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Efficacy of Clarithromycin Treatment in Prevention of Chronic Lung Disease in Premature Infants

Primary Purpose

Chronic Lung Disease

Status
Completed
Phase
Phase 4
Locations
Turkey
Study Type
Interventional
Intervention
Clarithromycin
Dextrose
Sponsored by
Zekai Tahir Burak Women's Health Research and Education Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Chronic Lung Disease focused on measuring Chronic lung disease, Clarithromycin, Ureaplasma urealyticum

Eligibility Criteria

1 Hour - 2 Days (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • The babies under 1250 gram
  • The babies must be appropriate for gestational age

Exclusion Criteria:

  • Multiple congenital anomalies or known syndromes
  • Intrauterine growth retardation with birthweight less than 10 percentile for gestational age

Sites / Locations

  • Zekai Tahir Burak Maternity Teaching Hospital Neonatology department

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Clarithromycine Group: Active Comparator

Placebo Group: Placebo Comparator

Arm Description

Drug: Clarithromycin intravenous clarithromycin (10 mg/kg twice a day for 10 days)

Drug: D5W Dose given daily, IV same volume that Clarithromycin would be to equal 10 mg/kg for first 10 days.

Outcomes

Primary Outcome Measures

To evaluate the efficacy of clarithromycin in eradication of Ureaplasma urealyticum from premature nasopharynges
Efficacy of clarithromycin in eradication of Ureaplasma and incidence of CLD were the major outcomes of the study. Nasopharyngeal swabs for Ureaplasma were taken in postnatal first 3 days and on the 12th day only in culture positive infants, transported to the laboratory and cultured for Uu immediately.

Secondary Outcome Measures

To evaluate the efficacy of clarithromycin in prevention of Chronic lung disease in premature infants with birthweight <1250 g and have Ureaplasma urealyticum colonization.
Efficacy of clarithromycin in eradication of Ureaplasma urealyticum and incidence of chronic lung disease were the major outcomes of the study. Chronic lung disease of newborn was defined as a persistent oxygen requirement at 36 weeks post menstrual age or death.

Full Information

First Posted
March 29, 2011
Last Updated
March 29, 2011
Sponsor
Zekai Tahir Burak Women's Health Research and Education Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT01326611
Brief Title
Efficacy of Clarithromycin Treatment in Prevention of Chronic Lung Disease in Premature Infants
Study Type
Interventional

2. Study Status

Record Verification Date
May 2008
Overall Recruitment Status
Completed
Study Start Date
May 2008 (undefined)
Primary Completion Date
September 2010 (Actual)
Study Completion Date
December 2010 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Zekai Tahir Burak Women's Health Research and Education Hospital

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
The purpose of this study is to evaluate the efficacy of clarithromycin in eradication of ureaplasma urealyticum and prevention of chronic lung disease in premature infants with birthweight < 1250 g and have ureaplasma urealyticum colonization.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Lung Disease
Keywords
Chronic lung disease, Clarithromycin, Ureaplasma urealyticum

7. Study Design

Primary Purpose
Prevention
Study Phase
Phase 4
Interventional Study Model
Crossover Assignment
Masking
Care ProviderInvestigator
Allocation
Randomized
Enrollment
273 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Clarithromycine Group: Active Comparator
Arm Type
Active Comparator
Arm Description
Drug: Clarithromycin intravenous clarithromycin (10 mg/kg twice a day for 10 days)
Arm Title
Placebo Group: Placebo Comparator
Arm Type
Placebo Comparator
Arm Description
Drug: D5W Dose given daily, IV same volume that Clarithromycin would be to equal 10 mg/kg for first 10 days.
Intervention Type
Drug
Intervention Name(s)
Clarithromycin
Intervention Type
Drug
Intervention Name(s)
Dextrose
Primary Outcome Measure Information:
Title
To evaluate the efficacy of clarithromycin in eradication of Ureaplasma urealyticum from premature nasopharynges
Description
Efficacy of clarithromycin in eradication of Ureaplasma and incidence of CLD were the major outcomes of the study. Nasopharyngeal swabs for Ureaplasma were taken in postnatal first 3 days and on the 12th day only in culture positive infants, transported to the laboratory and cultured for Uu immediately.
Time Frame
12 days after treatment by clarithromycin
Secondary Outcome Measure Information:
Title
To evaluate the efficacy of clarithromycin in prevention of Chronic lung disease in premature infants with birthweight <1250 g and have Ureaplasma urealyticum colonization.
Description
Efficacy of clarithromycin in eradication of Ureaplasma urealyticum and incidence of chronic lung disease were the major outcomes of the study. Chronic lung disease of newborn was defined as a persistent oxygen requirement at 36 weeks post menstrual age or death.
Time Frame
From first day of inclusion of study to at postpartum 36th week of day

10. Eligibility

Sex
All
Minimum Age & Unit of Time
1 Hour
Maximum Age & Unit of Time
2 Days
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The babies under 1250 gram The babies must be appropriate for gestational age Exclusion Criteria: Multiple congenital anomalies or known syndromes Intrauterine growth retardation with birthweight less than 10 percentile for gestational age
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Omer Erdeve, Ass Prof
Organizational Affiliation
Zekai Tahir Burak Women's Health Research and Education Hospital
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Evrim Alyamac Dizdar, MD
Organizational Affiliation
Zekai Tahir Burak Women's Health Research and Education Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
Zekai Tahir Burak Maternity Teaching Hospital Neonatology department
City
Ankara
ZIP/Postal Code
06600
Country
Turkey

12. IPD Sharing Statement

Learn more about this trial

Efficacy of Clarithromycin Treatment in Prevention of Chronic Lung Disease in Premature Infants

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