Could a weekly shot boost brain health in preterm infants?
NCT ID NCT03169881
First seen Jun 27, 2026 · Last updated Jul 02, 2026 · Updated 2 times
Summary
This phase 3 trial tested whether giving preterm babies a drug called darbepoetin weekly could improve their brain development and reduce the need for blood transfusions. 650 infants born between 23 and 28 weeks of pregnancy were treated until they reached 35 weeks or went home. The study compared their cognitive scores at 22-26 months against a placebo group.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Darbepoetin
- What this could lead to
- If it works, this could point toward a treatment that helps preterm babies have better brain development and need fewer blood transfusions.
- What could go wrong
- This trial is completed but results are not yet widely confirmed. The benefit may be small or not apply to all preterm infants. Risks include potential side effects from the drug.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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650 people
The number who actually took part.
- Started
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Sep 2017
- Finished
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May 2025
- Lead sponsor
-
A research network
The lead sponsor is a research network or cooperative group.
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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1 hour to 24 hours
- 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: * Inborn and outborn preterm infants * 23 0/7-28 6/7 weeks gestational age * ≤24 hours postnatal age Exclusion Criteria: * Hematocrit \> 60% * Infants with known congenital or chromosomal anomalies, including congenital heart disease and known brain anomalies * Hemorrhagic or hemolytic disease * EEG- confirmed seizures * Congenital thrombotic disease * Systolic blood pressures \>100 mm Hg while not on pressor support * Receiving Epo or Darbe clinically, or planning to receive Epo or Darbe during hospitalization * Infants in whom no aggressive therapy is planned * Family will NOT be available for follow-up at 22-26 months
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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.
Contacts and locations
Locations
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Brown University - Women and Infants Hospital of Rhode Island
Providence, Rhode Island, 02905, United States
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Case Western Reserve University, Rainbow Babies and Children's Hospital
Cleveland, Ohio, 44106, United States
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Cincinnati Children's Medical Center
Cincinnati, Ohio, 45267, United States
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Duke University
Durham, North Carolina, 27710, United States
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Emory University
Atlanta, Georgia, 30303, United States
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RTI International
Durham, North Carolina, 27705, United States
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Research Institute at Nationwide Children's Hospital
Columbus, Ohio, 43205, United States
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Stanford University
Palo Alto, California, 94304, United States
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Univeristy of Pennsylvania
Philadelphia, Pennsylvania, 19104, United States
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University of Alabama at Birmingham
Birmingham, Alabama, 35233, United States
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University of Iowa
Iowa City, Iowa, 52242, United States
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University of New Mexico
Albuquerque, New Mexico, 87131, United States
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University of Rochester
Rochester, New York, 14642, United States
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University of Texas Health Science Center at Houston
Houston, Texas, 77030, United States
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University of Texas Southwestern Medical Center at Dallas
Dallas, Texas, 75235, United States
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University of Utah
Salt Lake City, Utah, 84108, United States
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