The TOBY Children Study

This study is enrolling participants by invitation only.
Sponsor:
Collaborator:
University of Oxford
Information provided by:
Imperial College London
ClinicalTrials.gov Identifier:
NCT01092637
First received: March 23, 2010
Last updated: NA
Last verified: March 2010
History: No changes posted

March 23, 2010
March 23, 2010
September 2009
December 2012   (final data collection date for primary outcome measure)
The frequency of survival with an IQ > 84 [ Time Frame: Age between 6 years - 7 years 4 months ] [ Designated as safety issue: No ]
Same as current
No Changes Posted
Not Provided
Not Provided
Not Provided
Not Provided
 
The TOBY Children Study
School Age Outcomes Following a Newborn Cooling Trial

The aim of this study is to determine the efficacy of therapeutic hypothermia following perinatal asphyxia on neurological and neuropsychological outcomes and also to assess academic attainment and any additional health, societal or educational costs associated with changes in outcome as a result of the intervention. This study will determine whether the apparent initial benefits of cooling are maintained in the longer term.

Perinatal asphyxia (a lack of oxygen occurring around the time of birth) may have long term consequences on brain functioning, which may be altered by treatment with hypothermia (cooling). Currently, there is no information on the effect of cooling on outcome beyond 18 months of age. We intend to assess at 6 - 7 years of age, the children that participated in the TOBY trial of whole body cooling following perinatal asphyxia and compare between the children that had received the cooling treatment soon after birth and those that were not treated with cooling, the number that survived with an intelligence quotient (IQ) greater than 84, the presence and severity of disabilities, educational attainment and the economic impact on families and service providers. If possible, children will be assessed in their school, with the option of alternative venues such as home or clinic if required.

During the assessment a paediatrician will conduct a neurological examination. A psychologist will administer psychometric tests to evaluate cognitive, behavioural and motor development. Questionnaires completed by parents and teachers will complete the data collection. Economic factors will also be assessed in the parent questionnaire.

Each child will have contact with the assessors during one school day with appropriate breaks. Assessments will take place over a period of 3 years.

Not Provided
Observational
Observational Model: Cohort
Time Perspective: Cross-Sectional
Not Provided
Not Provided
Non-Probability Sample

All participants were recruited to the TOBY randomised controlled trial as newborns, with confirmed moderate or severe hypoxic ischaemic encephalopathy.

They were allocated either standard intensive care or standard intensive care plus moderate whole body hypothermia within 6 hours of birth.

  • Cerebral Palsy
  • Hypoxia-Ischemia, Brain
Not Provided
  • Cooled
    Child was allocated standard intensive care plus moderate whole body hypothermia treatment within 6 hours of birth
  • Non-cooled
    Child was allocated standard intensive care only within 6 hours of birth
Not Provided

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Enrolling by invitation
233
August 2013
December 2012   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • participant in the TOBY Study

Exclusion Criteria:

  • previously documented instruction not to approach for inclusion in further TOBY projects
Both
72 Months to 88 Months
No
Contact information is only displayed when the study is recruiting subjects
United Kingdom
 
NCT01092637
ISRCTN89547571(2), G0801320
No
Chief Investigator: Dr Denis Azzopardi, Imperial College London
Imperial College London
University of Oxford
Not Provided
Imperial College London
March 2010

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP