- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04665440
Response of Preterm Infants to Multisensory Stimuli (OXYVOICE)
Variation of Salivary Oxytocin and Cortisol Levels in Premature Neonates and Their Mothers in Response to Multi-sensory Stimuli
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
The aim of this study is to measure the variation of oxytocin and cortisol levels in the saliva of neonates with gestational age ranging from 32 to 34 completed weeks and in the saliva of their mothers. The measurements are taken before and after sensorial stimuli including mother voice exposure +/- tactile distraction for 10 minutes. The two interventions are performed between day 5 and day 12 after birth and 24 to 48 hours apart. Each child is randomised in a group depending on order of the two interventions.
Investigators hypothesize that an increase in the oxytocin/cortisol ratio will be occurred in neonates after hearing their mothers and that simultaneous tactile stimulation will mitigate that effect.
Concomitantly, the neonate's vital signs and his facial expressions are recorded during interventions. The mothers anxiety level is assessed PSS-NICU questionnaire given before the first and after the second intervention.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Olivier Baud, Prof.
- Phone Number: 0033625951299
- Email: olivier.baud@hcuge.ch
Study Contact Backup
- Name: Jessica Hirschel, Dr.
- Phone Number: 0041763847907
- Email: jessica.hirschel@hcuge.ch
Study Locations
-
-
-
Geneva, Switzerland
- Hôpitaux Universitaires Genève
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Newborn gestational age 32 0/7 weeks to 34 6/7 weeks
- Born at university hospital Geneva
- French speaking parents
- Out of incubator
- Signed consent
Exclusion Criteria:
- Newborn with one of the above conditions:
- Congenital malformation
- intraventricular hemorrhage grade III or IV
- white matter abnormality
- anti-epileptic or sedative drugs
- altered consciousness level
- Infant requiring respiratory support
- psychiatric disorders in the mother or antenatal use of psychoactive drugs
- Bilateral absent otoacoustic emissions and/or auditory evoked potential
- Parents refusal to participate
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Other
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Other: Voice only then distraction
First intervention: mother's voice without tactile stimuli Second intervention: mother's voice with tactile stimuli
|
mother's voice without tactile stimuli
mother's voice with tactile stimuli
|
Other: Distraction then voice only
First intervention: mother's voice with tactile stimuli Second intervention: mother's voice without tactile stimuli
|
mother's voice without tactile stimuli
mother's voice with tactile stimuli
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Oxytocin/cortisol ratio
Time Frame: at baseline and 10 minutes after intervention
|
Change in salivary oxytocin/cortisol ratio in response to the intervention
|
at baseline and 10 minutes after intervention
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Vital signs
Time Frame: at baseline, during and 10 minutes after intervention
|
Change in heart rate and respiratory rate in response to the intervention
|
at baseline, during and 10 minutes after intervention
|
Facial expression analysis
Time Frame: at baseline, during and 10 minutes after intervention
|
Response of neonate to intervention analysed by standardized neonatal facial coding system score, measured on video recording before, during and after the intervention
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at baseline, during and 10 minutes after intervention
|
mother anxiety and mother infant bond
Time Frame: at baseline and 10 minutes after intervention
|
Level of the mothers anxiety and her bond to the infant analyzed using NICU-PSS questionnaires
|
at baseline and 10 minutes after intervention
|
Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Filippa M, Panza C, Ferrari F, Frassoldati R, Kuhn P, Balduzzi S, D'Amico R. Systematic review of maternal voice interventions demonstrates increased stability in preterm infants. Acta Paediatr. 2017 Aug;106(8):1220-1229. doi: 10.1111/apa.13832. Epub 2017 Apr 19.
- Vittner D, McGrath J, Robinson J, Lawhon G, Cusson R, Eisenfeld L, Walsh S, Young E, Cong X. Increase in Oxytocin From Skin-to-Skin Contact Enhances Development of Parent-Infant Relationship. Biol Res Nurs. 2018 Jan;20(1):54-62. doi: 10.1177/1099800417735633. Epub 2017 Oct 11.
- Weber A, Harrison TM, Sinnott L, Shoben A, Steward D. Plasma and Urinary Oxytocin Trajectories in Extremely Premature Infants During NICU Hospitalization. Biol Res Nurs. 2017 Oct;19(5):549-558. doi: 10.1177/1099800417718266. Epub 2017 Jul 12.
- Zinni M, Colella M, Batista Novais AR, Baud O, Mairesse J. Modulating the Oxytocin System During the Perinatal Period: A New Strategy for Neuroprotection of the Immature Brain? Front Neurol. 2018 Apr 13;9:229. doi: 10.3389/fneur.2018.00229. eCollection 2018.
- Lejeune F, Brand LA, Palama A, Parra J, Marcus L, Barisnikov K, Debillon T, Gentaz E, Berne-Audeoud F. Preterm infant showed better object handling skills in a neonatal intensive care unit during silence than with a recorded female voice. Acta Paediatr. 2019 Mar;108(3):460-467. doi: 10.1111/apa.14552. Epub 2018 Sep 21.
- Kuhn P, Sizun J, Casper C; GREEN study group from the French Neonatal Society. Recommendations on the environment for hospitalised newborn infants from the French neonatal society: rationale, methods and first recommendation on neonatal intensive care unit design. Acta Paediatr. 2018 Nov;107(11):1860-1866. doi: 10.1111/apa.14501. Epub 2018 Aug 13.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- 2020-00101
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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