Evidence map›Paper›PMID 37587184›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2024

A phase I trial of caffeine to evaluate safety in infants with hypoxic-ischemic encephalopathy.

Wesley Jackson, Daniel Gonzalez, Rachel G Greenberg, Yueh Z Lee, Matthew M Laughon

2 registry-linked trialsOpen access · greenAbstract readClinical Trial, Phase I
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
4.6field-weighted citation impact, top 5% 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.

NCT03913221 phase1completednot on this map

Pharmacokinetics and Safety of Caffeine in Neonates With Hypoxic-Ischemic Encephalopathy

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2019 to 2024Enrolled17ConditionsHypoxic-Ischemic EncephalopathyArmsCaffeine Citrate 5 mg/kg, Caffeine Citrate 10 mg/kg
NCT06448780 phase1active not recruitingnot on this map

Dose Optimization of Caffeine in Neonates With Hypoxic-Ischemic Encephalopathy

TypeinterventionalSponsorUniversity of North Carolina, Chapel HillRan2024 to 2028Enrolled16ConditionsHypoxic-Ischemic EncephalopathyArmsCaffeine citrate 20 mg/kg, Caffeine citrate 30 mg/kg
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 8 citations in OpenAlex.

  1. Preventing pediatric acute kidney injury: is it even possible?Pediatric nephrology (Berlin, Germany) · 2026
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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

5 authors at 2 institutions in 1 country.

Wesley JacksonDepartment of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. wesley.jackson@unc.edu.ORCID 0000-0002-9403-381X
Daniel GonzalezDivision of Pharmacotherapy and Experimental Therapeutics, UNC Eshelman School of Pharmacy, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Rachel G GreenbergDepartment of Pediatrics, Duke University School of Medicine, Durham, NC, USA.ORCID 0000-0003-4156-8543
Yueh Z LeeDepartment of Radiology, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Matthew M LaughonDepartment of Pediatrics, School of Medicine, The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.ORCID 0000-0002-4052-3215
University of North Carolina at Chapel Hill · USDuke University · US

Funding

Dose Optimization for Novel Drugs for Infants with Hypoxic-Ischemic EncephalopathyK23HD111623 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Wesley M Jackson · 2023 to 2026
$690k
Mentorship of Early-Career Clinicians in Bronchopulmonary Dysplasia Drug TherapiesK24HL143283 · NHLBI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI LAUGHON, MATTHEW · 2019 to 2023
$613k
NHLBI NIH HHS K24 HL143283NICHD NIH HHS K23 HD111623
6 · The paper itself

Abstract

objectiveCaffeine provides neuroprotection following hypoxic-ischemic injury in animals. We characterized the safety of escalating doses of caffeine in infants with hypoxic-ischemic encephalopathy (HIE) receiving therapeutic hypothermia. STUDY

designPhase I trial of infants undergoing therapeutic hypothermia for HIE receiving IV caffeine 20 mg/kg followed by up to two daily doses of 5 mg/kg (n = 9) or 10 mg/kg (n = 8). Safety was evaluated based on adverse events and frequency of pre-specified outcomes compared to data from the Whole-Body Hypothermia for HIE trial (Shankaran, 2005).

resultsTwelve of 17 (71%) infants had ≥1 adverse event during the study period. The frequency of clinical outcomes related to HIE were not statistically different from outcomes in infants receiving hypothermia in the Whole-Body Hypothermia for HIE trial.

conclusionCaffeine administration was well tolerated. A larger study is required to determine the optimal dose and evaluate drug safety and efficacy. CLINICAL TRIAL: ClinicalTrials.gov Identifier: NCT03913221.

Indexed as

CaffeineHypoxia-Ischemia, BrainHumansHypothermia, InducedInfantNeuroprotectionCaffeine

Identifiers

PMID37587184
PMCPMC10869636
OpenAlexW4385876907

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.