 2019-02