Magnetic Resonance Biomarkers in Neonatal Encephalopathy (MARBLE)
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|ClinicalTrials.gov Identifier: NCT01309711|
Recruitment Status : Completed
First Posted : March 7, 2011
Last Update Posted : January 12, 2018
N-acetylaspartate (NAA) is a surrogate neuronal marker and its proton magnetic resonance spectroscopy (1H MRS) signal decreases with increasing neuronal mortality associated with cerebral hypoxia-ischaemia. The MRS lactate (Lac)/NAA peak-area ratio increases during and after severe cerebral hypoxia-ischaemia reflecting mitochondrial injury and impaired oxidative phosphorylation.
Aims: (1) To establish normative ranges for thalamic 1H MRS NAA concentration and Lac/NAA in healthy newborn infants (2) To examine the accuracies of thalamic 1H MRS NAA concentration and Lac/NAA for predicting adverse neurodevelopmental outcome in neonatal encephalopathy (NE)
Design: Prospective observational study Methods: Year 1: Following 1H MRS methodology optimisation 40 healthy control infants will be recruited to collect normative data. Year 2 to 3: 115 infants with NE, undergoing therapeutic hypothermia will be recruited. MRS will be performed aged less than 4 days and 7 to 14 days and thalamic NAA levels and Lac/NAA will be quantified; Qualitative interviews to evaluate parental understanding of this biomarker. Year 4, 5: Outcome assessment by BSID III at 18 months.
Outcomes: Mean thalamic NAA levels and Lac/NAA and appropriate confidence intervals in normal infants, and thalamic NAA levels and Lac/NAA in infants with NE according to neurodevelopmental outcome. Areas under curves for thalamic NAA and Lac/NAA will be examined separately for early & late MRS. Accuracy of early MRS will inform utility of this investigation in decisions about withdrawal of life support; late MRS will inform about efficacy as a surrogate end point in clinical trials. Qualitative interviews will be thematically analysed and reported.
|Condition or disease|
Show Detailed Description
|Study Type :||Observational|
|Estimated Enrollment :||180 participants|
|Official Title:||A Multicentre Prospective Study on Magnetic Resonance Biomarkers in Neonatal Encephalopathy|
|Actual Study Start Date :||March 30, 2011|
|Actual Primary Completion Date :||August 13, 2017|
|Actual Study Completion Date :||December 31, 2017|
Moderate of severe neonatal encephalopathy
- Prognostic accuracy of [NAA] [ Time Frame: 18 months ]Assessed by BSID 3
Biospecimen Retention: Samples With DNA
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01309711
|London, United Kingdom|