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. 2020 Aug 19;2020(8):CD013202. doi: 10.1002/14651858.CD013202.pub2

NCT02612155.

Study name A multi‐site study of autologous cord blood cells for hypoxic ischaemic encephalopathy
Methods Multicenter phase 2 RCT
Participants  Estimated sample size: 160 newborns
Inclusion criteria
  • NICHD Neonatal Research Network Hypothermia Trial inclusion criteria

  • Mothers must have consented or given verbal assent for cord blood collection at delivery, and cord blood must be available for volume and red blood cell reduction before 45 hours of age

  • The infant must be able to receive at least 1 dose of autologous cord blood before 48 hours of age

  • All infants must have signs of encephalopathy within 6 hours of age


Exclusion criteria
  • Major congenital or chromosomal abnormalities

  • Severe growth restriction (birth weight < 1800 g)

  • Opinion by attending neonatologist that the study may interfere with treatment or safety of subject

  • Moribund neonates for whom no further treatment is planned

  • Infants born to mothers are known to be HIV, Hepatitis B, Hepatitis C or who have active syphilis or CMV infection in pregnancy

  • Infants suspected of overwhelming sepsis

  • ECMO initiated or likely in the first 48 hours of life

Interventions
  •  Intervention: autologous nucleated cord blood cells available for infusion (up to 2 infusions)

  • Control: mix of autologous cord blood red blood cells and plasma

Outcomes Primary outcomes: survival at 1 year; percentage of subjects with Bayley III scores in all 3 domains ≥ to 85
Secondary outcomes:  percentage of infants with seizures, iNO use; need for ECMO; G‐tube feeding; anti‐epileptic medications
Starting date 20 March 2017
Contact information Kimberley A Fisher, kimberley.fisher@duke.edu, Duke University Medical Center, Durham, North Carolina, USA
Notes Study sponsor: Michael Cotton