- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03064022
Preterm Infant Multicentre Growth Study (PreMGS)
Study Overview
Detailed Description
The purpose of this study is:
To improve health professionals understanding of preterm infant growth patterns, and to determine if growth patterns (rapid early growth in the first 2 weeks of life, weight less than the 10th percentile at the time of discharge) predict risks of adverse metabolic outcomes (measured as overweight at age 3) once the following variables are controlled for: size at birth (z-score), neonatal morbidities, social determinants of health, and nutritional adequacy in the neonatal intensive care unit (NICU).
To assess diagnostic accuracy of 36-week anthropometric weight, length and head circumference <10th and <3rd percentiles to predict preterm infant cognitive impairment.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Alberta
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Calgary, Alberta, Canada, T2N 4Z6
- Cumming School of Medicine
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Saskatchewan
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Regina, Saskatchewan, Canada, S4P 0W5
- Regina Qu'Appelle Health Region
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- < 32 weeks gestational age at birth
Exclusion Criteria:
- infants who had congenital anomalies or those who died prior to discharge
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Size < the 3rd or 10th percentiles
Infant size smaller than the 3rd or 10th percentiles relative to the Fenton growth chart for weight or head circumference at discharge from neonatal intensive care
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Some preterm infants grow at higher rates than others
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Rapid early growth
Rapid early growth will be defined as exceeding birthweight in the first week of life
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Growth velocity calculation methods
We will compare a variety of growth velocity calculation methods used in clinical care and research to compare and assess growth velocity calculation methods
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Size for gestational age
Small size for gestational age
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Neurodevelopment
Time Frame: Twenty-one months of age
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Neurodevelopment (Bayley scale scores II and III), diagnoses of cerebral palsy, or other neurologic impairments) measured
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Twenty-one months of age
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Overweight
Time Frame: Three years of age
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Overweight will be defined as body mass index
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Three years of age
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Growth patterns
Time Frame: From birth to 50 weeks post-menstrual age
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Growth patterns of preterm infants relative to the Fenton growth chart
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From birth to 50 weeks post-menstrual age
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Tanis Fenton, PhD RD, University of Calgary
Publications and helpful links
General Publications
- Fenton TR, Nasser R, Eliasziw M, Kim JH, Bilan D, Sauve R. Validating the weight gain of preterm infants between the reference growth curve of the fetus and the term infant. BMC Pediatr. 2013 Jun 11;13:92. doi: 10.1186/1471-2431-13-92.
- Fenton TR, Senterre T, Griffin IJ. Time interval for preterm infant weight gain velocity calculation precision. Arch Dis Child Fetal Neonatal Ed. 2019 Mar;104(2):F218-F219. doi: 10.1136/archdischild-2018-314843. Epub 2018 Jul 11.
- Fenton TR, Griffin IJ, Hoyos A, Groh-Wargo S, Anderson D, Ehrenkranz RA, Senterre T. Accuracy of preterm infant weight gain velocity calculations vary depending on method used and infant age at time of measurement. Pediatr Res. 2019 Apr;85(5):650-654. doi: 10.1038/s41390-019-0313-z. Epub 2019 Jan 25.
- Fenton TR, Nasser R, Creighton D, Elmrayed S, Tang S, Gillis C, Alshaikh B. Critical examination of relationships between early growth and childhood overweight in extremely preterm infants. J Perinatol. 2021 Dec;41(12):2774-2781. doi: 10.1038/s41372-021-01182-8. Epub 2021 Aug 17.
Helpful Links
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
Additional Relevant MeSH Terms
Other Study ID Numbers
- REB15-2594
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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