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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03650621
Registration number
NCT03650621
Ethics application status
Date submitted
26/06/2018
Date registered
29/08/2018
Titles & IDs
Public title
Acupuncture for Preterm Infants Requiring Eye-exam
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Scientific title
Magnetic Non-Invasive Acupuncture For Infant Comfort A Pilot Study in Preterm Infants Requiring Eye-exam for Retinopathy of Prematurity
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Secondary ID [1]
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Pro00080714
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Universal Trial Number (UTN)
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Trial acronym
MAGNIFIC-ROP
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Retinopathy of Prematurity
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Pain
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Acupuncture
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Premature Infant
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Condition category
Condition code
Eye
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Diseases / disorders of the eye
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Reproductive Health and Childbirth
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Complications of newborn
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Reproductive Health and Childbirth
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Childbirth and postnatal care
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Reproductive Health and Childbirth
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Devices - Magnetic acupuncture
Treatment: Devices - stickers (magnets removed)
Experimental: Intervention - Magnetic acupuncture - Infants randomized to the intervention arm will have 5 magnetic stickers placed on both ears approximately 1 hour before the eye-exam and will stay in place for approximately 1 hour after the eye-exam.
Total duration of study 2.5-3 hours
Placebo comparator: Control - Placebo control - In this arm the infants will have 5 stickers (magnets removed) placed on their ear approximately 1 hour before the eye-exam and will stay in place for approximately 1 hour after the eye-exam.
Total duration of study 2.5-3 hours
Treatment: Devices: Magnetic acupuncture
5 magnetic acupuncture stickers will be placed on the infants ear
Treatment: Devices: stickers (magnets removed)
in this group 5 stickers (magnets removed) will be placed on the infants ear
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Intervention code [1]
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Treatment: Devices
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Changes in Premature Infant Pain Profile (PIPP) scores
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Assessment method [1]
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Mean pain scores on the Premature Infant Pain Profile (PIPP) scores
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Timepoint [1]
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Comparison of baseline (= 1 hour before eye-exam) and after eye-exam (1 hour after)
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Secondary outcome [1]
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Heart rate changes
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Assessment method [1]
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During eye-exam - which will take 5min (comparison between baseline before eye-exam and mean value during eye-exam)
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Timepoint [1]
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changes in heart rate in beats per minute 1 hour before and 1 hour after eye-exam
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Secondary outcome [2]
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Changes in oxygen saturation
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Assessment method [2]
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During eye-exam - which will take 5min (comparison between baseline before eye-exam and mean value during eye-exam)
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Timepoint [2]
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changes in oxygen saturation in % 1 hour before and 1 hour after eye-exam
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Secondary outcome [3]
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changes in cerebral oxygenation
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Assessment method [3]
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During eye-exam - which will take 5min (comparison between baseline before eye-exam and mean value during eye-exam)
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Timepoint [3]
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changes in cerebral oxygenation % 1 hour before and 1 hour after eye-exam
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Eligibility
Key inclusion criteria
* Infants weighing less than 1250g at birth admitted into the NICU at the Royal Alexandra Hospital will require routine,regularly scheduled ROP eye-exams beginning at 32 weeks corrected age. We will not enroll any infant who meets any exclusion criteria.
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Minimum age
29
Weeks
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Maximum age
36
Weeks
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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
1. Chronic pain stimuli (e.g. infants who have had recent surgery)
2. Neurological problems that could impair pain perception (e.g. diagnosis of intraventricular hemorrhages Grade III or greater)
3. Cardiorespiratory problems that could impair oxygenation (e.g. any infant who is intubated and requiring mechanical ventilation)
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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)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people assessing the outcomes
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Intervention assignment
Parallel
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Other design features
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Phase
NA
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
24/08/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
30/04/2020
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Sample size
Target
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Accrual to date
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Final
100
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
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University of Sydney - Sydney
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Recruitment postcode(s) [1]
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- Sydney
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Recruitment outside Australia
Country [1]
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Canada
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State/province [1]
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Alberta
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Country [2]
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Malaysia
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State/province [2]
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Kuala Lumpur
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Funding & Sponsors
Primary sponsor type
Other
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Name
University of Alberta
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The purpose is to investigate whether non-invasive acupuncture - NIA (i.e. acupuncture without needles) will help reduce pain for babies in the Neonatal Intensive Care Unit (NICU) during their routine weekly eye-exam for Retinopathy of prematurity. Retinopathy of prematurity (ROP) is an eye disease most commonly affecting premature babies born weighing less than 1250 grams. Retinopathy of prematurity occurs because these premature babies require oxygen because of their immature lungs. The oxygen then stimulates the growth of blood vessels in the retina, causing the retina to be detached from the eye, which causes vision impairment. To examine if the vessels grow at the back of the eye, an eye-doctor visits bi-weekly once the baby is 32 weeks corrected age to assess if the blood vessels change. If there is a lot of growth, the eye-doctor would use a laser to treat the eye to prevent further growth. During the bi-weekly eye-exam, the premature infant receives sucrose (a type of sugar) for pain management. The investigator will assess pain a premature babies experience during this exam and found that there are extremely high scores of pain despite sucrose and the investigator believe this pain and stress caused by these procedures could be reduced by adding: Magnetic Acupuncture Also, untreated pain causes stress (lower oxygen levels, higher heart rates), discomfort and poorer long term outcomes. Finding the best treatment and prevention for the pain caused by procedures in the NICU is therefore extremely important for any baby.
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Trial website
https://clinicaltrials.gov/study/NCT03650621
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Trial related presentations / publications
Gan KML, Oei JL, Quah-Smith I, Kamar AA, Lordudass AAD, Liem KD, Lindrea KB, Daly M, Gaunker N, Mangat AK, Yaskina M, Schmolzer GM. Magnetic Non-invasive Auricular Acupuncture During Eye-Exam for Retinopathy of Prematurity in Preterm Infants: A Multicentre Randomized Controlled Trial. Front Pediatr. 2020 Dec 23;8:615008. doi: 10.3389/fped.2020.615008. eCollection 2020.
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Public notes
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Contacts
Principal investigator
Name
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Georg Schmolzer, MD, PhD
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Address
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University of Alberta
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
Supporting document/s available: Study protocol, Statistical analysis plan (SAP), Informed consent form (ICF)
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When will data be available (start and end dates)?
once study has been completed
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Available to whom?
email to PI
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Available for what types of analyses?
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How or where can data be obtained?
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT03650621