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Newborn HypothermiaNCT06000826

Efficacy of Celsi Warmer for the Management of Hypothermic Newborns

A study testing Celsi Warmer in people with Newborn Hypothermia, run by William Marsh Rice University at 1 site in Tanzania.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

The purpose of the study is to evaluate the efficacy of a novel low-cost warming device to provide thermal care for newborn babies with hypothermia in low-resource hospitals. During the study, research participants will receive thermal care via the Celsi Warmer. Read more about this study

Who is it for?
Ages 0 to 28 days
Conditions the study is for
Newborn Hypothermia
What is being tested?
Celsi Warmer
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
90 participants
Where
1 siteTanzania
Study dates
27 Sep 2022to 20 Aug 2024
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 0 to 28 days
  • All sexes
  • No healthy volunteers
  • Child

Who may be able to join

  • Is currently being treated at study location
  • Is an inborn admission to the neonatal ward
  • Whose parents or guardians provided a written informed consent
  • Whose parents or guardians providing informed consent are 18 years old or older
  • Has a current weight of greater than or equal to 1.0 kg and less than or equal to 4.0kg
  • Has been identified as in need of thermal care defined as having a moderate hypothermic temperature (32.0-36.0°C) as the last temperature recorded in hospital chart, or during recruitment procedures; and
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  • Is unable to be enrolled in KMC for reasons including, but not limited to:
  • Mother/guardian unable or unavailable to provide KMC
  • Under observation in NICU before transfer to KMC
  • No space in KMC
  • Clinician's discretion
  • May be receiving other medical treatments, including but not limited to, CPAP, oxygen therapy, IV fluids, management and monitoring of common newborn conditions such as hypoglycemia, and/or hyperbilirubinemia via LED phototherapy

Who cannot join

  • Requires mechanical ventilation
  • deemed in need of intensive care by the hospital staff who is providing care,including but not limited to:
  • Neonates with severe anemia and/or any suspected hematological disorders, and/or
  • Neonates with obvious congenital anomalies, and/or
  • neonates suspected with hypo/hyperthyroidism or any hormonal disorders
  • Has been diagnosed with birth asphyxia
Show all 9Show fewer
  • Presents a condition that precludes the use of the temperature sensor and/or abdominal belt including but not limited to, gastroschisis, known umbilical cord infection, known skin infection
  • Whose clinician presents concerns about their participation
  • Is receiving treatment that participation in the study would interfere with, i.e.transferring to KMC

Trial locations and contacts

1 site in 1 country.

Sonia Sosa Saenz, BME contact

713-348-4963

ss171@rice.edu

Natalie Mitchell contact

natalie.d.mitchell@rice.edu

Tanzania1 site, 1 recruiting
  • Muhimbili University of Health and Allied Sciences (MUHAS)

    Dar es Salaam

    Nahya Salim, MMED, +255 713 250074, nsalim@ihi.or.tz

    Robert Moshiro, MMED, +255 713 35, moshiror@gmail.com

    Recruiting

Other trials in Tanzania

About this study

Official title: Efficacy of a Low-cost Warming Mattress Celsi Warmer for the Management of Hypothermic Newborns

The purpose of the study is to evaluate the efficacy of a novel low-cost warming device to provide thermal care for newborn babies with hypothermia in low-resource hospitals. During the study, research participants will receive thermal care via the Celsi Warmer. Aside from thermal treatment, research participants will receive the standard of care from the neonatal unit, and will also be closely monitored by study personnel throughout the study. The results from this study will allow us to determine if the Celsi Warmer is an effective tool for warming and monitoring newborns in wards of low-resource hospitals. The research team hopes to demonstrate that the Celsi Warmer is effective for the appropriate treatment of newborn hypothermia in hospitals in low-resource settings.

Being tested
Celsi Warmer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Celsi WarmerDevice

    During the study, research participants will receive thermal care via the Celsi Warmer. Aside from thermal treatment, research participants will receive the standard of care from the neonatal unit, and will also be closely monitored by study personnel throughout the study. The results from this study will allow the research team to determine if the Celsi Warmer is an effective tool for warming and monitoring newborns in wards of low-resource hospitals. The research team hopes to demonstrate that the Celsi Warmer is effective for the appropriate treatment of newborn hypothermia in hospitals in low-resource settings.

Study groups in NCT06000826
Study groupRoleWhat they receive
NeonatalExperimental* A trained study nurse or clinician will transfer the enrolled participant to the study location and place the infant on the Celsi Warmer mattress. * A trained study nurse or clinician will attach the Celsi Warmer temperature sensor to the abdomen and secure it with the abdominal belt according to the device's instruction manual * A trained study nurse or clinician will wrap the baby according to the standard care at the hospital. * Study personnel may observe the participant during the intervention period and annotate timestamped events that might affect temperature measurement and/or thermoregulation support intervention. * Study personnel will perform routine abdominal skin assessments as often as every two hours and at least every 8 hours to observe for skin irritation or indentation. * Thermoregulation support intervention will be provided as long as the infant continues to meet criteria for continued care at clinician's discretion.
Receives: Device: Celsi Warmer

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Broad Objective - Comparison to the Gold Standard of Rewarming Hypothermic Newborns

    To evaluate the clinical efficacy and safety of the Celsi Warmer in rewarming hypothermic newborns by comparing the Celsi Warmer's accuracy in measuring neonatal temperature compared to the gold standard, axillary temperature readings.

    Measured: 1 year

Secondary outcomes (5)
  1. Efficacy of the Device

    To assess the performance of the Celsi Warmer in rewarming hypothermic newborns by measuring the incidence of attainment of normothermia (36.5-37.5°C)

    Measured: 1 year

  2. Safety of the Device - Measure of Infant's Increase in Temperature

    To measure the infant's rate of temperature (°C) increase through thermoregulatory intervention.

    Measured: 1 year

  3. Safety of the Device - Local Effect of the Abdominal Belt

    To evaluate the local effect of the abdominal belt on newborn's skin by looking at any evidence of skin irritation

    Measured: 1 year

  4. Safety of the Device - Incidence of Hyperthermia

    To evaluate any incidence of hyperthermia (>37.5°C) during the thermoregulation intervention.

    Measured: 1 year

  5. Safety of the Device - Incidence of Rebound Hypothermia

    To report any incidence of rebound hypothermia ( < 36.5°C) (post-intervention hypothermia) up to 72 hours from the initial encounter.

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Aug 2023
  2. Study start27 Sep 2022
  3. Primary completion20 Aug 2024 (estimated)
  4. Study completion20 Aug 2024 (estimated)

Resources

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
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
90 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06000826
Sponsor's protocol ID
2022-271
Status last verified
Aug 2023
First submitted
31 May 2023
Last updated
22 Aug 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kumar V, Shearer JC, Kumar A, Darmstadt GL. Neonatal hypothermia in low resource settings: a review. J Perinatol. 2009 Jun;29(6):401-12. doi: 10.1038/jp.2008.233. Epub 2009 Jan 22.

    PubMed 19158799
  • Carns J, Kawaza K, Quinn MK, Miao Y, Guerra R, Molyneux E, Oden M, Richards-Kortum R. Impact of hypothermia on implementation of CPAP for neonatal respiratory distress syndrome in a low-resource setting. PLoS One. 2018 Mar 15;13(3):e0194144. doi: 10.1371/journal.pone.0194144. eCollection 2018.

    PubMed 29543861
  • Cavallin F, Calgaro S, Brugnolaro V, Seni AHA, Muhelo AR, Da Dalt L, Putoto G, Trevisanuto D. Impact of temperature change from admission to day one on neonatal mortality in a low-resource setting. BMC Pregnancy Childbirth. 2020 Oct 23;20(1):646. doi: 10.1186/s12884-020-03343-7.

    PubMed 33097025
  • Mullany LC. Neonatal hypothermia in low-resource settings. Semin Perinatol. 2010 Dec;34(6):426-33. doi: 10.1053/j.semperi.2010.09.007.

    PubMed 21094417
  • Lunze K, Bloom DE, Jamison DT, Hamer DH. The global burden of neonatal hypothermia: systematic review of a major challenge for newborn survival. BMC Med. 2013 Jan 31;11:24. doi: 10.1186/1741-7015-11-24.

    PubMed 23369256
  • Manji KP, Kisenge R. Neonatal hypothermia on admission to a special care unit in Dar-es-Salaam, Tanzania: a cause for concern. Cent Afr J Med. 2003 Mar-Apr;49(3-4):23-7.

    PubMed 14562586
  • Laptook AR, Salhab W, Bhaskar B; Neonatal Research Network. Admission temperature of low birth weight infants: predictors and associated morbidities. Pediatrics. 2007 Mar;119(3):e643-9. doi: 10.1542/peds.2006-0943. Epub 2007 Feb 12.

    PubMed 17296783
  • Lunze K, Hamer DH. Thermal protection of the newborn in resource-limited environments. J Perinatol. 2012 May;32(5):317-24. doi: 10.1038/jp.2012.11. Epub 2012 Mar 1.

    PubMed 22382859
  • de Almeida MF, Guinsburg R, Sancho GA, Rosa IR, Lamy ZC, Martinez FE, da Silva RP, Ferrari LS, de Souza Rugolo LM, Abdallah VO, Silveira Rde C; Brazilian Network on Neonatal Research. Hypothermia and early neonatal mortality in preterm infants. J Pediatr. 2014 Feb;164(2):271-5.e1. doi: 10.1016/j.jpeds.2013.09.049. Epub 2013 Nov 6.

    PubMed 24210925
  • ADAMSON SK Jr, TOWELL ME. THERMAL HOMEOSTASIS IN THE FETUS AND NEWBORN. Anesthesiology. 1965 Jul-Aug;26:531-48. doi: 10.1097/00000542-196507000-00017. No abstract available.

    PubMed 14313463
  • Nahimana E, May L, Gadgil A, Rapp V, Magge H, Kubwimana M, Nshimyiryo A, Kateera F, Feldman HA, Nkikabahizi F, Sayinzoga F, Hansen A. A low cost, re-usable electricity-free infant warmer: evaluation of safety, effectiveness and feasibiliy. Public Health Action. 2018 Dec 21;8(4):211-217. doi: 10.5588/pha.18.0031.

    PubMed 30775282
  • Wyllie J, Perlman JM, Kattwinkel J, Wyckoff MH, Aziz K, Guinsburg R, Kim HS, Liley HG, Mildenhall L, Simon WM, Szyld E, Tamura M, Velaphi S; Neonatal Resuscitation Chapter Collaborators. Part 7: Neonatal resuscitation: 2015 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations. Resuscitation. 2015 Oct;95:e169-201. doi: 10.1016/j.resuscitation.2015.07.045. Epub 2015 Oct 15. No abstract available.

    PubMed 26477424
  • Wyckoff MH, Wyllie J, Aziz K, de Almeida MF, Fabres J, Fawke J, Guinsburg R, Hosono S, Isayama T, Kapadia VS, Kim HS, Liley HG, McKinlay CJD, Mildenhall L, Perlman JM, Rabi Y, Roehr CC, Schmolzer GM, Szyld E, Trevisanuto D, Velaphi S, Weiner GM; Neonatal Life Support Collaborators. Neonatal Life Support: 2020 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. Circulation. 2020 Oct 20;142(16_suppl_1):S185-S221. doi: 10.1161/CIR.0000000000000895. Epub 2020 Oct 21.

    PubMed 33084392
  • WHO Immediate KMC Study Group; Arya S, Naburi H, Kawaza K, Newton S, Anyabolu CH, Bergman N, Rao SPN, Mittal P, Assenga E, Gadama L, Larsen-Reindorf R, Kuti O, Linner A, Yoshida S, Chopra N, Ngarina M, Msusa AT, Boakye-Yiadom A, Kuti BP, Morgan B, Minckas N, Suri J, Moshiro R, Samuel V, Wireko-Brobby N, Rettedal S, Jaiswal HV, Sankar MJ, Nyanor I, Tiwary H, Anand P, Manu AA, Nagpal K, Ansong D, Saini I, Aggarwal KC, Wadhwa N, Bahl R, Westrup B, Adejuyigbe EA, Plange-Rhule G, Dube Q, Chellani H, Massawe A. Immediate "Kangaroo Mother Care" and Survival of Infants with Low Birth Weight. N Engl J Med. 2021 May 27;384(21):2028-2038. doi: 10.1056/NEJMoa2026486.

    PubMed 34038632
  • Ahmed S, Mitra SN, Chowdhury AM, Camacho LL, Winikoff B, Sloan NL. Community Kangaroo Mother Care: implementation and potential for neonatal survival and health in very low-income settings. J Perinatol. 2011 May;31(5):361-7. doi: 10.1038/jp.2010.131. Epub 2011 Feb 10.

    PubMed 21311502

Questions about this trial

What is this clinical trial studying?

A study testing Celsi Warmer in people with Newborn Hypothermia, run by William Marsh Rice University at 1 site in Tanzania.

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 12 inclusion and 9 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: status not confirmed, as of the sponsor's last update on 22 Aug 2023. 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 Tanzania. 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?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Sonia Sosa Saenz, BME (713-348-4963, ss171@rice.edu), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Broad Objective - Comparison to the Gold Standard of Rewarming Hypothermic Newborns (time frame: 1 year). 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 NCT06000826, which also lists 24 linked publications.

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 22 Aug 2023.

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