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Trial registered on ANZCTR
Registration number
ACTRN12619000935134p
Ethics application status
Submitted, not yet approved
Date submitted
4/06/2019
Date registered
4/07/2019
Date last updated
4/07/2019
Date data sharing statement initially provided
4/07/2019
Type of registration
Prospectively registered
Titles & IDs
Public title
Mean platelet volume in asymptomatic chorioamnionitis exposed term infants
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Scientific title
Mean platelet volume (MPV) in chorioamnionitis-exposed asymptomatic neonates. A retrospective case control study
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Secondary ID [1]
298407
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none
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Universal Trial Number (UTN)
U1111-1234-6198
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Trial acronym
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Linked study record
nil
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Health condition
Health condition(s) or problem(s) studied:
chorioamnionitis
313111
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Condition category
Condition code
Infection
311590
311590
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0
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Other infectious diseases
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Reproductive Health and Childbirth
311591
311591
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0
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Fetal medicine and complications of pregnancy
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Intervention/exposure
Study type
Observational
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Patient registry
False
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Target follow-up duration
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Target follow-up type
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Description of intervention(s) / exposure
All asymptomatic full term chorioamnionitis (CA) exposed infants admitted to Neonatal intensive care unit (NICU) from May 2016 until may 2019 will be enrolled. Blood samples from CA exposed infants to examine for Full blood count indices and C-reactive protein (CRP) data will be collected. These data will be compared to the information retrieved from control group who are healthy infants delivered to healthy mothers with uneventful pregnancies. The aim is to examine the significance of mean platelet volume as a significant marker for early onset sepsis in CA exposed infants. Blood samples from CA exposed infants group are collected on admission (day 1) and again on day 3 after receiving 48 hours course of antibiotic treatment.
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Intervention code [1]
314651
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Diagnosis / Prognosis
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Intervention code [2]
314652
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Early Detection / Screening
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Comparator / control treatment
Control arm of 65 healthy term infants delivered to healthy mothers with uneventful pregnancies and no chorioamnionitis during the same period of data collection (May 2016-May 2019). The demographic data of mothers and infants are comparable to chorioamnionitis exposed infants group. Neither mothers nor infants of the control group received antibiotics.
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Control group
Active
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Outcomes
Primary outcome [1]
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The proportion of infants with increased mean platelet volume in chorioamnionitis exposed arm. Measurement of full blood count indices is done by using an automated haematology analyser (DxH800; Beckman Coulter, USA) with ethylenediaminetetraacetic acid (EDTA) anticoagulated whole blood samples.
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Assessment method [1]
320295
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Timepoint [1]
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on admission (day1) and on (day 3) after receiving antibiotics
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Secondary outcome [1]
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Incidence of blood culture positive cases among Chorio-amnionitis exposed infants who are asymptomatic at birth and remained asymptomatic throughout the hospital stay. . Blood culture was performed by a sample of 1 ml of venous blood transferred into BACTEC culture vial (BACTEC FX/VIRTUE BacT/ALERT).
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Assessment method [1]
371087
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Timepoint [1]
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On day 2 of admission ( after 48 hours antibiotics administration in NICU)
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Secondary outcome [2]
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Incidence of thrombocytopenia among Chorio-amnionitis exposed infants who are asymptomatic at birth and remained asymptomatic throughout the hospital stay. Measurement of full blood count indices is done by using an automated haematology analyser (DxH800; Beckman Coulter, USA) with ethylenediaminetetraacetic acid (EDTA) anticoagulated whole blood samples.
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Assessment method [2]
371088
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Timepoint [2]
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On admission and after 2 days of antibiotic adminstration
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Eligibility
Key inclusion criteria
1- Term infants 37 weeks gestation or more who are borne to chorioamnionitis mothers.
2- All infants were healthy asymptomatic at birth and after admission.
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Minimum age
0
Hours
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Maximum age
6
Hours
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
1- Preterm infants <37 weeks gestation
2- Symptomatic term infants (Apnea, respiratory distress, cyanosis, poor feeding, temperature instability, hypoglycemia, or seizures)
3-Birth asphyxia
4-Infants with hematologic disorders or chromosomal anomalies.
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Study design
Purpose
Screening
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Duration
Longitudinal
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Selection
Case control
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Timing
Retrospective
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Statistical methods / analysis
All asymptomatic term CA exposed infants (65 patient) admitted to NICU during the study period will be enrolled. A matched number of healthy controls will be selected with the same demographic data of CA infants group.
Statistical analysis of data will be done using IBM SPSS program version 23. The quantitative data will be presented as mean and standard deviations (SD). Qualitative data will be presented as count and percentages. Student t test will be used to compare quantitative data between the two groups while Chi-square test to compare qualitative data. Paired samples T-test will be used to compare quantitative data at two different time points for the same group and McNemar test for qualitative data. Receiver- operating characteristics (ROC) curve will be used to measure validity of MPV for prediction of neonatal sepsis .
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
10/07/2019
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Actual
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Date of last participant enrolment
Anticipated
10/09/2019
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Actual
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Date of last data collection
Anticipated
20/09/2019
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Actual
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Sample size
Target
130
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
21561
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United Arab Emirates
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State/province [1]
21561
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Dubai
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Funding & Sponsors
Funding source category [1]
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Hospital
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Name [1]
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Dubai hospital
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Address [1]
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NICU, DUBAI HOSPITAL. THIRD FLOOR. ALBARAHA, Alkornisch street No.1. DUBAI 7272 UAE.
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Country [1]
302957
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United Arab Emirates
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Primary sponsor type
Hospital
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Name
Dubai Hospital
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Address
NICU, DUBAI HOSPITAL. THIRD FLOOR. ALBARAHA, Alkornisch street No.1. DUBAI 7272 UAE.
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Country
United Arab Emirates
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Secondary sponsor category [1]
302909
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None
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Name [1]
302909
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Address [1]
302909
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Country [1]
302909
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Ethics approval
Ethics application status
Submitted, not yet approved
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Ethics committee name [1]
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Dubai scientific research ethics committee DSREC
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Ethics committee address [1]
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Dubai Scientific Research Ethics Committee DSREC. DSREC CONTINUOUS MEDICAL EDUCATION DEPARTMENT RASHID MEDICAL LIBRARY PO BOX 4545 DUBAI. UAE.
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Ethics committee country [1]
303509
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United Arab Emirates
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Date submitted for ethics approval [1]
303509
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19/03/2019
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Approval date [1]
303509
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Ethics approval number [1]
303509
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Summary
Brief summary
Maternal chorioamnionitis (CA) is serious problem causing significant neonatal morbidities and long term neurodevelopmental sequalae in exposed infants. Current guidelines still recommend admission, laboratory evaluation, and antibiotic administration to all chorioamnionitis exposed infants. The incidence of early onset sepsis is currently low with the routine intrapartum antibiotics administration to mothers at risk. New diagnostic tools are needed for early diagnosis of sepsis in apparently healthy infants exposed to chorioamnionitis. Mean platelet volume (MPV) measurement was evolving as a potential inflammatory marker in neonatal sepsis in different studies. We aim to study whether MPV in asymptomatic chorioamnionitis-exposed infants can be used as an adjuvant diagnostic tool of early onset sepsis in these infants.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Atef Alshafei
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Address
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ATEF ALSHAFEI NICU, DUBAI HOSPITAL THIRD FLOOR. ALBARAHA, Alkornisch street No.1. DUBAI 7272. UAE
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Country
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United Arab Emirates
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Phone
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+971561924270
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Atef Alshafei
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Address
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ATEF ALSHAFEI NICU, DUBAI HOSPITAL THIRD FLOOR. ALBARAHA, Alkornisch street No.1. DUBAI 7272. UAE
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Country
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United Arab Emirates
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Phone
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+971561924270
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Atef Alshafei
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Address
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ATEF ALSHAFEI NICU, DUBAI HOSPITAL THIRD FLOOR. ALBARAHA, Alkornisch street No.1. DUBAI 7272. UAE
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Country
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United Arab Emirates
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Phone
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+971561924270
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Fax
93912
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Email
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[email protected]
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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?
All of the individual participant data collected during the trial.
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When will data be available (start and end dates)?
One month following main results publication. No end dates.
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Available to whom?
case by case basis
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Available for what types of analyses?
Any purpose
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How or where can data be obtained?
access subject to approvals by Principal Investigator, Contact email adress:
[email protected]
-Contact mobile: 00971561924270
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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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