Multimodal Analysis of Early Biomarkers of the Impacts of Perinatal Asphyxia (Neurobiom)
Current diagnostic methods rely primarily on clinical symptoms, supplemented by brain imaging and physiological tests. However, these signs of injury only become apparent once significant damage has occurred, thus delaying intervention and compromising the effectiveness of treatments. Therefore, there is a need to develop new markers to develop preventive measures for the consequences of perinatal asphyxia.
The primary objective is to compare cognitive and motor development at 18 months in three populations (PA, at risk of PA, and Control) defined on the basis of clinical, biological, and neural criteria.
調査の概要
研究の種類
入学 (推定)
段階
- 適用できない
連絡先と場所
研究連絡先
- 名前:Fabrice Wallois, Pr
- 電話番号:33+3 22 087775
- メール:wallois.fabrice@chu-amiens.fr
研究場所
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Amiens、フランス、80054
- CHU Amiens
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コンタクト:
- Fabrice WALLOIS, MD, PhD
- 電話番号:03 22 08 77 77
- メール:wallois.fabrice@chu-amiens.fr
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参加基準
適格基準
就学可能な年齢
- 子
- 大人
- 高齢者
健康ボランティアの受け入れ
説明
Inclusion Criteria:
- Non-Perinatal Asphyxia Cohort:
The non-PA cohort includes:
- Full-term infants (born between 36 and 42 weeks of gestation), clinically "normal" and without PA. Infants must have birth weights within the normal range for their gestational age.
- Satisfactory Apgar scores at 1, 3, and 5 minutes, indicating good health.
- Meet specific biochemical biomarker criteria as defined by the study protocols.
No major complications should occur during pregnancy or delivery.
- At-Risk Perinatal Asphyxia Cohort:
The at-risk PA cohort includes newborns who are:
- Identified by healthcare professionals as being at risk based on criteria that do not exceed the diagnostic thresholds for PA but whose combined assessment of maternal, fetal, and neonatal medical criteria suggests risk factors and early signs of potential PA,
- OR
Classified as such based on biochemical markers identified in WP1 (see WP1).
- Confirmed Perinatal Asphyxia Cohort:
The PA cohort includes:
- Newborns diagnosed with PA and treated with hypothermia. The inclusion criteria for this group allow for various modes of delivery, complications during pregnancy and delivery, and a range of gestational ages, as long as they meet the criteria for PA.
- Birth weight must be ≥ 1800 g.
- Apgar scores at 1, 3, and 5 minutes must indicate potential complications or difficulties.
- Specific biochemical markers indicative of PA must be present
Exclusion Criteria:
- Full-term newborn not meeting inclusion criteria
研究計画
研究はどのように設計されていますか?
デザインの詳細
- 主な目的:他の
- 割り当て:非ランダム化
- 介入モデル:並列代入
- マスキング:なし(オープンラベル)
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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アクティブコンパレータ:Non-Perinatal Asphyxia
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electroencephalogram
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アクティブコンパレータ:At-Risk Perinatal Asphyxia
The at-risk PA cohort includes newborns who are:
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electroencephalogram
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アクティブコンパレータ:Confirmed Perinatal Asphyxia
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electroencephalogram
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この研究は何を測定していますか?
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
variation of Cognitive development in the three populations
時間枠:at 18 months
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variation of Cognitive development in the three populations (PA, at risk of PA, and Control) Cognitive development is determined with EEG, eye tracking and questionnaire
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at 18 months
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variation of motor development in the three populations
時間枠:at 18 months
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variation of motor development in the three populations (PA, at risk of PA, and Control) motor development is determined by mouvement analysis
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at 18 months
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二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
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Identification of biochemical and protein markers of PA
時間枠:at 18 months
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biochemical and protein markers are oxygen level, pH, lactates, glucose, IL-1β, IL-6, TNF-α
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at 18 months
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Identification of EEG markers of PA
時間枠:at 18 months
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EEG is Electroencephalography
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at 18 months
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correlation between biochemical, protein, and EEG markers
時間枠:at 18 months
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at 18 months
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correlation between biochemical markers at birth and behavioral measurements at 18 months
時間枠:at 18 months
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Analyze correlations between biochemical, protein, and EEG markers at birth and behavioral and neural measurements at 18 months.
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at 18 months
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協力者と研究者
研究記録日
主要日程の研究
研究開始 (推定)
一次修了 (推定)
研究の完了 (推定)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (実際)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
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