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pentoxifylline and Necrotizing Enterocolitis

pentoxifylline has been researched along with Necrotizing Enterocolitis in 9 studies

Research Excerpts

ExcerptRelevanceReference
" Pentoxifylline (PTX) is a candidate for adjunct immunomodulatory therapy in preterm infants with late-onset sepsis (LOS) and necrotizing enterocolitis (NEC), but pharmacokinetic data in this population are extremely limited."9.30Effects of maturation and size on population pharmacokinetics of pentoxifylline and its metabolites in very preterm infants with suspected late-onset sepsis or necrotizing enterocolitis: a pilot study incorporating clinical outcomes. ( Batty, KT; Doherty, DA; Hibbert, J; Manning, L; Page-Sharp, M; Patole, S; Salman, S; Simmer, K; Strunk, T, 2019)
"To assess the effect of intravenous pentoxifylline as an adjunct to antibiotic therapy on mortality and morbidity in neonates with suspected or confirmed sepsis."8.91Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates. ( Haque, KN; Pammi, M, 2015)
"The primary objectives were to assess the effect on mortality and the safety of intravenous pentoxifylline as an adjunct to antibiotic therapy in neonates with suspected or confirmed sepsis and NEC."8.87Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates. ( Haque, KN; Pammi, M, 2011)
"Pentoxifylline (PTX) is a candidate adjuvant medication for the treatment of sepsis and necrotizing enterocolitis in preterm infants."7.96Intravenous pentoxifylline is well tolerated in critically ill preterm infants with sepsis or necrotizing enterocolitis. ( Berger, A; Kempf, K; Schüller, SS; Strunk, T; Unterasinger, L, 2020)
"Mortality and morbidity due to neonatal sepsis and necrotising enterocolitis (NEC) remain high despite the use of potent antimicrobial agents."7.01Pentoxifylline for treatment of sepsis and necrotising enterocolitis in neonates. ( Haque, KN; Pammi, M, 2023)
" Pentoxifylline (PTX) is a candidate for adjunct immunomodulatory therapy in preterm infants with late-onset sepsis (LOS) and necrotizing enterocolitis (NEC), but pharmacokinetic data in this population are extremely limited."5.30Effects of maturation and size on population pharmacokinetics of pentoxifylline and its metabolites in very preterm infants with suspected late-onset sepsis or necrotizing enterocolitis: a pilot study incorporating clinical outcomes. ( Batty, KT; Doherty, DA; Hibbert, J; Manning, L; Page-Sharp, M; Patole, S; Salman, S; Simmer, K; Strunk, T, 2019)
"To assess the effect of intravenous pentoxifylline as an adjunct to antibiotic therapy on mortality and morbidity in neonates with suspected or confirmed sepsis."4.91Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates. ( Haque, KN; Pammi, M, 2015)
"The primary objectives were to assess the effect on mortality and the safety of intravenous pentoxifylline as an adjunct to antibiotic therapy in neonates with suspected or confirmed sepsis and NEC."4.87Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates. ( Haque, KN; Pammi, M, 2011)
"Pentoxifylline (PTX) is a candidate adjuvant medication for the treatment of sepsis and necrotizing enterocolitis in preterm infants."3.96Intravenous pentoxifylline is well tolerated in critically ill preterm infants with sepsis or necrotizing enterocolitis. ( Berger, A; Kempf, K; Schüller, SS; Strunk, T; Unterasinger, L, 2020)
"Mortality and morbidity due to neonatal sepsis and necrotising enterocolitis (NEC) remain high despite the use of potent antimicrobial agents."3.01Pentoxifylline for treatment of sepsis and necrotising enterocolitis in neonates. ( Haque, KN; Pammi, M, 2023)

Research

Studies (9)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's2 (22.22)29.6817
2010's4 (44.44)24.3611
2020's3 (33.33)2.80

Authors

AuthorsStudies
Pammi, M4
Haque, KN3
Kurul, S1
Allegaert, K1
Flint, RB1
Taal, HR1
Schüller, SS1
Kempf, K1
Unterasinger, L1
Strunk, T2
Berger, A1
Salman, S1
Hibbert, J1
Page-Sharp, M1
Manning, L1
Simmer, K2
Doherty, DA1
Patole, S2
Batty, KT1
Harpavat, S1
Gilger, M1
Erdener, D1
Bakirtas, F1
Alkanat, M1
Mutaf, I1
Habif, S1
Bayindir, O1
Travadi, J1
Charles, A1
Dvorak, B1
Doherty, D1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Pentoxifylline Dose Optimization in Preterm Neonatal Late Onset Sepsis[NCT04152980]Phase 340 participants (Anticipated)Interventional2020-01-12Recruiting
A Phase II Trial of Pentoxifylline in Newly-Diagnosed Biliary Atresia[NCT01774487]Phase 217 participants (Actual)Interventional2013-02-04Terminated (stopped due to Target enrollment was not reached because the medication, pentoxifylline, has a taste that is not well tolerated by infants. The study team decided to end the study before meeting the enrollment goal because of the medication taste.)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Alanine Amino Transferase (ALT) Levels at 2 Years of Life

The investigators will record the ALT levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Scale 14-45 U/L, with a higher level indicating a worse outcome. (NCT01774487)
Timeframe: 2 years of age

InterventionU/L (Mean)
Pentoxifylline - Group 1160

Number of Participants Achieving Zero or Positive Weight Z-scores 12 Weeks After Starting PTX Therapy

The investigators will track the weight of patients over the course of therapy in patients receiving 90 days of PTX (this is recorded as part of routine clinical care). The weight will then be compared to standards to calculate a z-score. Normal weight Z-score is greater than or equal to 0, with a higher number of patients meeting this indicating a better outcome. (NCT01774487)
Timeframe: 12 weeks after starting therapy

InterventionParticipants (Count of Participants)
Pentoxifylline - Group 10
Group 20

Number of Participants With Normal Serum Conjugated Bilirubin Levels 12 Weeks After Starting PTX (Pentoxifylline) Therapy

The investigators will track the serum conjugated bilirubin (CB) levels over the course of therapy in patients receiving 90 days of PTX (this laboratory test is drawn as part of routine care). Normal CB is 0.0-0.3 mg/dL, with a higher number of patients meeting this indicating a better outcome. (NCT01774487)
Timeframe: 12 weeks after starting therapy

InterventionParticipants (Count of Participants)
Pentoxifylline - Group 16
Pentoxifylline - Group 20

Platelet Levels at 2 Years of Life

The investigators will record platelet levels at age two years, in patients who had previously been treated with PTX therapy and still have their native liver. Scale 189-403*10^3 Platelets/μL, with a lower level indicating a worse outcome. (NCT01774487)
Timeframe: 2 years of age

Intervention10^3 Platelets/μL (Mean)
Pentoxifylline - Group 1208

Spleen Size at 2 Years of Age

"The investigators will measure spleen size by ultrasound at 2 years of age, in patients who had received PTX therapy earlier and still have their native liver. Normal spleen size range (10th-90th percentile) at this age is 6.4-8.6 cm, with a value exceeding this range indicating a worse outcome." (NCT01774487)
Timeframe: 2 years of age

Interventioncm (Mean)
Pentoxifylline - Group 110.0

Time to Liver Transplant

The investigators will track time to liver transplant. The shorter time to liver transplant indicates a worse outcome. (NCT01774487)
Timeframe: Baseline and up to two years after therapy finishes

Interventiondays (Mean)
Pentoxifylline - Group 1317
Pentoxifylline - Group 2273

Reviews

4 reviews available for pentoxifylline and Necrotizing Enterocolitis

ArticleYear
Pentoxifylline for treatment of sepsis and necrotising enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2023, 06-20, Volume: 6

    Topics: Anti-Bacterial Agents; Enterocolitis, Necrotizing; Humans; Immunoglobulin M; Immunoglobulins, Intrav

2023
Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2015, Mar-09, Issue:3

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Bacterial Infections; Chemotherapy, Adjuvant; Enter

2015
Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Bacterial Infections; Chemotherapy, Adjuvant; Enter

2011
Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Bacterial Infections; Chemotherapy, Adjuvant; Enter

2011
Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Bacterial Infections; Chemotherapy, Adjuvant; Enter

2011
Pentoxifylline for treatment of sepsis and necrotizing enterocolitis in neonates.
    The Cochrane database of systematic reviews, 2011, Oct-05, Issue:10

    Topics: Anti-Bacterial Agents; Anti-Inflammatory Agents; Bacterial Infections; Chemotherapy, Adjuvant; Enter

2011
Novel treatments for NEC: keeping IBD in mind.
    Current gastroenterology reports, 2012, Volume: 14, Issue:5

    Topics: Enterocolitis, Necrotizing; Glucocorticoids; Humans; Infant, Newborn; Infant, Premature; Infant, Pre

2012

Trials

1 trial available for pentoxifylline and Necrotizing Enterocolitis

ArticleYear
Effects of maturation and size on population pharmacokinetics of pentoxifylline and its metabolites in very preterm infants with suspected late-onset sepsis or necrotizing enterocolitis: a pilot study incorporating clinical outcomes.
    British journal of clinical pharmacology, 2019, Volume: 85, Issue:1

    Topics: Administration, Intravenous; Body Weight; Drug Therapy, Combination; Enterocolitis, Necrotizing; Fem

2019

Other Studies

4 other studies available for pentoxifylline and Necrotizing Enterocolitis

ArticleYear
"How can a drug to treat claudication in adults save preterm newborns?"
    European journal of pediatrics, 2020, Volume: 179, Issue:8

    Topics: Critical Illness; Enterocolitis, Necrotizing; Humans; Infant; Infant, Newborn; Infant, Premature; Pe

2020
Intravenous pentoxifylline is well tolerated in critically ill preterm infants with sepsis or necrotizing enterocolitis.
    European journal of pediatrics, 2020, Volume: 179, Issue:8

    Topics: Critical Illness; Drug Administration Schedule; Enterocolitis, Necrotizing; Female; Humans; Infant,

2020
Pentoxifylline does not prevent hypoxia/reoxygenation-induced necrotizing enterocolitis. An experimental study.
    Biology of the neonate, 2004, Volume: 86, Issue:1

    Topics: Animals; Animals, Newborn; Enterocolitis, Necrotizing; Glutathione Peroxidase; Glutathione Reductase

2004
Pentoxifylline reduces the incidence and severity of necrotizing enterocolitis in a neonatal rat model.
    Pediatric research, 2006, Volume: 60, Issue:2

    Topics: Animals; Animals, Newborn; Disease Models, Animal; Enterocolitis, Necrotizing; Free Radical Scavenge

2006