DEC-NET Serial number FR347 |
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Published online | 31/01/2005 14.36.00 |
Last updated | 27/11/2006 10.20.44 |
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Other protocol ID number | |
Current trial status | Open (actively recruiting new participants) |
Major Disease (ICD9 class) | Cardiomyopathy |
Experimental drug |
dinoprostone
Treatment regimen (dosage and duration) Prostine intravenously :dose reduction
from 0.02 µg/kg/mnto 0.005 µg/kg/mn)with acetaminophen(paracetamol):60 mg/kg/day (IV)x 4 times
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Nalbuphine
Treatment regimen (dosage and duration) 200 nalpbuphine µg/kg - 6 times /day intravenously
acetaminophen (paracetamol):60 mg/kg - 4 times /day
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Morphine
Treatment regimen (dosage and duration) Morphine : 0.3 - 1 mg/kg/day continous IV associated with
acetaminophen (paracetamol):60 mg/kg 4 times/day intravenously
0.3 - 1 Morphine mg/kg/day continous IV |
Gender | Both |
Age (range) | birth to 28 days of life |
Eligibility criteria |
Inclusion criteria |
Newborn infant :
- with congenital ducto-dependent
- hospitalized in neonnatal intensive care
- treated by prostaglandins (0.02-0.1 µg/kg/min by IV)
- with an EDIN score >7
- Signed parental consent |
Exclusion criteria |
Newborn infant :
- with a condition making an urgent surgical indication in the 24 hours
- with severe neurological disorders incompatible with the evaluation of EDIN score
- with another factor potentially responsible for a painful symptomatology (obstetrical traumatism)
- Parental refusal |
Trial design/methodology |
Phase | 3 |
Kind of study | Efficacy Safety
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Design | Randomised
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Purpose of study |
- Principal : To study the efficacy of different analgesics in reducing the EDIN score by 50%
- Secondary : To compare their efficacy and incidence of side effects |
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Summary of study design, objectives, and ongoing research findings |
In order to determine an optimal analgesic strategy, newborn infants are included in one of the 3 groups during 72 hours:
1/ acetaminophen and nalbuphine,
2/acetaminophen and prostaglandin
3/acetaminophen and morphine.
The EDIN score and tolerance are evaluated : respiratory side effects, frequency of hyperthermia , method of feeding.
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