Drug cocktail may save tiniest Babies' hearts and lungs
NCT ID NCT05340582
First seen Jun 27, 2026 · Last updated Sep 16, 2026 · Updated 2 times
Summary
This study tests whether giving two medicines (acetaminophen and ibuprofen) together works better than ibuprofen alone to close a common heart blood vessel in extremely premature infants (born before 27 weeks). About 310 babies will take part. The goal is to see if the combo reduces death or severe lung disease, and improves development at 18-30 months.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 310 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2022
- Expected to finish
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Apr 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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Up to 27 weeks
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Preterm infants born \<27+0 weeks gestational age * Permission given by the attending clinician to approach and then consent obtained from parents * Diagnosis of PDA ≥ 1.5 mm on echocardiography with unrestrictive predominantly left to right shunt * Designated to receive first treatment course with intravenous or enteral ibuprofen, as decided by the attending team. Exclusion Criteria: * Chromosomal anomaly * Pre-treatment renal dysfunction defined as urine output \< 1ml/kg/hour for the previous 24 hours or serum creatinine \> 100 micromol/L * Pre-treatment hepatic dysfunction defined as serum aminotransferase (ALT) \> 100 units/L94 * Platelet count \<50,000 per microliter * Permission denied by the attending clinician to approach parents * Parental consent not available * Previous exposure to PDA medical treatment with any drug (prophylactic indomethacin use for prevention of intraventricular hemorrhage will not be considered as PDA treatment).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
7 sites in 3 countries. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Centre Hospitalier de l'Université Laval
RECRUITINGQuébec, Quebec, G1V 4G2, Canada
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John Hunter Hospital
ACTIVE_NOT_RECRUITINGNewcastle, New South Wales, 2300, Australia
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McMaster Children's Hospital
RECRUITINGHamilton, Ontario, L8N 3Z5, Canada
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Mount Sinai Hospital
RECRUITINGToronto, Ontario, M5G 1X5, Canada
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Prince of Wales Hospital
NOT_YET_RECRUITINGShatin, NT, Hong Kong
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Royal Alexandra Hospital
RECRUITINGEdmonton, Ontario, T5H 3V9, Canada
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Royal North Shore Hospital
RECRUITINGSt Leonards, New South Wales, 2065, Australia
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Sunnybrook Health Sciences Centre
RECRUITINGToronto, Ontario, M4N 3M5, Canada
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The Rotunda Hospital
ACTIVE_NOT_RECRUITINGDublin, Ireland
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