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Recruiting Phase 3

Milrinone for Prevention of Post-ligation Cardiac Syndrome Trial

NCT06679855 · tracked via the Priya Life Science Mexico tracker
Phase
Phase 3
Started
2025-06-13
Last updated
2026-07-01

Condition(s) studied

Post-ligation Cardiac Syndrome

Investigational drug(s) / intervention(s)

Milrinone infusion →Placebo infusion

Milrinone infusion: An intravenous (iv) infusion of milrinone will be administered at an initial dose of 0.33 mcg/kg/min and accompanied by an iv bolus of 10 mL/kg of 0.9% NaCl (administered over 60 minutes).

Placebo infusion: An iv infusion of placebo (0.9% saline) of equivalent volume will be administered. The infusion will be accompanied by an iv bolus of 10 mL/kg of 0.9% NaCl (administered over 60 minutes) to ensure blinding is maintained.

Study summary

The goal of this Phase 3, randomized, masked clinical trial is to is to find out whether milrinone, when given to infants after PDA closure, will help the heart work better by supplying oxygen to the lungs and tissues.

The main questions it aims to answer are:

1. to determine if milrinone decreases the risk of death or PLCS within 7 days of the procedure, compared to standard treatment; and
2. to determine the effects of milrinone on two-year survival and neurodevelopmental outcome.

Eligibility

Sex
ALL
Min age
—
Max age
3 Months
Healthy volunteers
No
Inclusion Criteria: * Gestational age at birth ≤27 weeks (and 6 days) and postnatal age \< 3 months at intervention * Invasive or non-invasive positive pressure respiratory support (does not include low flow nasal cannula) * Hemodynamically significant PDA with minimum transductal diameter ≥1.0 mm within 2 days of intervention * Decision by clinical team to proceed with PDA closure via surgical ligation or percutaneous cardiac catheterization based on clinical and echocardiography features of hemodynamic significance. Exclusion Criteria: * Any major congenital malformation * Congenital heart disease (except small (≤1mm) muscular ventricular septal defects, or small/moderate (\<3mm) atrial septal defect) * Acute renal failure defined by urine output \< 0.5 mL/kg/hour OR rise of serum creatinine by 0.3 mg/dL within 48 hours OR rise of serum creatinine more than 40% above baseline serum creatinine within prior 72 hours. * Systemic administration of vasodilator/inodilator agents * Prior history of arrhythmia

Primary outcome measure(s)

  • Post-ligation cardiac syndrome (PLCS) or death within 7 days of PDA closure — Onset within 48 hours but may last up to 7 days
    Composite outcome of post-ligation cardiac syndrome (PLCS) or death within 7 days of PDA closure. Onset within 48 hours but may last up to 7 days.

Trial sites (19)

FacilityCityRegionStatus
University of Alabama - Birmingham Birmingham Alabama Not Yet Recruiting
Children's Hospital of Orange County Orange California Not Yet Recruiting
Stanford University Palo Alto California Recruiting
Sharp Mary Birch Hospital for Women & Newborns San Diego California Not Yet Recruiting
Emory University Atlanta Georgia Recruiting
Northwestern Lurie Children's Hospital of Chicago Chicago Illinois Recruiting
University of Iowa Iowa City Iowa Recruiting
Boston Children's Hospital Boston Massachusetts Recruiting
University of Mississippi Medical Center Jackson Mississippi Not Yet Recruiting
University of New Mexico Albuquerque New Mexico Recruiting
Duke University Durham North Carolina Recruiting
Cincinnati Children's Hospital Medical Center Cincinnati Ohio Recruiting
Case Western Reserve University Cleveland Ohio Recruiting
University of Oklahoma Health Sciences Oklahoma City Oklahoma Recruiting
University of Pennsylvania Philadelphia Pennsylvania Recruiting
Le Bonheur Children's Hospital Memphis Tennessee Recruiting
University of Texas Southwestern Dallas Texas Recruiting
University of Texas at Houston Houston Texas Recruiting
University of Utah Salt Lake City Utah Recruiting

More NICHD Neonatal Research Network trials in Mexico

Official registry record

This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.

View NCT06679855 on ClinicalTrials.gov ↗ ← All trials in Mexico