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Trial record 3 of 19 for:
vitamin A | Interventional Studies | Bangladesh | Child
Effect of Vitamin A in the Treatment of Neonatal Sepsis and Necrotizing Enterocolitis
This study has been completed.
Sponsor:
Johns Hopkins University
Collaborators:
Bill and Melinda Gates Foundation
United States Agency for International Development (USAID)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Information provided by (Responsible Party):
Christian Coles, Johns Hopkins University
ClinicalTrials.gov Identifier:
NCT00707785
First received: June 27, 2008
Last updated: September 24, 2013
Last verified: September 2013
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Purpose
The purpose of the study is to determine whether vitamin A can improve survival and facilitate recovery from sepsis and necrotizing enterocolitis in hospitalized neonates.
| Condition | Intervention | Phase |
|---|---|---|
| Sepsis Necrotizing Enterocolitis Meningitis Pneumonia | Dietary Supplement: Vitamin A | Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Intervention Model: Parallel Assignment Masking: Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor) Primary Purpose: Treatment |
| Official Title: | Effect of Vitamin A in the Treatment of Sepsis and Necrotizing Enterocolitis in Hospitalized Neonates |
Resource links provided by NLM:
Further study details as provided by Christian Coles, Johns Hopkins University:
Primary Outcome Measures:
- Disease Mortality [ Time Frame: prospective ]
Secondary Outcome Measures:
- Inflammatory cytokine concentration [ Time Frame: prospective ]
- Duration of inflammation [ Time Frame: prospective ]
- Disease progression in NEC patients [ Time Frame: prospective ]
Other Outcome Measures:
- Treatment failure [ Time Frame: prospective ]
- Time to recovery from severe illness [ Time Frame: prospective ]
| Enrollment: | 424 |
| Study Start Date: | December 2006 |
| Study Completion Date: | June 2012 |
| Primary Completion Date: | April 2011 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Sepsis - vitamin A
|
Dietary Supplement: Vitamin A
50,000 IU of Vitamin A 50,000 IU of vegetable oil
Other Name: Retinol
|
|
Placebo Comparator: 2
Sepsis - placebo
|
Dietary Supplement: Vitamin A
50,000 IU of Vitamin A 50,000 IU of vegetable oil
Other Name: Retinol
|
|
Experimental: 3
NEC - vitamin A
|
Dietary Supplement: Vitamin A
50,000 IU of Vitamin A 50,000 IU of vegetable oil
Other Name: Retinol
|
|
Placebo Comparator: 4
NEC - Placebo
|
Dietary Supplement: Vitamin A
50,000 IU of Vitamin A 50,000 IU of vegetable oil
Other Name: Retinol
|
Detailed Description:
Sepsis and necrotizing enterocolitis (NEC) are leading causes of morbidity and mortality in neonates. Studies have shown that early reversal of the signs associated with severe disease is an important prognostic factor during acute illness. Vitamin A deficiency is widespread among children, including neonates, in developing countries. Vitamin A plays an important role in mediating immune responses and in maintaining epithelial integrity. For this reason vitamin A supplementation during the acute phase of neonatal infection could work synergistically with present antibiotic regimens in promoting early reversal of signs associated with adverse outcome and shorten the total duration of clinical illness. The purpose of the proposed hospital-based clinical trial is to evaluate the efficacy of vitamin A supplementation on reducing the morbidity and mortality among neonates hospitalized with sepsis (n=366) and NEC(n=150). Enrolled subjects will be randomized at the time of hospitalization to receive one dose of either 50,000 IU of vitamin A or placebo at enrollment, in addition to standard antibiotic therapy. We will compare the proportion of treatment failures in sepsis patients, the frequency of disease progression and mortality in NEC patients, and the time to clinical recovery and discharge between treatment groups. In addition, the study will determine whether vitamin A reduces pro-inflammatory cytokine levels; elevated host inflammatory cytokines are thought to contribute to the severity of both conditions. If vitamin A is found to be efficacious in the treatment of sepsis and NEC it could present a needed cost-effective approach to decreasing the global morbidity, mortality and the economic cost associated with neonatal sepsis and NEC in the developing world.
Eligibility| Ages Eligible for Study: | up to 28 Days (Child) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- newborns less than 29 days with clinical sepsis
Exclusion Criteria:
- healthy infants
- major congenital abnormalities
- known inborn error(s) of metabolism
- chronic disorders of other organs (e.g. cholestasis)
- definite or severe NEC (> stage 2)
- congenital heart disease
- Infants receiving VA supplements
- Infants requiring mechanical ventilation
- Infant is unconscious
Contacts and Locations
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To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below.
For general information, see Learn About Clinical Studies.
Please refer to this study by its ClinicalTrials.gov identifier: NCT00707785
Please refer to this study by its ClinicalTrials.gov identifier: NCT00707785
Locations
| Bangladesh | |
| Dhaka Shishu Hospital | |
| Dhaka, Bangladesh | |
Sponsors and Collaborators
Johns Hopkins University
Bill and Melinda Gates Foundation
United States Agency for International Development (USAID)
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)
Investigators
| Principal Investigator: | Christian L Coles, PhD | Johns Hopkins Bloomberg School of Public Health |
More Information
| Responsible Party: | Christian Coles, Assistant Professor, Department of International Health, Johns Hopkins University |
| ClinicalTrials.gov Identifier: | NCT00707785 History of Changes |
| Other Study ID Numbers: |
H.22.05.12.20.A2 1K01DK075478-01 ( U.S. NIH Grant/Contract ) |
| Study First Received: | June 27, 2008 |
| Last Updated: | September 24, 2013 |
Keywords provided by Christian Coles, Johns Hopkins University:
|
vitamin A Treatment neonates newborn |
sepsis necrotizing enterocolitis meningitis pneumonia |
Additional relevant MeSH terms:
|
Vitamin A Retinol palmitate Pneumonia Sepsis Toxemia Meningitis Enterocolitis Enterocolitis, Necrotizing Lung Diseases Respiratory Tract Diseases Respiratory Tract Infections Infection Systemic Inflammatory Response Syndrome Inflammation Pathologic Processes |
Central Nervous System Diseases Nervous System Diseases Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Intestinal Diseases Vitamins Micronutrients Growth Substances Physiological Effects of Drugs Antioxidants Molecular Mechanisms of Pharmacological Action Protective Agents Anticarcinogenic Agents Antineoplastic Agents |
ClinicalTrials.gov processed this record on September 21, 2017