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. 2022 Apr 1;2022(4):CD013846. doi: 10.1002/14651858.CD013846.pub2

Hanigan 1988.

Study characteristics
Methods Single‐centre randomized controlled trial
Participants Inclusion criteria
  1. birth weight of <1500 g, negative sonogram for PVH‐IVH and written parental consent.


Exclusion criteria
  1. Gestational age >34 weeks

  2. Platelet counts of <60,000/mm3

  3. Clinical evidence of a bleeding diathesis

  4. Significant congenital abnormalities

  5. Lack of a baseline cranial sonogram obtained before 12 hours of age

  6. Birth weight less than 500 g

Interventions Active intervention (n = 56)
Blinded IV indomethacin as reconstituted lyophilized sodium salt; 0.1mg/kg at <12 hours, and 24, 48 and 72 hours IV, over 2 minutes
Control (n = 55)
Blinded IV placebo (Placebo identical quantity of saline solution)
Outcomes Relevant outcomes for this study included
  1. Mortality

  2. IVH

  3. Treatment for symptomatic PDA

Notes Primary study location: Illinois, USA
Study period: 1 May 1984 to 30 April 1986
Trial registration: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method of sequence generation was not specified.
Allocation concealment (selection bias) Low risk Used random‐sized block allocation, and opaque sealed envelopes available only by the pharmacist
Blinding of participants and personnel (performance bias)
All outcomes Low risk Personnel involved in care were blinded to participants' study arm
Blinding of outcome assessment (detection bias)
All outcomes Low risk States that only biostatistician and pharmacist had access to study arms, implying that outcome assessors were also blinded.
Incomplete outcome data (attrition bias)
All outcomes Low risk 11 infants enrolled were withdrawn from study before statistical analysis, six due to oliguria or thrombocytopenia, one withdrew consent, four due to false‐negative baseline sonograms. No enrolled infants were unaccounted for.
Selective reporting (reporting bias) Unclear risk Study protocol unavailable, unclear if there were any deviations to the original protocol.
Other bias Low risk None noted