Overview

Effect of Allopurinol for Hypoxic-ischemic Brain Injury on Neurocognitive Outcome

Status:
Recruiting
Trial end date:
2025-06-01
Target enrollment:
Participant gender:
Summary
Neonatal hypoxic-ischemic encephalopathy (HIE) is a major cause of death or long-term disability in infants born at term in the western world, affecting about 1-4 per 1.000 life births and consequently about 5-20.000 infants per year in Europe. Hypothermic treatment became the only established therapy to improve outcome after perinatal hypoxic-ischemic insults. Despite hypothermia and neonatal intensive care, 45-50% of affected children die or suffer from long-term neurodevelopmental impairment. Additional neuroprotective interventions, beside hypothermia, are warranted to further improve their outcome. Allopurinol is a xanthine oxidase inhibitor and reduces the production of oxygen radicals and brain damage in experimental, animal, and early human studies of ischemia and reperfusion. This project aims to evaluate the efficacy and safety of allopurinol administered immediately after birth to near-term infants with HIE in addition to hypothermic treatment.
Phase:
Phase 3
Details
Lead Sponsor:
University Hospital Tuebingen
Collaborators:
ACE Pharmaceuticals BV
Fundación para la Investigación del Hospital Clínico de Valencia
Helsingin Ja Uudenmaan Sairaanhoitopiirin
Helsinki University
Katholieke Universiteit Leuven
KU Leuven
Oslo University Hospital
Poznan University of Medical Sciences
Tartu University Hospital
Technische Universität Dresden
UMC Utrecht
Universidade do Porto
Università degli Studi di Udine
University Hospital Ostrava
University of Helsinki
University of Vienna
University of Zurich
Treatments:
Allopurinol
Mannitol