Antenatal Allopurinol During Fetal Hypoxia

A former study (submitted) in 32 severely asphyxiated infants participating in a randomized double blind study, in which early postnatal allopurinol or a placebo (within 4 hours after birth) was administered to reduce free radical formation and consequently reperfusion/reoxygenation injury to the newborn brain, showed an unaltered high mortality and no clinically relevant improvement in morbidity...

Date First Received: September 11, 2005

Last Updated: October 1, 2007

Verified by: UMC Utrecht, June 2006

Clinical Trial Phase: N/A | Start Date: October 2004

Overall Status: Recruiting

Estimated Enrollment: 100

Brief Summary

Official Title: “Does Antenatal Allopurinol Administration Reduce Post-Hypoxic-Ischemic Reperfusion Damage During Fetal Hypoxia in the Newborn?”

Condition Keyword(s):

Intervention(s):

A former study (submitted) in 32 severely asphyxiated infants participating in a randomized double blind study, in which early postnatal allopurinol or a placebo (within 4 hours after birth) was administered to reduce free radical formation and consequently reperfusion/reoxygenation injury to the newborn brain, showed an unaltered high mortality and no clinically relevant improvement in morbidity in infants treated with allopurinol. It was hypothesized that postnatal allopurinol treatment started too late to reduce reperfusion-induced free radical surge and that initiating allopurinol treatment of the fetus with (imminent) hypoxia already via the mother during labor will be more effective to reduce free radical-induced post-asphyxial brain damage.

Study Type: Interventional

Study Design: Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study

Intervention(s) in this Clinical Trial

  • Drug: allopurinol

Outcome Measures for this Clinical Trial

Primary Measures

  • free radical production

Secondary Measures

  • pharmacokinetics
  • developmental outcome
    • Time Frame: up to 4 years of age

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • Gestational age of 36 weeks or more
  • Signs of fetal distress such as late decelerations on fetal monitoring

Exclusion Criteria:

  • Chromosomal abnormalities

Gender Eligibility for this Clinical Trial: Both

Minimum Age for this Clinical Trial: N/A

Maximum Age for this Clinical Trial: N/A

Are Healthy Volunteers Accepted for this Clinical Trial?: No

Clinical Trial Sponsor Information

Lead Sponsor: UMC Utrecht

Overall Clinical Trial Officials and Contacts

Frank van Bel, Prof., MD, PhD Study Director Wilhelmina Children's Hospital/UMC Utrecht  

Overall Contact: Manon Benders, MD, PhD 31-30-2504000 m.benders@azu.nl

Additional Information

Information obtained from ClinicalTrials.gov on September 05, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00189007

Study ID Number: METC UMCU 03-217

ClinicalTrials.gov Identifier: NCT00189007

Health Authority: Netherlands: The Central Committee on Research Involving Human Subjects (CCMO)

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