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Early Versus Expectant Treatment of Ureaplasma Infection in Very Low Birth Weight Neonates

This study is currently recruiting participants.
Verified by University of Alabama at Birmingham, January 2008

Sponsored by: University of Alabama at Birmingham
Information provided by: University of Alabama at Birmingham
ClinicalTrials.gov Identifier: NCT00599053
  Purpose

Our hypothesis is that treatment of known Ureaplasma spp. infection of the airways in very low birth weight (VLBW) infants with azithromycin will eradicate the organisms and lessen the proinflammatory state caused by infection that puts them at risk for BPD. We propose to conduct a randomized trial of early (less than 3 days of age) treatment with intravenous azithromycin versus expectant management for VLBW infants with Ureaplasma spp. respiratory tract infection with the following specific aims: (1) Determine microbiological efficacy, pharmacokinetics, and safety of azithromycin treatment for eradication of Ureaplasma spp. in preterm infants, (2) Determine the respiratory outcomes of infants in the two treatment groups and those without respiratory tract Ureaplasma spp. infection


Condition Intervention Phase
Bacteria Infection
Respiratory Tract Infections
Drug: Azithromycin
Phase I
Phase II

ChemIDplus related topics:   Azithromycin   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Prevention, Randomized, Open Label, Parallel Assignment, Safety/Efficacy Study
Official Title:   Early Versus Expectant Treatment of Ureaplasma Infection in Very Low Birth Weight Neonates

Further study details as provided by University of Alabama at Birmingham:

Primary Outcome Measures:
  • Determine microbiological efficacy, pharmacokinetics, and safety of azithromycin treatment for eradication of Ureaplasma spp. in preterm infants [ Time Frame: 100 days or discharge from hospital ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Determine the respiratory outcomes of infants in the two treatment groups and those without respiratory tract Ureaplasma spp. infection. [ Time Frame: 100 days or discharge from Hospital ] [ Designated as safety issue: No ]

Estimated Enrollment:   50
Study Start Date:   May 2007
Estimated Primary Completion Date:   May 2010 (Final data collection date for primary outcome measure)

Arms Assigned Interventions
1: Experimental
Early treatment with azithromycin
Drug: Azithromycin
10 mg/kg IV per dose given for 10 days
2: No Intervention
Expectant (usual) management

  Eligibility
Ages Eligible for Study:   up to 3 Days
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

Inclusion Criteria:

  • Infants weighing <1250 grams at birth with respiratory distress syndrome who have respiratory infection with Ureaplasma sp organisms.

Exclusion Criteria:

  • Severe respiratory distress syndrome with survival unlikely >7 days, Congenital malformations
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00599053

Contacts
Contact: Robert L Schelonka, MD     205-934-6450     rschelon@uab.edu    

Locations
United States, Alabama
University of Alabama at Birmingham     Recruiting
      Birmingham, Alabama, United States, 35233
      Contact: Robert L Schelonka, MD     205-823-9979     rschelon@uab.edu    
      Principal Investigator: Robert L Schelonka, MD            

Sponsors and Collaborators
University of Alabama at Birmingham

Investigators
Principal Investigator:     Robert L Schelonka, MD     University of Alabama at Birminham    
  More Information


Responsible Party:   University of Alabama at Birmingham ( Robert L. Schelonka, MD-Principal Investigator )
Study ID Numbers:   F061228003
First Received:   January 10, 2008
Last Updated:   January 22, 2008
ClinicalTrials.gov Identifier:   NCT00599053
Health Authority:   United States: Institutional Review Board

Keywords provided by University of Alabama at Birmingham:
Ureaplasma  
Bronchopulmonary dysplasia  
very low birthweight  

Study placed in the following topic categories:
Bronchopulmonary dysplasia
Bacterial Infections
Body Weight
Birth Weight
Bronchopulmonary Dysplasia
Signs and Symptoms
Respiratory Tract Diseases
Respiratory Tract Infections
Azithromycin
Ureaplasma Infections
Gram-Negative Bacterial Infections

Additional relevant MeSH terms:
Mycoplasmatales Infections
Anti-Infective Agents
Anti-Bacterial Agents
Communicable Diseases
Therapeutic Uses
Infection
Pharmacologic Actions

ClinicalTrials.gov processed this record on October 15, 2008




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