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Caffeine for Brain Injury
Phase 1
Waitlist Available
Led By Wesley M Jackson, MD, MPH
Research Sponsored by University of North Carolina, Chapel Hill
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Receiving therapeutic hypothermia for a diagnosis of HIE
≥ 36 weeks gestational age at birth
Must not have
Receiving > 1 anti-epileptic drug for seizures
Timeline
Screening 3 weeks
Treatment Varies
Follow Up 18-24 months of age
Awards & highlights
All Individual Drugs Already Approved
Approved for 10 Other Conditions
No Placebo-Only Group
Summary
This trial will study whether adding caffeine to therapeutic hypothermia improves neurodevelopmental outcomes in infants with HIE.
Who is the study for?
This trial is for newborns born at or after 36 weeks of pregnancy, diagnosed with brain injury due to oxygen deprivation (HIE), and are undergoing cooling therapy. They must have IV access and be less than 24 hours old. Babies on multiple seizure medications, with very high heart rates, major birth defects, or other conditions making them unsuitable for the study can't participate.
What is being tested?
The study tests caffeine as an additional treatment to improve brain development outcomes in infants with HIE. Two different doses of Caffeine Citrate (5 mg/kg and 10 mg/kg) are being studied to see how they're processed by the body, their safety, and early signs of effectiveness.
What are the potential side effects?
Potential side effects from Caffeine Citrate may include increased heart rate, sleep disturbances, feeding difficulties, jitteriness or nervousness in infants; however specific side effects will be closely monitored given this is a phase I trial assessing safety.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
I am undergoing cooling treatment for brain injury due to lack of oxygen.
Select...
I was born at or after 36 weeks of pregnancy.
Select...
My baby is less than 24 hours old.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I am taking more than one medication for seizures.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ 18-24 months of age
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~18-24 months of age
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Area Under Plasma Concentration-time at Time t (AUC0-t) for Caffeine
Secondary study objectives
Number of Participants With Abnormal MRI Brain Findings Based on NICHD Neonatal Research Network Score
Number of Participants With Necrotizing Enterocolitis
Number of Participants With Seizures Requiring >1 Anti-Epileptic Medication
+1 moreAwards & Highlights
All Individual Drugs Already Approved
Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
Approved for 10 Other Conditions
This treatment demonstrated efficacy for 10 other conditions.
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
2Treatment groups
Active Control
Group I: Low Dose Caffeine (5 mg/kg)Active Control1 Intervention
Within 24 hours of delivery, participants will receive low dose administration of Caffeine citrate.
Group II: High Dose Caffeine (10 mg/kg)Active Control1 Intervention
Within 24 hours of delivery, participants will receive high dose administration of Caffeine citrate.
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Who is running the clinical trial?
University of North Carolina, Chapel HillLead Sponsor
1,555 Previous Clinical Trials
4,298,417 Total Patients Enrolled
Thrasher Research FundOTHER
134 Previous Clinical Trials
97,995 Total Patients Enrolled
Wesley M Jackson, MD, MPHPrincipal InvestigatorUniversity of North Carolina, Chapel Hill
1 Previous Clinical Trials
16 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- I am taking more than one medication for seizures.I am undergoing cooling treatment for brain injury due to lack of oxygen.I was born at or after 36 weeks of pregnancy.Your heart beats very fast for a long time.My baby is less than 24 hours old.You were born with a serious physical abnormality.
Research Study Groups:
This trial has the following groups:- Group 1: Low Dose Caffeine (5 mg/kg)
- Group 2: High Dose Caffeine (10 mg/kg)
Awards:
This trial has 3 awards, including:- All Individual Drugs Already Approved - Therapies where all constituent drugs have already been approved are likely to have better-understood side effect profiles.
- Approved for 10 Other Conditions - This treatment demonstrated efficacy for 10 other conditions.
- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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