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CompletedNCT01732146NeurepoUpdated Nov 20, 2025

Efficacy of Erythropoietin to Improve Survival and Neurological Outcome in Hypoxic Ischemic Encephalopathy

A Phase 3 interventional study of erythropoietin Beta and Placebo in Hypoxic Ischemic Encephalopathy, sponsored by Assistance Publique - Hôpitaux de Paris. Completed at 1 site in France. Open to participants aged Up to 12 Hours. Per ClinicalTrials.gov, last updated 2025-11-20.

Sponsored by Assistance Publique - Hôpitaux de Paris · Phase 3, Interventional, and Treatment

Phase
Phase 3
Study type
Interventional
Enrollment
120
Allocation
Randomized
Ages
Up to 12 Hours
Sex
All
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Study summary

The purpose of this study is to determine the efficacy of high dose Erythropoietin to improve survival and neurologic outcome in asphyxiated term newborn undergoing cooling.

Read the detailed description

Hypoxic-ischemic encephalopathy remains the main cause of death or long term neurologic impairments in neonates. Yet, therapies for birth asphyxia are currently limited. Hypothermia when applied within 6 hours after birth demonstrate partial improvement in outcome of newborns specially those with moderate form. Erythropoietin and its receptors are upregulated after brain injury in ischemic conditions. Systemically administered erythropoietin is neuroprotective in animal models of birth asphyxia. To date, one study demonstrate improvement neurologic outcome in asphyxiated term newborn under erythropoietin treatment but no reports evaluating beneficial of erythropoietin associated with cooling. This is a large randomised controlled trial to evaluate the efficacy of high dose erythropoietin on outcome at two years of asphyxiated term newborns undergoing cooling.

02

Conditions studied

  • Hypoxic Ischemic Encephalopathy

Keywords

  • Hypoxic Ischemic Encephalopathy
  • Term neonate
  • Neuroprotection
  • erythropoietin
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In context

Hypoxia-Ischemia, Brain

234 studies on the registry are indexed under Hypoxia-Ischemia, Brain; 83 are open to participants now.

This study's enrollment of 120 is above the median of 50 across 135 interventional studies indexed under Hypoxia-Ischemia, Brain.

Browse Hypoxia-Ischemia, Brain studies →

Lead sponsor

Assistance Publique - Hôpitaux de Paris is the lead sponsor of 3,505 studies on the registry; 1,006 are open to participants now.

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

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Who can participate

Ages eligible
Up to 12 Hours
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Term or near-term newborn (> = 36 weeks gestational age)
  • Moderate to severe encephalopathy
  • undergoing moderate controlled hypothermia started within 6 hours after delivery : rectal or esophageal temperature maintained at 33.5 ° C + / - 0.5 ° C before H6
  • Beneficiary of social security plan
  • Informed consent parental authority

Exclusion criteria

Exclusion Criteria:

  • Impossibility of getting controlled hypothermia before H6
  • Infant older than 12 hours of age
  • Chromosomal or significant congenital abnormality
  • Predictable surgery in the first 3 days of life
  • Uncontrolled collapse
  • Haemorrhagic syndrome unchecked
  • Head trauma with or without skull fracture
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Triple (Participant, Investigator, Outcomes assessor)
Enrollment
120 participants (actual)

Study arms

  • Active comparator
    Erythropoietin beta

    1000 to 1500 U/kg/dose X 3 every 24 hours

    Drug: erythropoietin Beta

  • Placebo comparator
    Placebo

    0.2 ml saline solution X 3 given every 24 hours

    Drug: Placebo

Interventions

  • Drugerythropoietin Beta

    erythropoietin intravenous injection (5000 U/ 0.3 ml)1000 to 1500 U/kg/dose X 3 given every 24 hours with the first dose within 12 hours of delivery

  • DrugPlacebo

    Also known as: 0.2 ml saline solution X 3 given every 24 hours with the first dose within 12 hours of delivery

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What researchers measure

Primary outcomes

  1. Survival without neurologic sequelae

    Time frame: at 24 months

Secondary outcomes

  1. Mortality rates

    number of dead patients

    Time frame: Within 24 months

  2. Rate of moderate and severe sequelae

    Mental Developmental index (Brunet Lezine Test), motor, visual and hearing impairment

    Time frame: at 24 months

  3. Aspect of brain lesions on MRI

    Brain MRI performed between day 6 and day 12 after birth

    Time frame: at day 6 and day 12 after birth

  4. Tolerance of treatment

    Time frame: at 24 months

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Study locations

1 site
  • Cochin Hospital
    Paris, 75014, France
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References and documents

Publications

  • Zhu C, Kang W, Xu F, Cheng X, Zhang Z, Jia L, Ji L, Guo X, Xiong H, Simbruner G, Blomgren K, Wang X. Erythropoietin improved neurologic outcomes in newborns with hypoxic-ischemic encephalopathy. Pediatrics. 2009 Aug;124(2):e218-26. doi: 10.1542/peds.2008-3553. Epub 2009 Jul 27. PubMed 19651565 ↗
  • Goodarzi MO, Carmina E, Azziz R. DHEA, DHEAS and PCOS. J Steroid Biochem Mol Biol. 2015 Jan;145:213-25. doi: 10.1016/j.jsbmb.2014.06.003. Epub 2014 Jul 5. PubMed 25008465 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 20, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT01732146
Lead sponsor
Assistance Publique - Hôpitaux de Paris
Collaborators
URC-CIC Paris Descartes Necker Cochin
Responsible party
Sponsor
First posted
Nov 22, 2012
Start date
Mar 28, 2013
Primary completion
Feb 14, 2017
Completion
Feb 14, 2017
Last update
Nov 20, 2025

Study contacts

Juliana Patkai, MD, PhD
principal investigator · Cochin Hospital

Oversight

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

Not currently enrolling

This study is completed, as verified in Oct 2025. You cannot join it, but the record below documents what was studied.

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