It is normal for red blood cells to die, even in newborn babies. The waste from that is called bilirubin. The liver clears bilirubin out of the body. Some babies are born with illness that makes red blood cells die too fast, so the liver is not strong enough to keep up with it. The yellowish color in eyes or skin means there is too much bilirubin in the body. It can be dangerous if a baby's bilirubin gets too high. Special lights are put on jaundiced babies (called phototherapy) to help the liver get rid of bilirubin. This study tests an experimental drug to see if it can help the liver even more, by safely cutting down the amount of bilirubin the body is making in the first place.
Participants randomized (1:1:1) to treatment groups will be term or near-term infants with isoimmune hemolytic disease or glucose-6-phosphate dehydrogenase (G6PD) deficiency.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
91
Phototherapy starts within 30 minutes before or after injection
Stannsoporfin (3.0 or 4.5 mg/kg) administered by intramuscular (IM) injection (a shot in the muscle)
Matching placebo administered by IM injection
Arrowhead Regional Medical Center
Colton, California, United States
University of California San Diego Medical Center
San Diego, California, United States
University of CA, San Francisco
San Francisco, California, United States
Univ Florida Hospital
Jacksonville, Florida, United States
Kosair Children's Hospital
Louisville, Kentucky, United States
University of Louisville Hospital
Louisville, Kentucky, United States
Univ Med Ctr of Southern Nevada
Las Vegas, Nevada, United States
Rutgers University Hospital
Newark, New Jersey, United States
Winthrop University Hospital
Mineola, New York, United States
Stoney Brook Univ Hospital
Stony Brook, New York, United States
...and 8 more locations
Total Serum Bilirubin (mg/dL)
Total serum bilirubin (TSB) was measured at baseline (the measure that qualified the baby for inclusion) and at 48 hours after treatment. If a baby was discharged before 48 hours, the last measurement before discharge was used \[last observation carried forward (LOCF)\].
Time frame: Baseline, 48 hours post-treatment
Time (Hour) at Which TSB First Crosses at or Below the Defined Age-specific Threshold for 54-hours Post-treatment (PT)
The hour that 50% of babies in the group (median) first crosses at or below the defined 54-hour threshold for the baby's age
Time frame: within 54 hours
Number of Participants With Phototherapy (PT) Failure
PT failure was defined by any of the following: * re-start of PT within 6 hours after stopping * re-hospitalization for hyperbilirubinaemia * use of intravenous immunoglobulin (IVIg) * need for an exchange transfusion
Time frame: within 30 days after discharge
Number of Participants With Rebound Hyperbilirubinemia
Rebound hyperbilirubinaemia was defined as an increase in TSB above the age-specific threshold for initiating phototherapy, following the discontinuation of the initial phototherapy.
Time frame: within 54 hours
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