Dose-response Relationship of Phototherapy for Hyperbilirubinaemia Using Diodes: is There a "Saturation Point"

This study has been completed.
Sponsor:
Collaborator:
Aarhus University Hospital
Information provided by (Responsible Party):
University of Aarhus
ClinicalTrials.gov Identifier:
NCT01470820
First received: November 4, 2011
Last updated: November 10, 2011
Last verified: November 2011

November 4, 2011
November 10, 2011
July 2009
December 2010   (final data collection date for primary outcome measure)
24 hours decrease of TsB expressed in percent. [ Time Frame: Baseline and 24 hours ] [ Designated as safety issue: No ]
TsB was measured before and after 24 hours of phototherapy and irradiance every 8th hour. Main outcome was 24 hours decrease of TsB expressed in percent (∆ TsB0-24(%).
Same as current
Complete list of historical versions of study NCT01470820 on ClinicalTrials.gov Archive Site
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Dose-response Relationship of Phototherapy for Hyperbilirubinaemia Using Diodes: is There a "Saturation Point"
Dose-response Relationship of Phototherapy for Hyperbilirubinaemia Using Diodes: is There a "Saturation Point"?

Background: Using light emitting diodes (LED's) during conventional phototherapy it is possible to reduce the distance from light source to infant, thereby increasing light irradiance.

Objective: To examine the relation between light irradiance and the rate of decrease in total serum bilirubin concentration (TsB) and to see if the investigators can identify a "saturation point", i.e. an irradiation level above which there is no further decrease in TsB.

Design: Prospective randomised study. Setting: Neonatal Intensive Care Unit, Pediatric Department, Aalborg Hospital, Aarhus University Hospital, Denmark.

Material and method: 151 infants with gestational age ≥ 33 weeks and uncomplicated hyperbilirubinaemia are randomised to one of 4 different distances from phototherapy device to mattress (20, 29, 38 and 47 cm). TsB is measured before and after 24 hours of phototherapy and irradiance every 8th hour. Main outcome measure is 24 hours decrease of TsB expressed in percent (∆ TsB0-24 (%)).

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Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Open Label
Primary Purpose: Health Services Research
Neonatal Hyperbilirubinemia
Other: Phototherapy with blue light
The infants were placed in a bassinet with the phototherapy device placed above them. All infants were exposed naked (apart from eye pads and diaper) to continuously phototherapy for 24 hours, interrupted only for feeding and nursing for 30 minutes every three hours. TsB was determined before phototherapy and after 24 hours of treatment. The phototherapy apparatus used was neoBLUE LED phototherapy device (Natus Medical Inc., San Carlos, CA, USA) emitting blue light with an emission peak at 460 nm and a bandwidth of 450-470 nm. The irradiance was measured by use of the neoBLUE LED phototherapy radiometer (Natus Medical Inc.) every 8th hour at the infants head, trunk and knees and the average was calculated. The radiometer measures spectral irradiance in the range 420-500 nm with maximum sensitivity in the spectrum 440-480 nm.
  • Active Comparator: Distance 20 cm
    The infants were randomized by sealed and opaque envelopes to one of four phototherapy regimens. Either with distance from the phototherapy device to the mattress of 20, 29, 38 or 47 cm measured by a wood stick for each infant, corresponding to the distances to the infants of averagely 12, 21, 30 and 39 cm, respectively.
    Intervention: Other: Phototherapy with blue light
  • Active Comparator: Distance 29 cm
    Intervention: Other: Phototherapy with blue light
  • Active Comparator: Distance 38 cm
    Intervention: Other: Phototherapy with blue light
  • Active Comparator: Distance 47 cm
    Intervention: Other: Phototherapy with blue light
Vandborg PK, Hansen BM, Greisen G, Ebbesen F. Dose-response relationship of phototherapy for hyperbilirubinemia. Pediatrics. 2012 Aug;130(2):e352-7. Epub 2012 Jul 16.

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
151
December 2010
December 2010   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Gestational age ≥ 33 weeks
  • Uncomplicated neonatal hyperbilirubinemia

Exclusion Criteria:

  • < 33 weeks
  • infants in incubators
Both
33 Weeks and older
No
Contact information is only displayed when the study is recruiting subjects
Denmark
 
NCT01470820
N-20090014
No
University of Aarhus
University of Aarhus
Aarhus University Hospital
Principal Investigator: Pernille K Vandborg, MD Pediatric department, Aalborg Sygehus, Aarhus University Hospital
Principal Investigator: Finn Ebbesen, Professor Pediatric department, Aalborg Sygehus, Aarhus University Hospital
University of Aarhus
November 2011

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP