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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: Netherlands Trial Register
Last refreshed on: 28 April 2013
Main ID:  NTR935
Date of registration: 13/03/2007
Primary sponsor: University Medical Center Groningen (UMCG), Beatrix Children's Hospital
Public title: Reducing bilirubin induced neurological dysfunction in preterm infants: additional use of the bilirubin:albumin ratio in the treatment of hyperbilirubinemia.
Scientific title: Reducing bilirubin induced neurological dysfunction in preterm infants: additional use of the bilirubin:albumin ratio in the treatment of hyperbilirubinemia. - BARTrial
Date of first enrolment: 1/4/2007
Target sample size: 614
Recruitment status: pending
URL:  http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=935
Study type:  intervention
Study design:  Randomised: Yes; Masking: Single; Control: Active; Group: Parallel; Type: -  
Countries of recruitment
The Netherlands
Contacts
Name: Deirdre   Imhoff van
Address:  Beatrix Children's Hospital, University Medical Center Groningen Hanzeplein 1 PO box 30.001 9700 RB Groningen The Netherlands
Telephone: +31 50 3614215
Email: d.e.van.imhoff@bkk.umcg.nl
Affiliation: 
Name: Peter   Dijk
Address:  Beatrix Children's Hospital, University Medical Center Groningen Hanzeplein 1 PO box 30.001 9700 RB Groningen The Netherlands
Telephone: +31 50 - 3614215
Email: p.h.dijk@bkk.umcg.nl
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: 1. Preterm infants born at gestational age less than 32 weeks;
2. Admittance in the first 24 hours of life to a neonatal intensive care unit care center in the Netherlands.

Exclusion criteria: 1. Major congenital malformations, clinical syndromes and chromosomal abnormalities that effect neurodevelopmental outcome.

Age minimum:
Age maximum:
Gender:
Health Condition(s) or Problem(s) studied
Premature infants, Prematurity, Hyperbilirubinemia, Bilirubin:albumin ratio, Bilirubin, Neurodevelopmental outcome

Intervention(s)
Studygroup: Hyperbilirubinemia is evaluated daily, in the first 10 days of life using the B:A ratio together with TSB. Treatment guidelines (phototherapy and exchange transfusion limits) are based on B:A ratio and TSB (whichever comes first)
Controlgroup: Hyperbilirubinemia is evaluated daily, in the first 10 days of life using TSB only (care as usual).
versus only TSB. Treatment guidelines (phototherapy and exchange transfusion limits) are based on TSB only.
Primary Outcome(s)
Blinded assessment of the participants outcome is performed.
Primary outcome:
1. Neurodevelopmental outcome at the age of 18-24 months using standardised neurological examination;
2. Mental - and psychomotor developmental index scores (MDI and PDI: Dutch version of Bayley scales of infant development II)
Secondary Outcome(s)
Secondary outcome:
1. Peak total serum bilirubin, duration of hyperbilirubinemia, duration of fototherapy, number of exchange transfusions;
2. Other outcomes are: complications of prematurity such as mortality, BPD, PDA, BPD, ROP, NEC, IVH ect.;
3. Other potential outcomes to be evaluated in parts of the study population are: maturation pattern of serial auditory brainstem responses (ABR) in a part of the study populations that is treated in those NICU?s that are able to perform serial ABR?s. free (unbound) unconjugated bilirubin, lumirubin, CFM, movement scores
Secondary ID(s)
ISRCTN74465643
Source(s) of Monetary Support
ZON-MW, The Netherlands Organization for Health Research and Development
Secondary Sponsor(s)
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