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.
研究概览
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Fabrice Wallois, Pr
- 电话号码:33+3 22 087775
- 邮箱:wallois.fabrice@chu-amiens.fr
学习地点
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-
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Amiens、法国、80054
- CHU Amiens
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接触:
- Fabrice WALLOIS, MD, PhD
- 电话号码:03 22 08 77 77
- 邮箱:wallois.fabrice@chu-amiens.fr
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-
参与标准
资格标准
适合学习的年龄
- 孩子
- 成人
- 年长者
接受健康志愿者
描述
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
学习计划
研究是如何设计的?
设计细节
- 主要用途:其他
- 分配:非随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
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有源比较器:Non-Perinatal Asphyxia
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electroencephalogram
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有源比较器:At-Risk Perinatal Asphyxia
The at-risk PA cohort includes newborns who are:
|
electroencephalogram
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有源比较器:Confirmed Perinatal Asphyxia
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electroencephalogram
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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variation of Cognitive development in the three populations
大体时间: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
大体时间: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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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Identification of biochemical and protein markers of PA
大体时间: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
大体时间: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
大体时间: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
大体时间: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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合作者和调查者
研究记录日期
研究主要日期
学习开始 (估计的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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