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International Neonatal Immunotherapy Study
ISRCTN ISRCTN94984750
DOI 10.1186/ISRCTN94984750
ClinicalTrials.gov identifier
EudraCT number
Public title International Neonatal Immunotherapy Study
Scientific title
Acronym INIS
Serial number at source MRC ref: G9900825; ACTRN12606000273583
Study hypothesis This trial tests the hypothesis that, in infants receiving antibiotics for clinical sepsis, the addition of non-specific, polyclonal intravenous immunoglobulin IgG (IVIG) therapy reduces mortality and major morbidity compared with antibiotics alone.
Lay summary
Ethics approval Australia: Westmead Hospital Ethics Committee gave approval on the 17th December 2001 (ref: 2001/7/4.22 (1080))

All other centres obtained approval before participating in this trial.
Study design Double-blind placebo-controlled randomised controlled trial
Countries of recruitment Argentina, Australia, New Zealand, United Kingdom, Europe
Disease/condition/study domain Obstetrics and Gynaecology
Participants - inclusion criteria Infants who:
1. Are receiving antibiotics with clinical evidence of definite or highly probable sepsis
2. There is substantial uncertainty that IVIG is indicated
3. Birth weight is less than 1500 g OR already has positive blood or Cerebral Spinal Fluid (CSF) culture OR receiving artificial ventilation
Participants - exclusion criteria IVIG already given or thought to be needed or contraindicated.
Anticipated start date 01/06/2001
Anticipated end date 31/12/2008
Status of trial Completed
Patient information material
Target number of participants 5,000
Interventions Intravenous infusion of IVIG (500 mg [10 ml]/kg) or matching placebo, repeated after 48 h.
Primary outcome measure(s) Mortality or major disability at 2 years of age (corrected for gestational age at birth).
Secondary outcome measure(s) 1. Short term: mortality, chronic lung disease or major cerebral abnormality before hospital discharge, significant positive culture after trial entry, pneumonia, necrotising enterocolitis, duration of respiratory support
2. Long term: mortality before two years, major disability at 2 years, non-major disability at 2 years.
3. Health service utilisation: length of hospital stay
Sources of funding 1. Medical Research Council (UK)
2. National Health and Medical Research Council (NHMRC) (Australia)
Trial website http://www.npeu.ox.ac.uk/inis
Publications 2008 protocol in http://www.ncbi.nlm.nih.gov/pubmed/19063731
Contact name Dr  Peter  Brocklehurst
  Address National Perinatal Epidemiology Unit
Institute of Health Sciences
Old Road
  City/town Oxford
  Zip/Postcode OX3 7LF
  Country United Kingdom
  Email
Sponsor University of Oxford (UK)
  Address University Offices
Wellington Square
  City/town Oxford
  Zip/Postcode OX1 2JD
  Country United Kingdom
  Tel +44 (0)1865 270000
  Email research.services@admin.ox.ac.uk
  Sponsor website: http://www.ox.ac.uk
Date applied 25/10/2000
Last edited 16/12/2008
Date ISRCTN assigned 25/10/2000
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