Evidence map›Paper›PMID 38267942›Full record

Trial reportTrials2024

Detailed statistical analysis plan for ALBINO: effect of Allopurinol in addition to hypothermia for hypoxic-ischemic Brain Injury on Neurocognitive Outcome - a blinded randomized placebo-controlled parallel group multicenter trial for superiority (phase III).

Corinna Engel, Mario Rüdiger, Manon J N L Benders, Frank van Bel, Karel Allegaert, Gunnar Naulaers, Dirk Bassler, Katrin Klebermaß-Schrehof, Maximo Vento, Ana Vilan and 9 more

Erratum issued Registry-linked trialOpen access · goldAbstract readRandomized Controlled TrialMulticenter StudyClinical Trial, Phase III
In one paragraph

Trial report in Trials, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03162653 (Effect of ALlopurinol in Addition to Hypothermia for Hypoxic-ischemic Brain Injury on Neurocognitive Outcome - a Blinded Randomized Placebo-controlled Parallel Group Multicenter Trial for Superiority), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
12.2field-weighted citation impact, top 2% 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.

NCT03162653 phase3unknown statusnot on this map

Effect of ALlopurinol in Addition to Hypothermia for Hypoxic-ischemic Brain Injury on Neurocognitive Outcome - a Blinded Randomized Placebo-controlled Parallel Group Multicenter Trial for Superiority (Phase III)

TypeinterventionalSponsorUniversity Hospital TuebingenRan2018 to 2026Enrolled760ConditionsEncephalopathy, Hypoxic-Ischemic, Infant, Newborn, DiseasesArmsAllopurinol, Mannitol
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Pooled it
  2. Review
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  5. Article
  6. Article
  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 9 institutions in 8 countries.

Corinna EngelCenter for Pediatric Clinical Studies (CPCS), University Hospital Tuebingen, Tuebingen, Germany. Corinna.Engel@med.uni-tuebingen.de.ORCID http://orcid.org/0000-0002-8565-6986
Mario RüdigerUniversitätsklinikum C. G. Carus - Medizinische Fakultät der TU Dresden, Dresden, Germany.
Manon J N L BendersUniversitair Medisch Centrum Utrecht, Utrecht, The Netherlands.
Frank van BelUniversitair Medisch Centrum Utrecht, Utrecht, The Netherlands.
Karel AllegaertUniversity Hospitals Leuven, Leuven, Belgium.
Gunnar NaulaersUniversity Hospitals Leuven, Leuven, Belgium.
Dirk BasslerUniversitaetsSpital Zuerich, Zuerich, Switzerland.
Katrin Klebermaß-SchrehofMedizinische Universitaet Wien, Wien, Austria.
Maximo VentoHospital Universitario y Politécnico La Fe, Valencia, Spain.
Ana VilanCentro Hospitalar Universitário São João Porto, Porto, Portugal.
Mari FalckOslo Universitetssykehus HF, Oslo, Norway.
Isabella MauroAzienda sanitaria universitaria integrata di Udine, Udine, Italy.
Marjo MetsärantaHelsinki University Hospital (HUS), Helsinki, Finland.
Sampsa VanhataloHelsinki University Hospital (HUS), Helsinki, Finland.
Jan MazelaDepartment of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.
Tuuli MetsvahtTartu University Hospital, Tartu, Estonia.
Roselinda van der VlughtACE Pharmaceuticals BV, Zeewolde, The Netherlands.
Axel R FranzCenter for Pediatric Clinical Studies (CPCS), University Hospital Tuebingen, Tuebingen, Germany.
ALBINO Study Group
Helsinki University Hospital · FIHospital Universitari i Politècnic La Fe · ESTechnische Universität Dresden · DEUniversity Medical Center Utrecht · NLHospital de São João · PTOspedale Santa Maria della Misericordia di Udine · ITPoznan University of Medical Sciences · PLSTZ eyetrial · DETartu University Hospital · EE

Funding

Horizon 2020 Framework Programme 667224
6 · The paper itself

Abstract

backgroundDespite therapeutic hypothermia (TH) and neonatal intensive care, 45-50% of children affected by moderate-to-severe neonatal hypoxic-ischemic encephalopathy (HIE) die or suffer from long-term neurodevelopmental impairment. Additional neuroprotective therapies are sought, besides TH, to further improve the outcome of affected infants. Allopurinol - a xanthine oxidase inhibitor - reduced the production of oxygen radicals and subsequent brain damage in pre-clinical and preliminary human studies of cerebral ischemia and reperfusion, if administered before or early after the insult. This ALBINO trial aims to evaluate the efficacy and safety of allopurinol administered immediately after birth to (near-)term infants with early signs of HIE. METHODS/

designThe ALBINO trial is an investigator-initiated, randomized, placebo-controlled, double-blinded, multi-national parallel group comparison for superiority investigating the effect of allopurinol in (near-)term infants with neonatal HIE. Primary endpoint is long-term outcome determined as survival with neurodevelopmental impairment versus death versus non-impaired survival at 2 years.

resultsThe primary analysis with three mutually exclusive responses (healthy, death, composite outcome for impairment) will be on the intention-to-treat (ITT) population by a generalized logits model according to Bishop, Fienberg, Holland (Bishop YF, Discrete Multivariate Analysis: Therory and Practice, 1975) and ."will be stratified for the two treatment groups. DISCUSSION: The statistical analysis for the ALBINO study was defined in detail in the study protocol and implemented in this statistical analysis plan published prior to any data analysis. This is in accordance with the Declaration of Helsinki and the International Conference on Harmonization Good Clinical Practice guidelines.

trial registrationClinicalTrials.gov NCT03162653. Registered on 22 May 2017.

Indexed as

Brain InjuriesHypothermia, InducedHypoxia-Ischemia, BrainAllopurinolChildControl GroupsHumansInfantInfant, NewbornAllopurinolAllopurinolBrain injuryCerebral palsyChildbirth outcomeHypothermia therapyHypoxic-ischemic encephalopathyNeonatal oxygen deficiencyPerinatal asphyxia

Identifiers

PMID38267942
PMCPMC10809613
OpenAlexW4391168380

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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.