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Status unknownNCT00618852Updated Feb 20, 2008

Using Furosemide to Prevent Fluid Overload During Red Blood Cell Transfusion in Neonates

A Phase 3 interventional study of Furosemide and Saline in Lung Disease, sponsored by The Hospital for Sick Children. Status unknown at 2 sites in Canada. Open to participants aged 1 Week to 44 Weeks. Per ClinicalTrials.gov, last updated 2008-02-20.

Sponsored by The Hospital for Sick Children · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2008), so the status shown — last known as Recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
64
Allocation
Randomized
Ages
1 Week to 44 Weeks
Sex
All
01

Study summary

The purpose of this study is to investigate the effects of intravenous furosemide on cardio-respiratory performance in neonates receiving a packed red blood cell (PRBC) transfusion who are considered at high risk of volume overload.

Read the detailed description

Red cell transfusion is a very common practice in neonates, particularly in preterm infants. It has been estimated that approximately 300,000 neonates undergo transfusions annually. The decision to administer a blood transfusion to a sick anemic neonate is made after consideration of multiple clinical factors, including: poor weight gain, oxygenation failure, and recurrent apnea and bradycardia. These decisions are also influenced by physician preferences. For many years, furosemide has been used routinely by physicians during and after blood transfusions in neonates and other age groups. The rationale behind this common practice is to reduce the vascular overload that may be imposed by the additional blood volume delivered during transfusion. This belief, however, lacks the support of scientific clinical evaluation.

02

Conditions studied

  • Lung Disease

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Keywords

  • Pediatrics
  • Erythrocyte Transfusion
  • Furosemide
  • Fluid Overload
03

In context

Lung Diseases

3,303 studies on the registry are indexed under Lung Diseases; 355 are open to participants now.

This study's planned enrollment of 64 is below the median of 72 across 2,118 interventional studies indexed under Lung Diseases.

Browse Lung Diseases studies →

Lead sponsor

The Hospital for Sick Children is the lead sponsor of 568 studies on the registry; 81 are open to participants now.

Of its 7 completed or terminated interventional studies of FDA-regulated products, 0 (0%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
1 Week to 44 Weeks
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Less than 44 weeks corrected gestational age
  • Receiving a red cell transfusion
  • Satisfy one of the following criteria:

    • Echocardiographic evidence of a hemodynamically significant ductus arteriosus (HSDA) defined by a transductal diameter >1.5 mm and unrestrictive systemic-pulmonary trans-ductal flow
    • Clinical evidence of significant lung disease defined by a need for respiratory support (assisted ventilation or nasal CPAP) and oxygen supplementation after 28 days of age

Exclusion criteria

Exclusion Criteria:

  • Infants with multiple congenital anomalies or renal insufficiency
  • Infants with hypotension, hypertension, or on any cardiac medication
  • Infants with sepsis causing compromised clinical condition such as disseminated intravascular coagulopathy
  • Infants with contra-indications to diuretic therapy, such as significant electrolyte imbalance, or endocrine disease
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Care provider, Investigator)
Enrollment
64 participants (estimated)

Study arms

  • Experimental
    1

    Furosemide

    Drug: Furosemide

  • Placebo comparator
    2

    Drug: Saline

Interventions

  • DrugFurosemide

    The dose of furosemide will be 1 mg/kg by intravenous bolus injection

  • DrugSaline

    1 mg/kg by intravenous bolus injection

06

What researchers measure

Primary outcomes

  1. Cardiac chamber volume loading.

    Time frame: 4 hours after drug administration and 24 hours post recruitment

Secondary outcomes

  1. Clinical cardio-respiratory stability (heart rate, blood pressure, respiratory rate, oxygen saturation, and oxygen requirement).

    Time frame: 4 hours after drug administration and 24 hours post recruitment

  2. Myocardial performance, cardiac input and output and pulmonary hemodynamics (echocardiograph exam).

    Time frame: 4 hours after drug administration and 24 hours post recruitment

  3. Changes in electrolyte balance, body weight and urine output.

    Time frame: 4 hours after drug administration and 24 hours post recruitment

07

Study locations

1 of 2 sites recruiting
  • Mount Sinai Hospital
    Toronto, Ontario M5G 1X5, Canada
    • Edmond Kelley, MD · Contact · ekelly@mtsinai.on.ca · 416-586-5310
    • Edmond Kelley, MD · Principal investigator
    Recruiting
  • The Hospital for Sick Children
    Toronto, Ontario M5G 1X8, Canada
    • Patrick McNamara, MD · Contact · patrick.mcnamara@sickkids.ca · 416 813 5773
    • Patrick McNamara, MD · Principal investigator
    • Walid El-Naggar, MD · Sub investigator
    • Anna Taddio, PhD · Sub investigator
    Not yet recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 20, 2008, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00618852
Lead sponsor
The Hospital for Sick Children
First posted
Feb 20, 2008
Start date
Jan 2007
Primary completion
Dec 2008 (estimated)
Completion
Jun 2009 (estimated)
Last update
Feb 20, 2008

Study contacts

Patrick McNamara, MD
Contact
patrick.mcnamara@sickkids.ca
416-813-5773
Patrick McNamara, MD
principal investigator · The Hospital for Sick Children, Toronto Canada

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2008. You cannot join it, but the record below documents what was studied.

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