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A randomised controlled trial of thyroxine in preterm infants under 28 weeks gestation
Source of recordUK Trials
ISRCTNISRCTN89493983
Date ISRCTN assigned10/03/2008
Local reference number(s)MRC ref: G0501788; LWH0604
Public titleA randomised controlled trial of thyroxine in preterm infants under 28 weeks gestation
Scientific title
AcronymTIPIT (Thyroxine In Preterm Infants Trial)
Disease/condition/study domainPremature infants
Study hypothesisThyroxine supplementation given to extreme preterm infants postnatally until 32 weeks postmenstrual age modulates brain development and size, the Hypothalamic-Pituitary-Adrenal axis (HPT) and somatic growth.
Design/methodologyRandomised double-blinded placebo controlled trial
Research ethics reviewApproved by the North West Multicentre Research Ethics Committee (ref: 07/MRE08/37)
Countries of trialUnited Kingdom
Participants - inclusion criteriaAll infants with gestational age under 28 weeks at birth
Participants - exclusion criteria1. Infants born to mother with known thyroid disease or on antithyroid medications during pregnancy
2. Infants born to mother who are on amiodarone during pregnancy
3. Infants diagnosed with major congenital or chromosomal abnormalities known to affect thyroid function or brain development
4. Maternal death during or within 5 days after childbirth
Patient information materialNot available in web format, please use the contact details below to request a patient information sheet
Anticipated start date01/06/2007
Anticipated end date01/12/2009
Status of trialOngoing
Target number of participants150
InterventionsIn the initial phase, infants will receive either intravenous thyroxine or placebo at 8 mcg/kg birth weight/day single daily dose. In the next phase, once enteral feeds are fully established, oral thyroxine or placebo will be given at 8 mcg/kg birth weight/day single daily dose until the baby reaches 32 weeks CGA.
Primary outcome measure(s)The primary outcome will be the width of the sub-arachnoid space measured using cranial ultrasound and head circumference at 36 weeks Corrected Gestational Age (CGA).
Secondary outcome measure(s)1. Width of the sub-arachnoid space measured using cranial ultrasound at 36 weeks Corrected Gestational Age (CGA)
2. Head circumference at 36 weeks CGA
Sources of funding1. Medical Research Council (UK)
2. The Newborn Appeal (UK)
Sponsor nameLiverpool Women's NHS Foundation Trust and University of Liverpool (UK)
Sponsor detailsDr Gill Vernon
R&D Department Manager
Liverpool Women's Hospital
Crown Street
Liverpool
United Kingdom
L87SS
Contact nameProf Alan Michael Weindling
Contact detailsSchool of Reproductive and Developmental Medicine
University of Liverpool
First Floor
Liverpool Women¿s Hospital
Crown Street
Liverpool
United Kingdom
L8 7SS
More informationFor more up-to-date information please go to the ISRCTN link below.
Link to record in ISRCTN RegisterISRCTN89493983
Date last extracted from ISRCTN register17/04/2008
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