Klonidin as pain relief in eye examination of premature infants - cloROP

2024-512438-14-00 Therapeutic use (Phase IV) Ongoing, recruiting

Start 22 Jul 2024 · Status Ongoing, recruiting · 1 EU/EEA countries · 2 sites

Overview

Sponsor-declared trial summary

Phase Therapeutic use (Phase IV)
Status Ongoing, recruiting
Participants planned 50
Countries 1
Sites 2

Pain during eye examination of premature infants.

The primary objective is to investigate whether clonidine works is a good analgesic during examination for Retinopathy of Prematurity (ROP)

Key facts

Sponsor
Region Oerebro Laen
Participant type
Pediatric, Patients
Age range
0-17 years
Gender
Male and Female
Therapeutic area
Analytical, Diagnostic and Therapeutic Techniques and Equipment [E] - Anesthesia and Analgesia [E03]
Trial duration
22 Jul 2024 → ongoing
Decision date (initial)
2024-07-22
Transition trial
Yes
Low-intervention
No
Rare-disease indication
No
Vulnerable population
Yes

External identifiers

EU CT number
2024-512438-14-00
EudraCT number
2021-003005-21
ClinicalTrials.gov
NCT04902859

Trial design

CTIS Part I — objectives, methods, condition coding

Main objective

Scope: Therapy

The primary objective is to investigate whether clonidine works is a good analgesic during examination for Retinopathy of Prematurity (ROP)

Secondary objectives 3

  1. Change in emotional sweating Galvanic Skin Response (GSR)
  2. Evaluation of the safety of Clonidine in regards to AEs, SAEs and SUSARs
  3. Will the infant be easier to examine by the eye doctor after receiving Clonidine?

Conditions and MedDRA coding

Pain during eye examination of premature infants.

Eligibility criteria

Principal inclusion / exclusion criteria as submitted by sponsor

Inclusion criteria 3

  1. The infant is admitted to the study clinic
  2. The infants guardian/s has/have given their written consent to the child's participation in the study
  3. The infant is born before gestation week 30

Exclusion criteria 6

  1. Children who has received beta blockers, pain reliever or sedating drug within 24 hours of eye examination.
  2. Previously documented kidney failure
  3. Does not have a gastric tube
  4. Neurologically affected
  5. Known cardiac arrhythmia
  6. Circulatory instability (defined as mean arterial pressure lower than the child's gestational age)

Endpoints

Primary and secondary outcome measures (English text)

Primary endpoints 1

  1. PIPP-R scores within 30 seconds after the eye examination has been initiated, i.e. when the hooks are in place in the first eye in Uppsala or when the first eye is held open in Örebro.

Secondary endpoints 3

  1. GSR: Area small peaks, area huge peaks, peaks per second och average rise time
  2. Number of reported AEs, SAEs and SUSARS
  3. A VAS scale of 0-10 cm, from very easy to examin (0) to very difficult to examin (10)

Investigational products

Investigational medicinal products (IMPs), comparators, placebo, auxiliary

Test 1

Clonidine Hydrochloride

SCP159826 · ATC

Active substance
Clonidine Hydrochloride
Substance synonyms
N-(2,6-DICHLOROPHENYL)-4,5-DIHYDRO-1H-IMIDAZOL-2-AMINE HYDROCHLORIDE
Route of administration
ORAL
Max daily dose
4 mg/ml milligram(s)/millilitre
Max total dose
4 mg/ml milligram(s)/millilitre
Max treatment duration
2 Week(s)
Authorisation status
Authorised
ATC code
C02AC01 — CLONIDINE
Marketing authorisation
-
Paediatric formulation
Yes
Orphan designation
No
Modified vs. Marketing Authorisation
No

Sponsors and contacts

Sponsor organisations, regulatory contacts, third parties

Region Oerebro Laen

Sponsor organisation
Region Oerebro Laen
Address
Sodra Grev Rosengatan
City
Orebro
Postcode
701 85
Country
Sweden

Scientific contact point

Organisation
Region Oerebro Laen
Contact name
Miriam Pettersson

Public contact point

Organisation
Region Oerebro Laen
Contact name
Miriam Pettersson

Locations

1 EU/EEA country · 2 investigational sites

By country

CountryMS statusPlanned subjectsSites
Sweden Ongoing, recruiting 50 2
Rest of world 0

Investigational sites

Sweden

2 sites · Ongoing, recruiting
Region Oerebro Laen
Barn och Ungdomskliniken, Sodra Grev Rosengatan, 701 85, Orebro
Uppsala University Hospital
Intensivvårdsavdelningen för nyfödda 95F, Akademiska Sjukhuset, 751 85, Uppsala

Country notifications

Trial-start, recruitment-start, end and early-termination notifications submitted per Member State

Country Trial startTrial end Recruitment startRecruitment end Early termination
Sweden 2024-07-22 2024-07-22

Results and documents

Annex IV summary of results, Annex V layperson summary, and all documents registered in CTIS for this trial

Documents 4 files

Public protocol annexes, IB summaries, regulatory submissions and post-authorisation documents registered in CTIS.

TypeTitleVersion
Protocol (for publication) Studieprotokoll CloROP 4.0
Recruitment arrangements (for publication) Placeholder - sv 1
Subject information and informed consent form (for publication) 05-Forskningspersonsinformation-cloROP 1
Summary of Product Characteristics (SmPC) (for publication) SPC Klonidin 1

Application history

1 submissions — initial application plus substantial / non-substantial modifications

#TypeCodeSubmittedReference MSConclusionDecision date
1 INITIAL IN 2024-07-08 Sweden Acceptable with conditions
2024-07-22
2024-07-22