| E.1 Medical condition or disease under investigation |
| E.1.1 | Medical condition(s) being investigated |
|
| MedDRA Classification |
| E.1.3 | Condition being studied is a rare disease | Information not present in EudraCT |
| E.2 Objective of the trial |
| E.2.1 | Main objective of the trial |
| To determine the variation in response to Dopamine is related to varaition in the circulating levels of Dopamine in infants born less than 28 weeks. |
|
| E.2.2 | Secondary objectives of the trial |
| To determine how much of this variation is due to myocardial damage, patent ductus arteriosus and single neucleotide polymorphisms. |
|
| E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
| E.3 | Principal inclusion criteria |
| Infants born at less than 28 weeks gestation who require dopamine to treat systemic hypotension. |
|
| E.4 | Principal exclusion criteria |
Exclusion criteria are:
1) Known structural cardiac defects 2) Structural cardiac defects that become apparent during the study (not Patent foramen ovale) 3) Absence of arterial access as BP is not measured reliably in these infants.
|
|
| E.5 End points |
| E.5.1 | Primary end point(s) |
Whether systemic hypotension responds to a moderate dose of dopamine, according to the following definitions:
Systemic hypotension: Mean BP less than 10th centile for gestational age based on data in Cunningham et al., (Early Human Development 1999, 56:151-6) for more than 1 hour.
Dopamine infusion: starting at 2.5 micrograms / kg / min and increasing in steps of 2.5 micrograms / kg / min if infant has systemic hypotension for more than 30 minutes at a single step.
Lack of response to a moderate dose of dopamine: continuation of systemic hypotension despite infusion of dopamine at a dose of 10 micrograms / kg / min for 30 minutes.
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| E.6 and E.7 Scope of the trial |
| E.6 | Scope of the trial |
| E.6.1 | Diagnosis | Information not present in EudraCT |
| E.6.2 | Prophylaxis | Information not present in EudraCT |
| E.6.3 | Therapy | Yes |
| E.6.4 | Safety | Information not present in EudraCT |
| E.6.5 | Efficacy | Yes |
| E.6.6 | Pharmacokinetic | Yes |
| E.6.7 | Pharmacodynamic | Information not present in EudraCT |
| E.6.8 | Bioequivalence | Information not present in EudraCT |
| E.6.9 | Dose response | Yes |
| E.6.10 | Pharmacogenetic | Information not present in EudraCT |
| E.6.11 | Pharmacogenomic | Yes |
| E.6.12 | Pharmacoeconomic | Information not present in EudraCT |
| E.6.13 | Others | Information not present in EudraCT |
| E.7 | Trial type and phase |
| E.7.1 | Human pharmacology (Phase I) | No |
| E.7.1.1 | First administration to humans | No |
| E.7.1.2 | Bioequivalence study | No |
| E.7.1.3 | Other | No |
| E.7.1.3.1 | Other trial type description | |
| E.7.2 | Therapeutic exploratory (Phase II) | No |
| E.7.3 | Therapeutic confirmatory (Phase III) | No |
| E.7.4 | Therapeutic use (Phase IV) | No |
| E.8 Design of the trial |
| E.8.1 | Controlled | No |
| E.8.1.1 | Randomised | No |
| E.8.1.2 | Open | Information not present in EudraCT |
| E.8.1.3 | Single blind | Information not present in EudraCT |
| E.8.1.4 | Double blind | Information not present in EudraCT |
| E.8.1.5 | Parallel group | Information not present in EudraCT |
| E.8.1.6 | Cross over | Information not present in EudraCT |
| E.8.1.7 | Other | Information not present in EudraCT |
| E.8.2 | Comparator of controlled trial |
| E.8.2.1 | Other medicinal product(s) | No |
| E.8.2.2 | Placebo | No |
| E.8.2.3 | Other | No |
| E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
| E.8.4 | The trial involves multiple sites in the Member State concerned | No |
| E.8.5 | The trial involves multiple Member States | No |
| E.8.6 Trial involving sites outside the EEA |
| E.8.6.1 | Trial being conducted both within and outside the EEA | No |
| E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
| E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
| E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
| Dopamine is used routinely as a first line drug in the management of hypotension. This a observational study of factors associated with a lack of response to dopamine as first line pharmacologic agent in the treatment of systemic hypotension among infants born at less than 28 weeks. Therefore, trial will end when 40 patients are recruited as per the sample size calculation. |
|
| E.8.9 Initial estimate of the duration of the trial |
| E.8.9.1 | In the Member State concerned years | 1 |
| E.8.9.1 | In the Member State concerned months | |
| E.8.9.1 | In the Member State concerned days | |