PLatform for Adaptive Trials In Perinatal UnitS - [Core Protocol]

NANot yet recruitingINTERVENTIONAL
Enrollment

100,000

Participants

Timeline

Start Date

November 1, 2025

Primary Completion Date

December 31, 2050

Study Completion Date

December 31, 2050

Conditions
Preterm Birth
Interventions
DRUG

Erythromycin

Antibiotic. Standard of care. Antibiotics will be administered for 7 days or until delivery (whichever is sooner).

DRUG

Amoxicillin and Erythromycin

Antibiotic. Antibiotics will be administered for 7 days or until delivery (whichever is sooner).

DRUG

Azithromycin

Antibiotic. Antibiotics will be administered for 7 days or until delivery (whichever is sooner).

DRUG

Caffeine citrate 20 mg/kg load and 10 mg/kg daily maintenance.

Lower dose caffeine: 20mg/kg load and 10mg/kg/day maintenance. Standard of care. Caffeine will be administered until at least 34+0 weeks' post-menstrual age, with the aim to cease caffeine by 36+0 weeks' post-menstrual age. Caffeine use beyond 36+0 weeks' post-menstrual age will be open-label.

DRUG

Caffeine citrate 30 mg/kg load and 15 mg/kg daily maintenance.

Medium dose caffeine: 30mg/kg load and 15 mg/kg/day maintenance. Caffeine will be administered until at least 34+0 weeks' post-menstrual age, with the aim to cease caffeine by 36+0 weeks' post-menstrual age. Caffeine use beyond 36+0 weeks' post-menstrual age will be open-label.

DRUG

Caffeine citrate 40 mg/kg load and 20 mg/kg daily maintenance

Higher dose caffeine: 40mg/kg load and 20mg/kg/day maintenance. Caffeine will be administered until at least 34+0 weeks' post-menstrual age, with the aim to cease caffeine by 36+0 weeks' post-menstrual age. Caffeine use beyond 36+0 weeks' post-menstrual age will be open-label.

Sponsors
All Listed Sponsors
collaborator

University of Auckland, New Zealand

OTHER

collaborator

Monash University

OTHER

collaborator

The University of Western Australia

OTHER

collaborator

La Trobe University

OTHER

collaborator

The University of New South Wales

OTHER

collaborator

University of Tasmania

OTHER

collaborator

Menzies School of Health Research

OTHER

collaborator

University of Adelaide

OTHER

collaborator

University of Sydney

OTHER

collaborator

Mater Medical Research Institute

OTHER

lead

University of Melbourne

OTHER