Trial name or title | Oral paracetamol versus oral ibuprofen for closure of haemodynamically significant patent ductus arteriosus in preterm neonates (< 32 weeks): a blinded, randomised, active‐controlled, non‐inferiority trial |
Methods | Multi‐site, randomised, active‐controlled, blinded, non‐inferiority trial |
Participants | Preterm neonates of < 32 weeks’ PMA with presence of a haemodynamically significant PDA |
Interventions | Paracetamol oral suspension administered through an orogastric tube in a dose of 15 mg/kg/dose at 6‐hourly intervals for 3 consecutive days Ibuprofen oral suspension (Ibugesic, Cipla India) would be administered through orogastric tubes in a dose of 10 mg/kg/dose followed by 5 mg/kg/dose after 24 and 48 h from the first dose. |
Outcomes | Primary outcome: closure of PDA by the end of the last dose of the study drug or earlier, irrespective of the course of the drug Secondary outcomes: closure of PDA following a single course of study drug, closure of PDA following surgical ligation, death (due to any cause) before discharge from the hospital, reopening of PDA following initial closure, ECHO‐proven pulmonary artery hypertension, azotaemia, oliguria, hepatitis with deranged liver transaminases, deranged coagulogram, IVH (any grade of severity), severe IVH (grade 3 and intraparenchymal extension), PVL, NEC (all stages), NEC (definite and advanced stage as per modified Bell’s staging), feed intolerance, BPD and ROP |
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