RIC-NEC Randomized Controlled Trial

PHASE2RecruitingINTERVENTIONAL
Enrollment

78

Participants

Timeline

Start Date

February 9, 2023

Primary Completion Date

February 1, 2027

Study Completion Date

May 1, 2027

Conditions
Necrotizing Enterocolitis
Interventions
OTHER

Remote ischemic conditioning (RIC) + Standard of Care for NEC

RIC will consist of 4 cycles of limb ischemia (5 min) followed by reperfusion (5 min), repeated on two consecutive days. An appropriately sized blood pressure cuff (covering 2/3 of the distance between the shoulder and the elbow) will be applied by a trained research fellow or nurse to an arm (or leg if the arm is not available because of medical reasons such as central line insertion). The systolic blood pressure will be measured before the first RIC cycle using a different cuff of same size connected to a monitor. During ischemia time, the cuff will be inflated to a pressure of 15 mmHg above the child's systolic pressure. Neonates in this arm will continue to receive standard of care for NEC.

OTHER

Standard of Care for NEC

Neonates in this arm (i.e. the control arm) will receive standard of care for NEC.

Trial Locations (4)

45229

RECRUITING

Cincinnati Children's Hospital Medical Center, Cincinnati

M4Y 3M5

RECRUITING

Sunnybrook Health Sciences Center, Toronto

M5G 1X5

RECRUITING

Mount Sinai Hospital, Toronto

M5G1X8

RECRUITING

The Hospital for Sick Children, Toronto

All Listed Sponsors
collaborator

Thrasher Research Fund

OTHER

collaborator

Mount Sinai Hospital, Canada

OTHER

collaborator

Sunnybrook Health Sciences Centre

OTHER

collaborator

McMaster Children's Hospital

OTHER

collaborator

Children's Hospital Medical Center, Cincinnati

OTHER

collaborator

Children's Hospital of Orange County

OTHER

collaborator

Karolinska University Hospital

OTHER

collaborator

Sophia Kindergeneeskunde

OTHER

collaborator

UCL Great Ormond Street Institute of Child Health

OTHER

collaborator

Hospital Universitario La Paz

OTHER

collaborator

University of Southampton

OTHER

collaborator

Xiamen Children's Hospital, Fujian of China

OTHER

collaborator

Shanghai Children's Hospital

OTHER

lead

The Hospital for Sick Children

OTHER