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Trial registered on ANZCTR
Registration number
ACTRN12606000273583
Ethics application status
Approved
Date submitted
12/07/2001
Date registered
12/07/2001
Date last updated
3/12/2013
Type of registration
Prospectively registered
Titles & IDs
Public title
International neonatal immunotherapy study
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Scientific title
Randomised controlled trial of intravenous immunoglobulin of neonates with sepsis using intravenous immunoglobulin (Intragam P) and being treated with antibiotics. Primary outcomes are mortality and morbidity.
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Secondary ID [1]
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Perinatal Trials Registry: PTR373
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Universal Trial Number (UTN)
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Trial acronym
INIS
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Infants with sepsis. Infants being treated with antibiotics are eligible. Infants can be preterm or term.
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Condition category
Condition code
Reproductive Health and Childbirth
34
34
0
0
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Childbirth and postnatal care
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Inflammatory and Immune System
35
35
0
0
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Other inflammatory or immune system disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Intravenous administration of immunoglobulin (Intragam P) (500mg (10ml) per kg).
Administered twice in total (treatment given over 4-6 hours and then repeated 48 hours later).
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Intervention code [1]
1105
0
Treatment: Drugs
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Comparator / control treatment
Placebo (saline).
Administered twice in total (treatment given over 4-6 hours and then repeated 48 hours later).
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Control group
Placebo
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Outcomes
Primary outcome [1]
63
0
Mortality or major disability
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Assessment method [1]
63
0
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Timepoint [1]
63
0
At 2 yrs (corrected for gestational age at birth)
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Secondary outcome [1]
105
0
1. Mortality
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Assessment method [1]
105
0
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Timepoint [1]
105
0
Before 2 years
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Secondary outcome [2]
106
0
Chronic lung disease or major cerebral abnormality
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Assessment method [2]
106
0
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Timepoint [2]
106
0
Before hospital discharge.
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Secondary outcome [3]
107
0
Significant positive culture
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Assessment method [3]
107
0
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Timepoint [3]
107
0
After trial entry.
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Secondary outcome [4]
108
0
Pneumonia
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Assessment method [4]
108
0
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Timepoint [4]
108
0
hospital discharge
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Secondary outcome [5]
109
0
Necrotising enterocolitis
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Assessment method [5]
109
0
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Timepoint [5]
109
0
hospital discharge
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Secondary outcome [6]
110
0
Duration of respiratory support.
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Assessment method [6]
110
0
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Timepoint [6]
110
0
hospital discharge
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Secondary outcome [7]
111
0
2. Major disability and Non major disability
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Assessment method [7]
111
0
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Timepoint [7]
111
0
At 2 years
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Secondary outcome [8]
112
0
3. Length of hospital stay and number of hospital admissions.
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Assessment method [8]
112
0
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Timepoint [8]
112
0
2 years (corrected for gestational age at birth)
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Eligibility
Key inclusion criteria
Infants are eligible if: they are receiving antibiotics with clinical evidence of definite or highly probable sepsis, there is substantial uncertainty that IVIG is indicated, birth weight is less than 1500g OR already has positive blood or cerebro spinal fluid culture OR receiving artifical ventilation.
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Minimum age
0
Days
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Maximum age
28
Days
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
IVIG already given or thought to be needed or contra-indicated.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Treatment allocations are provided to central pharmacy of the hospital. Allocation involves contacting pharmacist at the hospital to allocate a treatment.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Permuted blocks with different block sizes.
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
Either one or the other treatment is allocated
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
1/02/2001
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Actual
20/02/2002
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Date of last participant enrolment
Anticipated
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Actual
21/05/2007
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
5000
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Accrual to date
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Final
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Recruitment in Australia
Recruitment state(s)
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Funding & Sponsors
Funding source category [1]
44
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Government body
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Name [1]
44
0
National Health & Medical Research Council
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Address [1]
44
0
GPO Box 1421
Canberra ACT 2601
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Country [1]
44
0
Australia
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Funding source category [2]
45
0
Government body
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Name [2]
45
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Health Research Council (NZ)
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Address [2]
45
0
Level 3 - ProCARE Building, Grafton Mews, at 110 Stanley Street, Auckland 1010
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Country [2]
45
0
New Zealand
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Funding source category [3]
46
0
Government body
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Name [3]
46
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UK Medical Research Council
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Address [3]
46
0
Medical Research Council
14th Floor
One Kemble Street
London
WC2B 4AN
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Country [3]
46
0
United Kingdom
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Funding source category [4]
47
0
Charities/Societies/Foundations
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Name [4]
47
0
Financial Markets Foundation for Children
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Address [4]
47
0
GPO Box 3655
Sydney NSW 2000
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Country [4]
47
0
Australia
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Funding source category [5]
48
0
University
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Name [5]
48
0
Sesqui Grant University of Sydney
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Address [5]
48
0
City Rd, Darlington New South Wales 2008
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Country [5]
48
0
Australia
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Funding source category [6]
49
0
Government body
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Name [6]
49
0
Commonwealth Scientific Laboratories
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Address [6]
49
0
1/1 Coronation Ave, Kings Park NSW 2148
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Country [6]
49
0
Australia
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Funding source category [7]
50
0
Charities/Societies/Foundations
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Name [7]
50
0
Telstra Foundation
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Address [7]
50
0
Locked Bag 5680
Melbourne VIC 3001
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Country [7]
50
0
Australia
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Funding source category [8]
51
0
University
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Name [8]
51
0
University of Sydney National Health & Medical Research Council Clinical Trials Centre
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Address [8]
51
0
Locked Bag77
Camperdown NSW 1450
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Country [8]
51
0
Australia
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Funding source category [9]
52
0
Charities/Societies/Foundations
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Name [9]
52
0
Ian Potter Travel Grant
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Address [9]
52
0
The Ian Potter Foundation
Level 3, 111 Collins Street
Melbourne VIC 3000
Australia
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Country [9]
52
0
Australia
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Primary sponsor type
University
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Name
The University of Sydney
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Address
City Rd, Darlington New South Wales 2008
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Country
Australia
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Secondary sponsor category [1]
38
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Individual
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Name [1]
38
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Prof. William Tarnow-Mordi
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Address [1]
38
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NHMRC Clinical Trial Centre
Locked Bag 77
Camperdown NSW 1450
Australia
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Country [1]
38
0
Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
328
0
Westmead Hospital
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Ethics committee address [1]
328
0
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Ethics committee country [1]
328
0
Australia
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Date submitted for ethics approval [1]
328
0
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Approval date [1]
328
0
17/12/2001
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Ethics approval number [1]
328
0
2001/7/4.22 (1080)
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Ethics committee name [2]
329
0
Royal Hospital for Women
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Ethics committee address [2]
329
0
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Ethics committee country [2]
329
0
Australia
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Date submitted for ethics approval [2]
329
0
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Approval date [2]
329
0
19/12/2001
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Ethics approval number [2]
329
0
01/275
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Ethics committee name [3]
330
0
Royal Hobart
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Ethics committee address [3]
330
0
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Ethics committee country [3]
330
0
Australia
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Date submitted for ethics approval [3]
330
0
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Approval date [3]
330
0
14/08/2002
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Ethics approval number [3]
330
0
ISRCTN 94984750
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Ethics committee name [4]
331
0
John Hunter Hospital
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Ethics committee address [4]
331
0
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Ethics committee country [4]
331
0
Australia
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Date submitted for ethics approval [4]
331
0
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Approval date [4]
331
0
17/08/2002
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Ethics approval number [4]
331
0
02/07/10/3.06
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Ethics committee name [5]
332
0
Monash Medical Centre
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Ethics committee address [5]
332
0
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Ethics committee country [5]
332
0
Australia
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Date submitted for ethics approval [5]
332
0
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Approval date [5]
332
0
09/07/2002
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Ethics approval number [5]
332
0
02045B
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Ethics committee name [6]
333
0
The Canberra Hospital
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Ethics committee address [6]
333
0
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Ethics committee country [6]
333
0
Australia
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Date submitted for ethics approval [6]
333
0
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Approval date [6]
333
0
13/05/2002
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Ethics approval number [6]
333
0
ETH.2/02.74
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Ethics committee name [7]
334
0
RPA women and Babies
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Ethics committee address [7]
334
0
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Ethics committee country [7]
334
0
Australia
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Date submitted for ethics approval [7]
334
0
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Approval date [7]
334
0
16/07/2002
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Ethics approval number [7]
334
0
COR05-02; X02-0012
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Ethics committee name [8]
335
0
Sydney Children's
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Ethics committee address [8]
335
0
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Ethics committee country [8]
335
0
Australia
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Date submitted for ethics approval [8]
335
0
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Approval date [8]
335
0
05/01/2004
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Ethics approval number [8]
335
0
01/275
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Ethics committee name [9]
336
0
Flinders Medical Centre
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Ethics committee address [9]
336
0
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Ethics committee country [9]
336
0
Australia
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Date submitted for ethics approval [9]
336
0
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Approval date [9]
336
0
22/09/2003
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Ethics approval number [9]
336
0
11/034
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Ethics committee name [10]
337
0
Royal Women's
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Ethics committee address [10]
337
0
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Ethics committee country [10]
337
0
Australia
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Date submitted for ethics approval [10]
337
0
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Approval date [10]
337
0
22/09/2003
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Ethics approval number [10]
337
0
03/05
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Ethics committee name [11]
338
0
Mercy Hospital for Women
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Ethics committee address [11]
338
0
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Ethics committee country [11]
338
0
Australia
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Date submitted for ethics approval [11]
338
0
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Approval date [11]
338
0
02/05/2003
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Ethics approval number [11]
338
0
R03/03
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Ethics committee name [12]
339
0
Nepean
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Ethics committee address [12]
339
0
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Ethics committee country [12]
339
0
Australia
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Date submitted for ethics approval [12]
339
0
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Approval date [12]
339
0
27/08/2002
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Ethics approval number [12]
339
0
02/054
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Ethics committee name [13]
340
0
Royal Children's
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Ethics committee address [13]
340
0
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Ethics committee country [13]
340
0
Australia
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Date submitted for ethics approval [13]
340
0
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Approval date [13]
340
0
06/05/2003
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Ethics approval number [13]
340
0
23001A
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Ethics committee name [14]
341
0
Royal North Shore Hospital
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Ethics committee address [14]
341
0
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Ethics committee country [14]
341
0
Australia
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Date submitted for ethics approval [14]
341
0
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Approval date [14]
341
0
04/03/2003
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Ethics approval number [14]
341
0
0209-145M
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Ethics committee name [15]
342
0
Liverpool
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Ethics committee address [15]
342
0
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Ethics committee country [15]
342
0
Australia
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Date submitted for ethics approval [15]
342
0
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Approval date [15]
342
0
23/09/2002
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Ethics approval number [15]
342
0
02/106
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Ethics committee name [16]
343
0
The Children's Hospital at Westmead
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Ethics committee address [16]
343
0
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Ethics committee country [16]
343
0
Australia
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Date submitted for ethics approval [16]
343
0
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Approval date [16]
343
0
15/07/2002
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Ethics approval number [16]
343
0
2002/032
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Ethics committee name [17]
344
0
Wellington Women's Hospital
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Ethics committee address [17]
344
0
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Ethics committee country [17]
344
0
New Zealand
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Date submitted for ethics approval [17]
344
0
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Approval date [17]
344
0
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Ethics approval number [17]
344
0
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Ethics committee name [18]
345
0
Palmerston North Hospital
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Ethics committee address [18]
345
0
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Ethics committee country [18]
345
0
New Zealand
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Date submitted for ethics approval [18]
345
0
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Approval date [18]
345
0
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Ethics approval number [18]
345
0
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Ethics committee name [19]
346
0
Dunedin Hospital
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Ethics committee address [19]
346
0
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Ethics committee country [19]
346
0
New Zealand
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Date submitted for ethics approval [19]
346
0
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Approval date [19]
346
0
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Ethics approval number [19]
346
0
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Ethics committee name [20]
347
0
National Women's Hospital
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Ethics committee address [20]
347
0
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Ethics committee country [20]
347
0
New Zealand
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Date submitted for ethics approval [20]
347
0
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Approval date [20]
347
0
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Ethics approval number [20]
347
0
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Ethics committee name [21]
348
0
Waikato Hospital
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Ethics committee address [21]
348
0
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Ethics committee country [21]
348
0
New Zealand
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Date submitted for ethics approval [21]
348
0
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Approval date [21]
348
0
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Ethics approval number [21]
348
0
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Ethics committee name [22]
349
0
Middlemore Hospital
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Ethics committee address [22]
349
0
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Ethics committee country [22]
349
0
New Zealand
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Date submitted for ethics approval [22]
349
0
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Approval date [22]
349
0
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Ethics approval number [22]
349
0
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Ethics committee name [23]
350
0
Christchurch Women's Hospital
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Ethics committee address [23]
350
0
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Ethics committee country [23]
350
0
New Zealand
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Date submitted for ethics approval [23]
350
0
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Approval date [23]
350
0
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Ethics approval number [23]
350
0
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Ethics committee name [24]
351
0
Women's and Children's
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Ethics committee address [24]
351
0
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Ethics committee country [24]
351
0
Australia
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Date submitted for ethics approval [24]
351
0
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Approval date [24]
351
0
11/03/2004
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Ethics approval number [24]
351
0
1520/12/2006
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Ethics committee name [25]
352
0
Royal Women's
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Ethics committee address [25]
352
0
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Ethics committee country [25]
352
0
Australia
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Date submitted for ethics approval [25]
352
0
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Approval date [25]
352
0
17/12/2003
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Ethics approval number [25]
352
0
2003000726
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Summary
Brief summary
This trial will test if intravenous immunoglobulin (IVIG) reduces death and disability in up to 5000 babies with suspected serious infection in the UK, Europe, Argentina, Australia and New Zealand. Newborn babies are deficient in immunoglobulins (physiological deficiency), especially if they are premature. Babies with severe infection after birth carry a high risk of death or life-long disability, even with appropriate antibiotics. IVIG is concentrated from plasma carefully screened blood donors and is one of the safest blood products available. Earlier trials suggest IVIG may reduce death rates in newborn infants, but did not report disability rates in survivors. Participants, Trialists at the coordinating centre, and clinical professionals involved in the care of the child are blinded to the study treatment. Only the pharmacist and lead statistician are aware of the treatment allocation.
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Trial website
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Trial related presentations / publications
Treatment of neonatal sepsis with intravenous immune globulin. N Engl J Med. 2011 Sep 29;365(13):1201-11.
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Public notes
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Contacts
Principal investigator
Name
35709
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Prof William Tarnow Mordi
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Address
35709
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NHMRC Clinical Trials Centre
Locked Bag 77
Camperdown NSW 1450
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Country
35709
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Australia
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Phone
35709
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+61 2 9562 5000
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Fax
35709
0
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Email
35709
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[email protected]
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Contact person for public queries
Name
10294
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Prof William Tarnow-Mordi
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Address
10294
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Locked Bag 77
Camperdown NSW 1450
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Country
10294
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Australia
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Phone
10294
0
6129562 5000
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Fax
10294
0
61295651863
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Email
10294
0
[email protected]
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Contact person for scientific queries
Name
1222
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Prof. Tarnow-Mordi
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Address
1222
0
c/o Locked Bag 77
Camperdown NSW 1450
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Country
1222
0
Australia
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Phone
1222
0
612 9562 5335
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Fax
1222
0
612 9565 1863
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Email
1222
0
[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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