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