Evidence map›Paper›PMID 28709412›Full record

Trial reportBMC pediatrics2017

Study protocol: safety and efficacy of propranolol 0.2% eye drops in newborns with a precocious stage of retinopathy of prematurity (DROP-ROP-0.2%): a multicenter, open-label, single arm, phase II trial.

Luca Filippi, Giacomo Cavallaro, Elettra Berti, Letizia Padrini, Gabriella Araimo, Giulia Regiroli, Valentina Bozzetti, Chiara De Angelis, Paolo Tagliabue, Barbara Tomasini and 24 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02504944 (Safety and Efficacy of Propranolol 0.2% Eye Drops in Treating Newborn With Retinopathy of Premature), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02504944 phase2completednot on this map

Safety and Efficacy of Propranolol 0.2% Eye Drops in Treating Newborn With Retinopathy of Premature: A Pilot Study (DROP-ROP-0.2%)

TypeinterventionalSponsorMeyer Children's Hospital IRCCSRan2015 to 2018Enrolled98ConditionsRetinopathy of PrematurityArmsPropranolol 0.2% eye drops
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors at 12 institutions in 2 countries.

Luca FilippiNeonatal Intensive Care Unit - Medical Surgical Fetal-Neonatal Department, Meyer University Children's' Hospital, viale Pieraccini 24, 50134, Florence, Italy. l.filippi@meyer.it.
Giacomo CavallaroNeonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Elettra BertiNeonatal Intensive Care Unit - Medical Surgical Fetal-Neonatal Department, Meyer University Children's' Hospital, viale Pieraccini 24, 50134, Florence, Italy.
Letizia PadriniNeonatal Intensive Care Unit - Medical Surgical Fetal-Neonatal Department, Meyer University Children's' Hospital, viale Pieraccini 24, 50134, Florence, Italy.
Gabriella AraimoNeonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Giulia RegiroliNeonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Valentina BozzettiNeonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.
Chiara De AngelisNeonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.
Paolo TagliabueNeonatal Intensive Care Unit, MBBM Foundation, San Gerardo Hospital, Monza, Italy.
Barbara TomasiniDepartment of Pediatrics, Obstetrics and Reproductive Medicine, Neonatal Intensive Care Unit, University Hospital of Siena, Policlinico Santa Maria alle Scotte, Siena, Italy.
Giuseppe BuonocoreDepartment of Molecular and Developmental Medicine, University of Siena, Via Banchi di Sotto, 55, 53100, Siena, Italy.
Massimo AgostiNeonatal Intensive Care Unit, Del Ponte Hospital, Varese, Italy.
Angela BossiNeonatal Intensive Care Unit, Del Ponte Hospital, Varese, Italy.
Gaetano ChiricoNeonatal Intensive Care Unit, Children's Hospital, University Hospital "Spedali Civili" of Brescia, Brescia, Italy.
Salvatore AversaNeonatal Intensive Care Unit, Children's Hospital, University Hospital "Spedali Civili" of Brescia, Brescia, Italy.
Roberta PasqualettiPediatric Ophthalmology, A. Meyer" University Children's Hospital, Florence, Italy.
Pina FortunatoPediatric Ophthalmology, A. Meyer" University Children's Hospital, Florence, Italy.
Silvia OsnaghiDepartment of Ophthalmology, Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Barbara CavallottiDepartment of Ophthalomolgy, ASST Monza, San Gerardo Hospital, Monza, Italy.
Maurizio VanniPediatric Ophthalmology, University Hospital of Siena, Policlinico Santa Maria alle Scotte, Siena, Italy.
Giulia BorsariPediatric Ophthalmology, University Hospital of Siena, Policlinico Santa Maria alle Scotte, Siena, Italy.
Simone DonatiDepartment of Surgical and Morphological Sciences, Section of Ophthalmology, University of Insubria, Varese, Italy.
Giuseppe NascimbeniDepartment of Ophthalmology, University Hospital "Spedali Civili" of Brescia, Brescia, Italy.
Giancarlo la MarcaDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Newborn Screening, Biochemistry and Pharmacology Laboratory, Meyer Children's University Hospital, Florence, Italy.
Giulia ForniDepartment of Neurosciences, Psychology, Pharmacology and Child Health, University of Florence, Newborn Screening, Biochemistry and Pharmacology Laboratory, Meyer Children's University Hospital, Florence, Italy.
Silvano MilaniLaboratory "G.A. Maccacro", Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Ivan CortinovisLaboratory "G.A. Maccacro", Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.
Paola BagnoliDepartment of Biology, Unit of General Physiology, University of Pisa, Pisa, Italy.
Massimo Dal MonteDepartment of Biology, Unit of General Physiology, University of Pisa, Pisa, Italy.
Anna Maria CalvaniDepartment of Pharmacy, "A. Meyer" University Children's Hospital, Florence, Italy.
Alessandra PugiClinical Trial Office, "A. Meyer" University Children's Hospital, viale Pieraccini 24, 50134, Florence, Italy.
Eduardo VillamorDepartment of Pediatrics, Maastricht University Medical Center (MUMC+), School for Oncology and Developmental Biology (GROW), Maastricht, The Netherlands.
Gianpaolo DonzelliNeonatal Intensive Care Unit - Medical Surgical Fetal-Neonatal Department, Meyer University Children's' Hospital, viale Pieraccini 24, 50134, Florence, Italy.
Fabio MoscaNeonatal Intensive Care Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Meyer Children's Hospital · ITAzienda Ospedaliera San Gerardo · ITUniversity of Milan · ITAzienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITOspedale Santa Maria alle Scotte · ITOspedale Filippo Del Ponte Varese · ITUniversity of Pisa · ITMaastricht University · NLUniversity of Florence · ITUniversity of Insubria · ITUniversity of Siena · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetinopathy of prematurity (ROP) still represents one of the leading causes of visual impairment in childhood. Systemic propranolol has proven to be effective in reducing ROP progression in preterm newborns, although safety was not sufficiently guaranteed. On the contrary, topical treatment with propranolol eye micro-drops at a concentration of 0.1% had an optimal safety profile in preterm newborns with ROP, but was not sufficiently effective in reducing the disease progression if administered at an advanced stage (during stage 2). The aim of the present protocol is to evaluate the safety and efficacy of propranolol 0.2% eye micro-drops in preterm newborns at a more precocious stage of ROP (stage 1).

methodsA multicenter, open-label, phase II, clinical trial, planned according to the Simon optimal two-stage design, will be performed to analyze the safety and efficacy of propranolol 0.2% eye micro-drops in preterm newborns with stage 1 ROP. Preterm newborns with a gestational age of 23-32 weeks, with a stage 1 ROP will receive propranolol 0.2% eye micro-drops treatment until retinal vascularization has been completed, but for no longer than 90 days. Hemodynamic and respiratory parameters will be continuously monitored. Blood samplings checking metabolic, renal and liver functions, as well as electrocardiogram and echocardiogram, will be periodically performed to investigate treatment safety. Additionally, propranolol plasma levels will be measured at the steady state, on the 10th day of treatment. To assess the efficacy of topical treatment, the ROP progression from stage 1 ROP to stage 2 or 3 with plus will be evaluated by serial ophthalmologic examinations. DISCUSSION: Propranolol eye micro-drops could represent an ideal strategy in counteracting ROP, because it is definitely safer than oral administration, inexpensive and an easily affordable treatment. Establishing the optimal dosage and treatment schedule is to date a crucial issue.

trial registrationClinicalTrials.gov Identifier NCT02504944, registered on July 19, 2015, updated July 12, 2016. EudraCT Number 2014-005472-29.

Indexed as

Adrenergic beta-AntagonistsOphthalmic SolutionsPropranololRetinopathy of PrematurityAdministration, TopicalFemaleHumansInfant, NewbornInfant, PrematureMaleProspective StudiesResearch DesignTreatment OutcomeAdrenergic beta-AntagonistsOphthalmic SolutionsPropranololAngiogenesisBeta blockerProliferative retinopathyPropranolol

Identifiers

PMID28709412
PMCPMC5513165
OpenAlexW2736245093

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.