- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02612727
Filtered Sunlight Phototherapy to Treat Significant Jaundice: Safety and Efficacy in Neonates (FSPT)
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Severe neonatal hyperbilirubinemia (NHB) and its progression to kernicterus is a leading cause of deaths and disabilities among newborns in the developing world, particularly in sub-Saharan Africa including Nigeria. Many infants live in villages/towns far from clinical facilities capable of providing conventional artificial blue light phototherapy (CPT) which is the standard treatment for NHB in the industrialized world. Hence, more babies succumb to this preventable tragedy principally on account of lack of electricity and/or available/affordable CPT.
To make treatment of NHB more readily available, we designed and tested a novel, yet simple, practical alternative device to deliver blue light PT in underserved areas from filtered sunlight. The investigators pilot study demonstrated that appropriately filtered sunlight phototherapy (FS-PT) not only offers safe and affordable treatment for infants with mild-moderate NHB, but is also no less efficacious than CPT. Other studies have shown faster decline at higher bilirubin (TB) levels and with higher irradiances. The next logical step to move this urgently needed and exciting therapy forward is to test FS-PT in infants with significant/severe NHB as defined by the American Academy of Pediatrics (AAP) criteria for high-risk infants. In doing so, the investigators will potentially be preventing acute bilirubin encephalopathy (ABE) and kernicterus in many of these infants.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Ogbomoso, Nigeria
- Bowen University Teaching Hospital
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
Subjects will be eligible to participate in the study if all of the following conditions exist:
- At time of birth, infant is > 35 weeks gestation (or ≥ 2.2 kg if gestational age is not available.
- Infant is < 14 days old at the time of enrollment.
- Infant has an elevated TB defined as at the level recommended for high-risk infants per AAP guidelines or higher.
- Parent or guardian has given consent for the infant to participate.
Exclusion Criteria:
Subjects will be excluded from enrollment in the study if any of the following conditions exist:
- Infants with a condition requiring referral for treatment not available at the hospital study site.
- Infants with a life-expectancy of < 24 hours at screening enrollment.
- Infants requiring oxygen therapy unless that can be provided while under PT.
- Infants clinically dehydrated or sunburned at the time of screening enrollment.
- Infants with a temperature < 36.0 or > 37.5 degrees Centigrade that does not return to normothermia within 1 hour.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Filtered-sunlight phototherapy
Infants will receive >= four hours per day of filtered-sunlight phototherapy for 1 to 10 days.
The filtering will be done using Air Blue 80 window tinting film.
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Infants will receive >= four hours per day of filtered-sunlight phototherapy for 1 to 10 days.
The filtering will be done using Air Blue 80 window tinting film.
|
Active Comparator: Intensive phototherapy
Infants will receive >= four hours per day of intensive phototherapy for 1 to 10 days.
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Infants will receive >= four hours per day of intensive phototherapy for 1 to 10 days.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Efficacy of Phototherapy
Time Frame: 2 to 10 days
|
For a given evaluable treatment day, the phototherapy treatment was deemed effective if that infant on that day had a decrease in serum bilirubin level or (if <72hrs old) an rate of increase of less than 0.2 mg/dL/h.
Therefore efficacy is reported as a percentage of the evaluable treatment days (i.e.
number of effective evaluable treatment days divided by total number of evaluable treatment days).
|
2 to 10 days
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Safety of Phototherapy
Time Frame: 2 to 10 days
|
For a given treatment day, the phototherapy treatment was deemed safe if that infant on that day did not have to be withdrawn from treatment due to hypo- or hyperthermia, sunburn or dehydration.
Therefore safety is reported as a percentage of the total treatment days (i.e.
number of safe treatment days divided by total number of treatment days).
|
2 to 10 days
|
Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Tina M Slusher, University of Minnesota
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1108M03601_Phase 2
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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