Trial name or title | Adding paracetamol to ibuprofen for treatment of patent ductus arteriosus in preterm infants |
Methods | Randomised double‐blind controlled trial |
Participants | Preterm infants born at 24 to 37 weeks' PMA, diagnosis of haemodynamically significant PDA, medical staff decided to treat with ibuprofen |
Interventions | Group 1: ibuprofen + paracetamol (Ibuprofen 10 mg/kg once, then 5 mg/kg twice, every 24 h for a total of 3 doses and intravenous paracetamol loading dose 20 mg/kg then 10 mg/kg every 6 h for a total of 12 doses) Group 2: ibuprofen + placebo (ibuprofen 10 mg/kg once, then 5 mg/kg twice, every 24 h for a total of 3 doses and placebo (NaCl 0.9%), intravenous, at equal volume to the paracetamol in the paracetamol arm, total of 12 doses given every 6 h) |
Outcomes | Primary outcome: the incidence of patent ductus arteriosus closure 3 to 21 days after first dose of ibuprofen by echocardiography. The need for surgical ligation of PDA. Secondary outcomes: adverse effects until discharge home ‒ renal and liver function, gastrointestinal complications |
Starting date | February 2014 |
Contact information | o_hochwald@rambam.health.gov.il |
Notes | ClinicalTrials.gov identifier: NCT02002741 |