Table 1.
Global clinical trials looking at effect of recombinant Epo and its analogues in neonatal brain diseases affecting both preterm and term infants. These trials are currently active, recruiting or recently completed. They are taken from www.clinicaltrials.gov.
| Target population |
Trial | Investigator and site | Phase | Study design | NCT | Drug | Drug dosing | Primary outcome |
|---|---|---|---|---|---|---|---|---|
| Perinatal asphyxia |
Neuroprotective role of erythropoietin in perinatal asphyxia |
Dr. Mushtaq Bhat, MD, Sheri Kashmir Srinagar, Jammu & Kashmir, India |
Phase II/III |
Randomized placebo controlled |
NCT02002039 | rEpo | 500u/kg i.v. every other day for 5 doses |
Death or disability at 12- 18 months of life |
| Perinatal asphyxia |
Darbepoetin in newborns undergoing cooling for encephalopathy (DANCE) |
Dr. Mariana Baserga MD, University of Utah, Salt Lake City, UT, USA |
Phase I/II |
Randomized placebo controlled |
NCT01471015 | Darbe | 2 or 10mcg/kg dose i.v. 1st dose before 12hrs, 2nd dose at 7 days |
Safety and pharmacokinetics |
| Perinatal asphyxia |
Neonatal erythropoietin and therapeutic hypothermia outcomes in newborn brain injury (NEAT O) |
Dr. Yvonne Wu MD MPH, University of San Francisco, San Francisco, CA, USA |
Phase I/II |
Randomized placebo controlled |
NCT01913340 | rEpo | 1000u/kg i.v. every 48hrs for total 5 doses |
Safety and efficacy with neurodevelopmental outcomes at 1 year |
| Perinatal asphyxia |
Erythropoietin to improve survival and neurological outcome in hypoxic ischemic encephalopathy (NEUREPO) |
Dr. Juliana Patkai MD PhD, Assistance Publique- HopAitaux de Paris, Paris, France |
Phase III |
Randomized placebo controlled trial |
NCT01732146 | rEpo | 1000-1500u/kg i.v. 1st dose at <12hrs, 2nd and 3rd dose every 24hrs |
Survival without neurologic sequelae at 24months |
| Preterm infants with intraventri- cular hemorrhage |
Erythropoietin for repair of cerebral injury in very preterm infants (EpoRepair) |
Dr. Sven Wellmann MD, University of Zurich, Zurich, Switzerland |
Phase III |
Randomized placebo controlled |
NCT02076373 | rEpo | 2000u/kg i.v. 1st dose at 5 days, 2nd and 3rd dose every 24hrs; 4th dose at 10 days after start; 5th dose at 17 days |
Neurodevelopmental outcome at 5yrs |
| Infants ≤ 32 weeks gestation |
Erythropoietin for neuroprotection in very preterm Infants |
Dr. Bai-Horng Su MD PhD, China Medical University Hospital, Taichung, Taiwan |
Phase I/II |
Randomized placebo controlled |
NCT00910234 | rEpo | 100u/kg or 3000u/kg/dose i.v. 1st dose at 3-6hrs after birth, 2nd and 3rd dose every 24hrs for total 3 dose |
Brain injury (intraventricular hemorrhage) and periventricular leukomalacia at 2 months |
| Premature infants 24-27 weeks gestation |
Preterm Epo neuroprotection (PENUT) |
Dr. Sandra E Juul MD PhD, University of Washington, Seattle, WA, USA |
Phase III |
Randomized placebo controlled double blind |
NCT01378273 | rEpo | 1000u/kg i.v. every 48hrs for 6 doses, then 400u/kg s.c three times a week until 32 6/7 corrected age |
Neurodevelopmental outcome at 24-26 months corrected age by Bayley III |
| Premature infants 26– 32 weeks gestation |
Does erythropoietin improve out come in very preterm infants? |
Prof. Hans Ulrich Bucher, MD PhD, Swiss Neonatal Network, Switzerland |
Phase II | Randomized parallel assigned |
NCT00413946 | rEpo | 3000u/kg given i.v. at 3hrs, 12-18hrs and 36- 42hrs total 3 doses |
Mental development index Bayley II at 24 month corrected age |
| Premature infants < 32wk gestation |
Effect of erythropoietin on preterm brain injury (EPO) |
Dr. Huiqing Sun, Ass Prof, Zhengzhou Children’s Hospital, Zhengzhou, China |
Phase IV |
Prospective parallel assignment |
NCT02036073 | rEpo | 500u/kg every other day for 14 days, beginning < 24 hours of age |
Incidence of mental development index <70 at 18 month corrected age |
i.v. = intravenous, s.c.= subcutaneous, Darbe = darbepoietin, rEpo = recombinant erythropoietin