ClinicalTrials.gg
RecruitingNCT06000826Updated Aug 22, 2023

Efficacy of Celsi Warmer for the Management of Hypothermic Newborns

An interventional study of Celsi Warmer in Newborn Hypothermia, sponsored by William Marsh Rice University. Recruiting at 1 site in Tanzania. Open to participants aged 0 Days to 28 Days. Per ClinicalTrials.gov, last updated 2023-08-22.

Sponsored by William Marsh Rice University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Primary completion was expected by Aug 2024, 2 years 2 months ago, but the record still lists the study as recruiting.
  • Registered 8 months after the study started (first participant enrolled Sep 2022, registered May 2023).
  • Started Sep 2022; still recruiting 4 years 1 month later.
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Not applicable
Ages
0 Days to 28 Days
Sex
All
01

Study summary

The purpose of the study is to evaluate the efficacy of a novel low-cost warming device to provide thermal care for newborn babies with hypothermia in low-resource hospitals. During the study, research participants will receive thermal care via the Celsi Warmer. Aside from thermal treatment, research participants will receive the standard of care from the neonatal unit, and will also be closely monitored by study personnel throughout the study. The results from this study will allow us to determine if the Celsi Warmer is an effective tool for warming and monitoring newborns in wards of low-resource hospitals. The research team hopes to demonstrate that the Celsi Warmer is effective for the appropriate treatment of newborn hypothermia in hospitals in low-resource settings.

02

Conditions studied

  • Newborn Hypothermia

Browse trials for

03

In context

Hypothermia

449 studies on the registry are indexed under Hypothermia; 54 are open to participants now.

This study's planned enrollment of 90 is above the median of 77 across 328 interventional studies indexed under Hypothermia.

Browse Hypothermia studies →

Lead sponsor

William Marsh Rice University is the lead sponsor of 17 studies on the registry; 7 are open to participants now.

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

04

Who can participate

Ages eligible
0 Days to 28 Days
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Is currently being treated at study location
  • Is an inborn admission to the neonatal ward
  • Whose parents or guardians provided a written
  • Whose parents or guardians providing informed consent are 18 years old or older
  • Has a current weight of greater than or equal to 1.0 kg and less than or equal to 4.0kg
  • Has been identified as in need of thermal care defined as having a moderate hypothermic temperature (32.0-36.0°C) as the last temperature recorded in hospital chart, or during recruitment procedures; and
  • Is unable to be enrolled in KMC for reasons including, but not limited to:

    1. Mother/guardian unable or unavailable to provide KMC
    2. Under observation in NICU before transfer to KMC
    3. No space in KMC
    4. Clinician's discretion
  • May be receiving other medical treatments, including but not limited to, CPAP, oxygen therapy, IV fluids, management and monitoring of common newborn conditions such as hypoglycemia, and/or hyperbilirubinemia via LED phototherapy

Exclusion criteria

Exclusion Criteria:

  • Requires mechanical ventilation
  • deemed in need of intensive care by the hospital staff who is providing care,including but not limited to:

    1. Neonates with severe anemia and/or any suspected hematological disorders, and/or
    2. Neonates with obvious congenital anomalies, and/or
    3. neonates suspected with hypo/hyperthyroidism or any hormonal disorders
  • Has been diagnosed with birth asphyxia
  • Presents a condition that precludes the use of the temperature sensor and/or abdominal belt including but not limited to, gastroschisis, known umbilical cord infection, known skin infection
  • Whose clinician presents concerns about their participation
  • Is receiving treatment that participation in the study would interfere with, i.e.transferring to KMC
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
90 participants (estimated)

Study arms

  • Experimental
    Neonatal

    * A trained study nurse or clinician will transfer the enrolled participant to the study location and place the infant on the Celsi Warmer mattress. * A trained study nurse or clinician will attach the Celsi Warmer temperature sensor to the abdomen and secure it with the abdominal belt according to the device's instruction manual * A trained study nurse or clinician will wrap the baby according to the standard care at the hospital. * Study personnel may observe the participant during the intervention period and annotate timestamped events that might affect temperature measurement and/or thermoregulation support intervention. * Study personnel will perform routine abdominal skin assessments as often as every two hours and at least every 8 hours to observe for skin irritation or indentation. * Thermoregulation support intervention will be provided as long as the infant continues to meet criteria for continued care at clinician's discretion.

    Device: Celsi Warmer

Interventions

  • DeviceCelsi Warmer

    During the study, research participants will receive thermal care via the Celsi Warmer. Aside from thermal treatment, research participants will receive the standard of care from the neonatal unit, and will also be closely monitored by study personnel throughout the study. The results from this study will allow the research team to determine if the Celsi Warmer is an effective tool for warming and monitoring newborns in wards of low-resource hospitals. The research team hopes to demonstrate that the Celsi Warmer is effective for the appropriate treatment of newborn hypothermia in hospitals in low-resource settings.

06

What researchers measure

Primary outcomes

  1. Broad Objective - Comparison to the Gold Standard of Rewarming Hypothermic Newborns

    To evaluate the clinical efficacy and safety of the Celsi Warmer in rewarming hypothermic newborns by comparing the Celsi Warmer's accuracy in measuring neonatal temperature compared to the gold standard, axillary temperature readings.

    Time frame: 1 year

Secondary outcomes

  1. Efficacy of the Device

    To assess the performance of the Celsi Warmer in rewarming hypothermic newborns by measuring the incidence of attainment of normothermia (36.5-37.5°C)

    Time frame: 1 year

  2. Safety of the Device - Measure of Infant's Increase in Temperature

    To measure the infant's rate of temperature (°C) increase through thermoregulatory intervention.

    Time frame: 1 year

  3. Safety of the Device - Local Effect of the Abdominal Belt

    To evaluate the local effect of the abdominal belt on newborn's skin by looking at any evidence of skin irritation

    Time frame: 1 year

  4. Safety of the Device - Incidence of Hyperthermia

    To evaluate any incidence of hyperthermia (\>37.5°C) during the thermoregulation intervention.

    Time frame: 1 year

  5. Safety of the Device - Incidence of Rebound Hypothermia

    To report any incidence of rebound hypothermia ( \< 36.5°C) (post-intervention hypothermia) up to 72 hours from the initial encounter.

    Time frame: 1 year

07

Study locations

1 of 1 sites recruiting
  • Muhimbili University of Health and Allied Sciences (MUHAS)
    Dar Es Salaam, Tanzania
    Recruiting
    • Nahya Salim, MMED · Contactnsalim@ihi.or.tz · +255 713 250074
    • Robert Moshiro, MMED · Contactmoshiror@gmail.com · +255 713 35
    • Rebecca R Richards-Kortum, PhD · Sub investigator
    • Maria Oden, PhD · Sub investigator
08

References and documents

Publications

  • Kumar V, Shearer JC, Kumar A, Darmstadt GL. Neonatal hypothermia in low resource settings: a review. J Perinatol. 2009 Jun;29(6):401-12. doi: 10.1038/jp.2008.233. Epub 2009 Jan 22. PubMed 19158799 ↗
  • Carns J, Kawaza K, Quinn MK, Miao Y, Guerra R, Molyneux E, Oden M, Richards-Kortum R. Impact of hypothermia on implementation of CPAP for neonatal respiratory distress syndrome in a low-resource setting. PLoS One. 2018 Mar 15;13(3):e0194144. doi: 10.1371/journal.pone.0194144. eCollection 2018. PubMed 29543861 ↗
  • Cavallin F, Calgaro S, Brugnolaro V, Seni AHA, Muhelo AR, Da Dalt L, Putoto G, Trevisanuto D. Impact of temperature change from admission to day one on neonatal mortality in a low-resource setting. BMC Pregnancy Childbirth. 2020 Oct 23;20(1):646. doi: 10.1186/s12884-020-03343-7. PubMed 33097025 ↗
  • Mullany LC. Neonatal hypothermia in low-resource settings. Semin Perinatol. 2010 Dec;34(6):426-33. doi: 10.1053/j.semperi.2010.09.007. PubMed 21094417 ↗
  • Lunze K, Bloom DE, Jamison DT, Hamer DH. The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival. BMC Med. 2013 Jan 31;11:24. doi: 10.1186/1741-7015-11-24. PubMed 23369256 ↗
  • Manji KP, Kisenge R. Neonatal hypothermia on admission to a special care unit in Dar-es-Salaam, Tanzania: a cause for concern. Cent Afr J Med. 2003 Mar-Apr;49(3-4):23-7. PubMed 14562586 ↗
  • Laptook AR, Salhab W, Bhaskar B; Neonatal Research Network. Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics. 2007 Mar;119(3):e643-9. doi: 10.1542/peds.2006-0943. Epub 2007 Feb 12. PubMed 17296783 ↗
  • Lunze K, Hamer DH. Thermal protection of the newborn in resource-limited environments. J Perinatol. 2012 May;32(5):317-24. doi: 10.1038/jp.2012.11. Epub 2012 Mar 1. PubMed 22382859 ↗
  • de Almeida MF, Guinsburg R, Sancho GA, Rosa IR, Lamy ZC, Martinez FE, da Silva RP, Ferrari LS, de Souza Rugolo LM, Abdallah VO, Silveira Rde C; Brazilian Network on Neonatal Research. Hypothermia and early neonatal mortality in preterm infants. J Pediatr. 2014 Feb;164(2):271-5.e1. doi: 10.1016/j.jpeds.2013.09.049. Epub 2013 Nov 6. PubMed 24210925 ↗
  • ADAMSON SK Jr, TOWELL ME. THERMAL HOMEOSTASIS IN THE FETUS AND NEWBORN. Anesthesiology. 1965 Jul-Aug;26:531-48. doi: 10.1097/00000542-196507000-00017. No abstract available. PubMed 14313463 ↗
  • Nahimana E, May L, Gadgil A, Rapp V, Magge H, Kubwimana M, Nshimyiryo A, Kateera F, Feldman HA, Nkikabahizi F, Sayinzoga F, Hansen A. A low cost, re-usable electricity-free infant warmer: evaluation of safety, effectiveness and feasibiliy. Public Health Action. 2018 Dec 21;8(4):211-217. doi: 10.5588/pha.18.0031. PubMed 30775282 ↗
  • Wyllie J, Perlman JM, Kattwinkel J, Wyckoff MH, Aziz K, Guinsburg R, Kim HS, Liley HG, Mildenhall L, Simon WM, Szyld E, Tamura M, Velaphi S; Neonatal Resuscitation Chapter Collaborators. Part 7: Neonatal resuscitation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2015 Oct;95:e169-201. doi: 10.1016/j.resuscitation.2015.07.045. Epub 2015 Oct 15. No abstract available. PubMed 26477424 ↗
  • Wyckoff MH, Wyllie J, Aziz K, de Almeida MF, Fabres J, Fawke J, Guinsburg R, Hosono S, Isayama T, Kapadia VS, Kim HS, Liley HG, McKinlay CJD, Mildenhall L, Perlman JM, Rabi Y, Roehr CC, Schmolzer GM, Szyld E, Trevisanuto D, Velaphi S, Weiner GM; Neonatal Life Support Collaborators. Neonatal Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2020 Oct 20;142(16_suppl_1):S185-S221. doi: 10.1161/CIR.0000000000000895. Epub 2020 Oct 21. PubMed 33084392 ↗
  • WHO Immediate KMC Study Group; Arya S, Naburi H, Kawaza K, Newton S, Anyabolu CH, Bergman N, Rao SPN, Mittal P, Assenga E, Gadama L, Larsen-Reindorf R, Kuti O, Linner A, Yoshida S, Chopra N, Ngarina M, Msusa AT, Boakye-Yiadom A, Kuti BP, Morgan B, Minckas N, Suri J, Moshiro R, Samuel V, Wireko-Brobby N, Rettedal S, Jaiswal HV, Sankar MJ, Nyanor I, Tiwary H, Anand P, Manu AA, Nagpal K, Ansong D, Saini I, Aggarwal KC, Wadhwa N, Bahl R, Westrup B, Adejuyigbe EA, Plange-Rhule G, Dube Q, Chellani H, Massawe A. Immediate "Kangaroo Mother Care" and Survival of Infants with Low Birth Weight. N Engl J Med. 2021 May 27;384(21):2028-2038. doi: 10.1056/NEJMoa2026486. PubMed 34038632 ↗
  • Ahmed S, Mitra SN, Chowdhury AM, Camacho LL, Winikoff B, Sloan NL. Community Kangaroo Mother Care: implementation and potential for neonatal survival and health in very low-income settings. J Perinatol. 2011 May;31(5):361-7. doi: 10.1038/jp.2010.131. Epub 2011 Feb 10. PubMed 21311502 ↗
  • Lee HC, Martin-Anderson S, Dudley RA. Clinician perspectives on barriers to and opportunities for skin-to-skin contact for premature infants in neonatal intensive care units. Breastfeed Med. 2012 Apr;7(2):79-84. doi: 10.1089/bfm.2011.0004. Epub 2011 Oct 19. PubMed 22011130 ↗
  • Flenady VJ, Woodgate PG. Radiant warmers versus incubators for regulating body temperature in newborn infants. Cochrane Database Syst Rev. 2000;2003(2):CD000435. doi: 10.1002/14651858.CD000435. PubMed 10796363 ↗
  • Trevisanuto D, Coretti I, Doglioni N, Udilano A, Cavallin F, Zanardo V. Effective temperature under radiant infant warmer: does the device make a difference? Resuscitation. 2011 Jun;82(6):720-3. doi: 10.1016/j.resuscitation.2011.02.019. Epub 2011 Mar 24. PubMed 21439704 ↗
  • Butin M, Dumont Y, Monteix A, Raphard A, Roques C, Martins Simoes P, Picaud JC, Laurent F. Sources and reservoirs of Staphylococcus capitis NRCS-A inside a NICU. Antimicrob Resist Infect Control. 2019 Oct 17;8:157. doi: 10.1186/s13756-019-0616-1. eCollection 2019. PubMed 31636900 ↗
  • Cadot L, Bruguiere H, Jumas-Bilak E, Didelot MN, Masnou A, de Barry G, Cambonie G, Parer S, Romano-Bertrand S. Extended spectrum beta-lactamase-producing Klebsiella pneumoniae outbreak reveals incubators as pathogen reservoir in neonatal care center. Eur J Pediatr. 2019 Apr;178(4):505-513. doi: 10.1007/s00431-019-03323-w. Epub 2019 Jan 23. PubMed 30671695 ↗
  • Nimbalkar S, Patel H, Dongara A, Patel DV, Bansal S. Usage of EMBRACE(TM) in Gujarat, India: Survey of Paediatricians. Adv Prev Med. 2014;2014:415301. doi: 10.1155/2014/415301. Epub 2014 Oct 30. PubMed 25530887 ↗
  • Boo NY, Selvarani S. Effectiveness of a simple heated water-filled mattress for the prevention and treatment of neonatal hypothermia in the labour room. Singapore Med J. 2005 Aug;46(8):387-91. PubMed 16049607 ↗
  • McNichol L, Lund C, Rosen T, Gray M. Medical adhesives and patient safety: state of the science: consensus statements for the assessment, prevention, and treatment of adhesive-related skin injuries. J Wound Ostomy Continence Nurs. 2013 Jul-Aug;40(4):365-80; quiz E1-2. doi: 10.1097/WON.0b013e3182995516. PubMed 23759927 ↗
  • Uwamariya J, Mazimpaka C, May L, Nshimyiryo A, Feldman HA, Sayinzoga F, Umutesi S, Gadgil A, Rapp VH, Nahimana E, Hansen A. Safety and effectiveness of a non-electric infant warmer for hypothermia in Rwanda: A cluster-randomized stepped-wedge trial. EClinicalMedicine. 2021 Apr 16;34:100842. doi: 10.1016/j.eclinm.2021.100842. eCollection 2021 Apr. PubMed 33997734 ↗

Individual participant data

Plan to share: No

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Sep 2022 (actual). Primary completion is estimated for Aug 2024, 22 months after the start.

Of 132 non-industry interventional studies with no phase under Hypothermia, half reached primary completion within 16 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 36. This study's planned 22 months is above that.

Counting every sponsor, half of 135 studies reached it within 16 months; a quarter within 6 and three quarters within 36.

How these figures are worked out, and which studies are left out of them.

Registered
May 31, 2023
First posted
Aug 21, 2023
StartActual
Sep 27, 2022
Primary completionEst.
Aug 20, 2024
CompletionEst.
Aug 20, 2024
Last update
Aug 22, 2023
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Aug 22, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06000826
Lead sponsor
William Marsh Rice University
Collaborators
Muhimbili University of Health and Allied Sciences
Responsible party
Sponsor
First posted
Aug 21, 2023
Start date
Sep 27, 2022
Primary completion
Aug 20, 2024 (estimated)
Completion
Aug 20, 2024 (estimated)
Last update
Aug 22, 2023

Study contacts

Sonia Sosa Saenz, BME
Contact
ss171@rice.edu
713-348-4963
Natalie Mitchell
Contact
natalie.d.mitchell@rice.edu
Rebecca R Richards-Kortum, PhD
principal investigator · William Marsh Rice University

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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