One shot to save tiny brains: new trial for preemies
NCT ID NCT06572917
First seen Jun 26, 2026 · Last updated Jun 26, 2026
Summary
This study tests whether a single low dose of the drug indomethacin, given within 12 hours of birth, can prevent severe brain bleeding and improve survival in extremely preterm infants (born before 26 weeks or weighing under 750 grams). About 500 babies across Canada, the US, and Australia will be randomly assigned to receive either the drug or a placebo. Researchers and caregivers will not know which baby gets what, to keep the results unbiased.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- indomethacin
- What this could lead to
- If it works, this could offer a simple, one-time treatment to prevent severe brain bleeding and improve survival in the tiniest newborns.
- What could go wrong
- This is a Phase 2 trial, so it is still early. The drug may not work as hoped, and there are known risks like gut problems or harm when used with other medications.
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 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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About 500 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Nov 2025
An estimate. Start dates often move.
- Expected to finish
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Mar 2031
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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0 to 12 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: * Extremely preterm infants born \<26 completed weeks of GA and/or extremely low BW infants born \<750g Exclusion Criteria: * antenatal diagnosis of duct dependent CHD * acute hypoxic respiratory failure \[defined as fraction of inspired oxygen (FiO2)\>0.60 for ≥2h) * inhaled nitric oxide (iNO) therapy due to suspected or confirmed acute pulmonary hypertension (PH) * receipt of prophylactic or therapeutic hydrocortisone * antenatal diagnosis of renal anomalies * initial platelet count \<50x109/L * decision to withhold/withdraw life-sustaining treatments
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Get notified about this study
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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
15 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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BC Women's Hospital
Vancouver, British Columbia, V6H 3N1, Canada
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CHU de Quebec
Québec, Quebec, Canada
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Foothills Medical Center & Alberta Children's Hospital
Calgary, Alberta, Canada
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IWK Health
Halifax, Nova Scotia, Canada
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Kaiser Roseville
Roseville, California, 95661, United States
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Mercy Hospital for Women
Melbourne, Victoria, Australia
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Monash Children's Hospital
Melbourne, Victoria, Australia
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Montreal Children's Hospital
Montreal, Quebec, Canada
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Royal Alexandra Hospital
Edmonton, Alberta, Canada
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Royal Columbian Hospital
New Westminster, British Columbia, Canada
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Sunnybrook Health Sciences Centre
Toronto, Ontario, Canada
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Texas Health Harris Methodist Hospital Fort Worth
Fort Worth, Texas, 76104, United States
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UC Davis Health
Sacramento, California, 95817, United States
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University of Pittsburgh School of Medicine
Pittsburgh, Pennsylvania, 15224-1334, United States
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Welcome to Baylor Scott & White Health
Fort Worth, Texas, 76104, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a blood marker tell fever from infection in stroke?
- Can timed lung 'Recruitment' maneuvers protect Preemies' lungs?
- Early therapy may rewire motor development in premature infants
- Massive brain injury study aims to unlock secrets of recovery
- New brain monitoring method may predict injury in tiniest newborns