Safety of Fluconazole Treatment of Premature and Full-term Newborn Infants
Ductus Arteriosis, Patent, Bacterial Infections and Mycoses
About this trial
This is an interventional supportive care trial for Ductus Arteriosis, Patent
Eligibility Criteria
Inclusion Criteria:
Newborn infants in need of prophylaxis with fluconazole according to clinical routines and/or clinical indication for treatment of Patent Ductus Arteriosis (PDA), or newborn infants who are not treated with either fluconazole or ibuprofen according to the following study groups:
1.1 Premature newborn infants with Gestational Age 23+0 to 26+6 weeks who are treated only with fluconazole.
1.2 Premature newborn infants with Gestational Age 23+0 to 26+6 weeks who are treated with both fluconazole and Ibuprofen.
1.3 Premature newborn infants with Gestational Age 27+0 to 36+6 who are treated only with ibuprofen.
1.4 Premature newborn infants with Gestational Age 27+0 to 36+6 and fullterm infants who are not treated either with fluconazole or ibuprofen.
- Parents that are in command of the Swedish language and capable of understanding the study plan
- Informed written parental consent
Exclusion Criteria:
- Infants who need treatment with other drugs that are metabolised by enzyme Cytochrome (CYP2C9) (such as phenytoin, sulphamethoxazole, fluvastatin, sildenafil, losartan, irbesartan, torsemide, tienilic acid), or any other enzyme involved in the metabolism of fluconazole and or NSAIDs, or treatment with drugs that interact with NSAIDs at the cyclooxygenase level, or interact with the vasal effects of the metabolic products of the cyclooxygenase.
- Infants without possibility to conceive the objectives and implications of the study in the opinion of the investigator.
Sites / Locations
- Neonatal Intensive Care Unit, Karolinska University Hopsital
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Active Comparator
Active Comparator
Active Comparator
Placebo Comparator
1
2
3
4
Premature newborn infants with Gestational Age 23+0 to 26+6 weeks who are treated only with fluconazole.
Premature newborn infants with Gestational Age 23+0 to 26+6 weeks who are treated with both fluconazole and Ibuprofen.
Premature newborn infants with Gestational Age 27+0 to 36+6 who are treated only with ibuprofen.
Premature newborn infants with Gestational Age 27+0 to 36+6 and fullterm infants who are not treated either with fluconazole or ibuprofen.