Anemia NeonatalNCT03624335
Influence of Umbilical Cord Clamping Time in the Newborn
A study testing ECC, DCC and Blood Test 6hours in people with Anemia Neonatal and Polycythemia Secondary, run by Pascual Gregori Roig at 1 site in Spain.
Trial summary
This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of… Read more about this study
- Who is it for?
- Ages 35 to 42 weeksHealthy volunteers can take part
- Conditions the study is for
- Anemia Neonatal, Polycythemia Secondary, Hyperbilirubinemia, Neonatal
- What is being tested?
- ECC, DCC and Blood Test 6hours
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 195 participants
- Where
- 1 siteSpain
- Study dates
- 23 Mar 2015to 31 Mar 2016
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 35 to 42 weeks
- All sexes
- Healthy volunteers accepted
- Child
Who may be able to join
- neonates with a gestational age of 35 to 42 weeks and born through normal vaginal delivery.
Who cannot join
- monochorionic multiples
- incarcerated mothers
- placenta previa
- concern for abruptions
- Rh sensitization
- hydrops
- congenital anomalies
- the obstetrician declining to perform the intervention
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Influence of Umbilical Cord Clamping Time in the Newborn, Secondary Neonatal Morbidity and Iron Deposits in the Neonate
This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of neonatal iron with increased iron stores in the infant, without increasing neonatal morbidity.
Read the detailed description
It is an intervention study without drugs administration with a longitudinal, prospective comparison and correlational design.
Patients are recruited by simple random sampling to one of the two intervention groups:
Group 1-ECC: Early clamping of the umbilical cord (before the first minute of life).
Group 2-DCC: Delayed clamping of the umbilical cord (when it stops beating).
- Being tested
- ECC, DCC, Blood Test 6hours, Blood Test 24hours, Blood Test 48hours
- Keywords
- Umbilical cord clamping, Anemia Neonatal, Iron metabolism disorders
- Medical subject headings
- Anemia, Neonatal, Hyperbilirubinemia, Neonatal, Iron Metabolism Disorders
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
ECCProcedure or surgery
Early clamping of the umbilical cord
DCCProcedure or surgery
Delayed clamping of the umbilical cord
Blood Test 6hoursProcedure or surgery
Blood Test 6hours
Blood Test 24hoursProcedure or surgery
Blood Test 24hours
Blood Test 48hoursProcedure or surgery
Blood Test 48hours
Blood Test 28daysProcedure or surgery
Blood Test 28days
| Study group | Role | What they receive |
|---|---|---|
| Group 1: ECC | Experimental | In the ECC group, the cord was clamped immediately after delivery, before the first minute of life.
Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping Receives: Procedure: ECC; Procedure: Blood Test 6hours; Procedure: Blood Test 24hours; Procedure: Blood Test 48hours; Procedure: Blood Test 28days |
| Group 2: DCC | Experimental | In the DCC group, the cord was clamped when it stops beating. Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping Receives: Procedure: DCC; Procedure: Blood Test 6hours; Procedure: Blood Test 24hours; Procedure: Blood Test 48hours; Procedure: Blood Test 28days |
What is being measured
The primary outcome is the main question the study is designed to answer.
haemoglobin
haemoglobin level
Measured: 6hours
haemoglobin
haemoglobin level
Measured: 28 days
haematocrit
haematocrit level
Measured: 6 hours
haematocrit
haematocrit level
Measured: 28 days
Secondary outcomes (4)
serum ferritin
serum ferritin level
Measured: 6hours
serum ferritin
serum ferritin level
Measured: 28days
bilirubin
bilirubin level
Measured: 6hours
bilirubin
bilirubin level
Measured: 28days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Aug 2018
- Study start23 Mar 2015
- Primary completion31 Mar 2016
- Study completion31 Mar 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for Anemia NeonatalStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Randomised controlled trials comparing early and late cord clamping
- Masking
- None (open label)
- Enrolment
- 195 participants (actual)
Sponsor and investigators
- Lead sponsor
- Pascual Gregori Roig
- Sponsor type
- University, hospital or other
- Collaborators
- Hospital Universitario de la Plana, FUNDACIÓN DAVALOS FLETCHER
- Responsible party
- Sponsor-investigator, Pascual Gregori Roig, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
- Investigators
- Vanesa Rodenas, PhD, Study chair, Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT03624335
- Sponsor's protocol ID
- CORD STUDY
- Status last verified
- Aug 2018
- First submitted
- 2 Aug 2018
- Last updated
- 10 Aug 2018
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided: Protocol study \& Data Analysis
Publications
Orenga-Orenga BJ, Gregori-Roig P, Real-Fernandez A, Donat-Colomer F, Sanchez-Thevenet P. Umbilical cord clamping time and maternal satisfaction. Midwifery. 2022 Dec;115:103487. doi: 10.1016/j.midw.2022.103487. Epub 2022 Sep 13.
PubMed 36126369
Study at a glance
From the registry record, last updated by the sponsor on 10 Aug 2018. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Influence of Umbilical Cord Clamping Time in the Newborn, Secondary Neonatal Morbidity and Iron Deposits in the Neonate
- ClinicalTrials.gov ID
- NCT03624335
- Acronym / sponsor ID
- CORD STUDY
- Keywords
- Umbilical cord clamping, Anemia Neonatal, Iron metabolism disorders
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 195 participants (actual)
- Lead sponsor
- Pascual Gregori RoigUniversity, hospital or other
- Collaborators
- Hospital Universitario de la Plana, FUNDACIÓN DAVALOS FLETCHER
- Study start
- 23 Mar 2015 (actual)
- Primary completion
- 31 Mar 2016 (actual)
- Study completion
- 31 Mar 2016 (actual)
- First posted
- 10 Aug 2018 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study compares two umbilical cord clamping times; the early one, up to a minute (ECC) and the late or delayed one, when the cord stop beating (DCC). The additional blood volume delivered to the newborn from the placenta - placental transference - by delaying umbilical cord ligation, increases the contribution of neonatal iron with increased iron stores in the infant, without increasing neonatal morbidity.
Detailed description
It is an intervention study without drugs administration with a longitudinal, prospective comparison and correlational design.
Patients are recruited by simple random sampling to one of the two intervention groups:
Group 1-ECC: Early clamping of the umbilical cord (before the first minute of life).
Group 2-DCC: Delayed clamping of the umbilical cord (when it stops beating).
Study design
- Primary purpose
- Other
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Randomised controlled trials comparing early and late cord clamping
| Arm | Type | Receives |
|---|---|---|
| Group 1: ECC | Experimental | Procedure: ECC, Procedure: Blood Test 6hours, Procedure: Blood Test 24hours, Procedure: Blood Test 48hours, Procedure: Blood Test 28daysIn the ECC group, the cord was clamped immediately after delivery, before the first minute of life. Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping |
| Group 2: DCC | Experimental | Procedure: DCC, Procedure: Blood Test 6hours, Procedure: Blood Test 24hours, Procedure: Blood Test 48hours, Procedure: Blood Test 28daysIn the DCC group, the cord was clamped when it stops beating. Blood test 6hours after clamping Blood test 24hours after clamping Blood test 48hours after clamping Blood test 28days after clamping |
Who may qualify
- Ages
- 35 to 42 weeks
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child
Key inclusion criteria (1 listed)
- neonates with a gestational age of 35 to 42 weeks and born through normal vaginal delivery.
Key exclusion criteria (8 listed)
- monochorionic multiples
- incarcerated mothers
- placenta previa
- concern for abruptions
- Rh sensitization
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| ECCEarly clamping of the umbilical cord | Procedure or surgery | Group 1: ECC |
| DCCDelayed clamping of the umbilical cord | Procedure or surgery | Group 2: DCC |
| Blood Test 6hoursBlood Test 6hours | Procedure or surgery | Group 1: ECC, Group 2: DCC |
| Blood Test 24hoursBlood Test 24hours | Procedure or surgery | Group 1: ECC, Group 2: DCC |
| Blood Test 48hoursBlood Test 48hours | Procedure or surgery | Group 1: ECC, Group 2: DCC |
| Blood Test 28daysBlood Test 28days | Procedure or surgery | Group 1: ECC, Group 2: DCC |
Primary outcome
haemoglobin
Time frame: 6hours
haemoglobin level
haemoglobin
Time frame: 28 days
haemoglobin level
haematocrit
Time frame: 6 hours
haematocrit level
haematocrit
Time frame: 28 days
haematocrit level
4 secondary outcomes
serum ferritin
Time frame: 6hours
serum ferritin
Time frame: 28days
bilirubin
Time frame: 6hours
bilirubin
Time frame: 28days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Aug 2018.
- Derived from this study: PubMed 36126369Orenga-Orenga BJ, Gregori-Roig P, Real-Fernandez A, Donat-Colomer F, Sanchez-Thevenet P. Umbilical cord clamping time and maternal satisfaction. Midwifery. 2022 Dec;115:103487. doi: 10.1016/j.midw.2022.103487. Epub 2022 Sep 13.
- Individual participant dataSharing planned: Undecided. Protocol study \& Data Analysis
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Vanesa Rodenas, PhD study chair
Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing ECC, DCC and Blood Test 6hours in people with Anemia Neonatal and Polycythemia Secondary, run by Pascual Gregori Roig at 1 site in Spain.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 10 Aug 2018. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
haemoglobin (time frame: 6hours). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT03624335, which also lists 1 linked publication.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Aug 2018.