Clinical trial
Dose Optimization of Caffeine in Neonates With Hypoxic-Ischemic Encephalopathy
Name
24-0654
Description
This is a phase Ib, open-label, dose-validating and safety study of caffeine in neonates with hypoxic-ischemic encephalopathy (HIE) undergoing therapeutic hypothermia.
Trial arms
Trial start
2024-11-01
Estimated PCD
2026-12-01
Trial end
2028-11-01
Status
Not yet recruiting
Phase
Early phase I
Treatment
Caffeine citrate 20 mg/kg
Following loading dose of 20 mg/kg of caffeine citrate IV, participants will receive 2 daily doses of 10 mg/kg caffeine citrate IV.
Arms:
Lower loading dose (20 mg/kg)
Other names:
Cafcit
Caffeine citrate 30 mg/kg
Following loading dose of 30 mg/kg of caffeine citrate IV, participants will receive 2 daily doses of 10 mg/kg caffeine citrate IV.
Arms:
Higher loading dose (30 mg/kg)
Other names:
Cafcit
Size
16
Primary endpoint
Apparent Caffeine Clearance
7 samples will be collected after the first dose of study drug and up to 72 hours after final dose of study drug
Volume of Distribution of Caffeine
7 samples will be collected after the first dose of study drug and up to 72 hours after final dose of study drug
Eligibility criteria
Inclusion Criteria:
* Documented informed consent from parent or guardian
* ≥ 36 weeks gestational age at birth
* Receiving therapeutic hypothermia for a diagnosis of HIE
* Intravenous (IV) access
* Postnatal age \< 24 hours
Exclusion Criteria:
* Receiving \> 1 anti-epileptic drug for seizures
* Sustained (\>4 hours) heart rate \> 180 beats per minute
* Known major congenital anomaly
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE1'], 'designInfo': {'allocation': 'NON_RANDOMIZED', 'interventionModel': 'SEQUENTIAL', 'interventionModelDescription': 'The first cohort of 8 infants will receive a lower loading dose of caffeine. Following a safety review, an additional 8 infants will receive a higher loading dose.', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 16, 'type': 'ESTIMATED'}}
Updated at
2024-06-10
1 organization
1 product
1 indication
Organization
University of North Carolina, Chapel HillProduct
Caffeine citrateIndication
Hypoxic-Ischemic Encephalopathy