About this trial

The purpose of this study is to evaluate the safety and explore the PK/PD of L-CIT supplementation in preterm infants to prevent the development of inflammatory pathways initiated by low levels of plasma CIT, specifically in preterm infants with post-surgical NEC and BPD±PH.

Eligibility criteria

Qualifiers

Born ≤ 30 weeks at birth

Post-menstrual age (PMA) ≥ 32 weeks

Echocardiographic evidence of PH for infants with BPD+PH.

On invasive or non-invasive ventilation with RSS >2.0 for >12hours/day for at least 48 hours as an early predictor of evolving BPD

Disqualifiers

Congenital Heart Disease [Exceptions: small atrial septal defect (ASD), small ventricular septal defect (VSD), small patent ductus arteriosus (PDA)]

Infants with pulmonary vein stenosis

Concurrent sepsis with hemodynamic instability

Infants considered likely to die within next 7 days

Trial design

Treatments tested in this trial

  • L-Citrulline

Treatment groups

36 Participants
are divided into 2 treatment groups

Locations

1
The Hospital For Sick ChildrenM5G 1X8, TorontoOntario, Canada

Sponsors and collaborators

The Hospital for Sick Children

Lead sponsor