Clinical trial

Efficacy of Use of Chlorhexidine to Clean Umbilical Cord of Neonates in First 10 Days for Reduction in Neonatal Mortality and Omphalitis - A Community Based Randomized, Double Masked Controlled Trial in Pemba Tanzania

Name
00003027
Description
In a community-based controlled trial among children to evaluate if use of 4% Chlorhexidine cleansing solution on umbilical cord of infants in first 10 days of life results in * Reduction in neonatal mortality (deaths in first 28 days of life) * Reduction in umbilical cord infections (defined by moderate or severe redness of the cord) during first 28 days of life * Reduction in umbilical cord infections (defined by pus formation with any degree of redness) during first 28 days of life. The double blind part of study uses a control preparation without chlorhexidine (CHX) as control group while in the sub-study dry cord care group is also evaluated as second control. Hypothesis is that CHX group will have lower mortality and umbilical cord infections while control group and dry cord group will be similar as shown in a previous study in Nepal.
Trial arms
Trial start
2011-05-19
Estimated PCD
2014-09-29
Trial end
2014-09-29
Status
Completed
Phase
Early phase I
Treatment
Chlorhexidine 4%
4% liquid solution used for cord cleaning once daily for 10 days
Arms:
CHX Cord application
Chlorhexidine 4%
Chlorhexidine 4% liquid solution used for cord cleaning once daily for 10 days
Arms:
CHX Cord application
Control cord cleaning solution
Mild soapy solution used to clean cord once daily for 10 days
Arms:
Control
Size
36911
Primary endpoint
Neonatal Mortality
28 days after birth
Eligibility criteria
Inclusion Criteria: * Permanent resident of Pemba * Consenting to participate, infants alive at first contact with MCH/TBA/Hospital staff * First contact within 48 hours of delivery. Exclusion Criteria: * Congenital malformations where application of intervention is not possible * Very sick child needing hospitalization and ICU care.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE3'], 'designInfo': {'allocation': 'RANDOMIZED', 'interventionModel': 'PARALLEL', 'primaryPurpose': 'PREVENTION', 'maskingInfo': {'masking': 'QUADRUPLE', 'whoMasked': ['PARTICIPANT', 'CARE_PROVIDER', 'INVESTIGATOR', 'OUTCOMES_ASSESSOR']}}, 'enrollmentInfo': {'count': 36911, 'type': 'ACTUAL'}}
Updated at
2023-08-28

1 organization

1 product

3 indications

Indication
Cord Care
Indication
Omphalitis