Milrinone to Reduce Post-Procedure Instability in Extremely Preterm Infants
Official title: 1/2 Milrinone for Prevention of Post-Patent Ductus Arteriosus Closure Syndrome in Extremely Preterm Infants (MIDAS Trial) – CCC
Funded at University of Iowa · NIH-11395604 · Data updated 2026-11-12
A study tests whether giving milrinone around PDA closure helps extremely preterm babies have steadier heart and breathing status afterward.
Quick facts
| Grant type | NIH-funded research |
|---|---|
| Study type | NIH-funded research |
| Funding institution | University of Iowa NIH-funded |
| Lab location | 1 site (Iowa City, United States) |
| Project start | July 1, 2024 |
| Project end | June 30, 2029 |
| Funding year | 2026 |
| Award (this year) | $296,469 |
| NIH project number | 5UH3HL166579-03 |
| Project ID | NIH-11395604 on NIH RePORTER |
Who could benefit from this research
✓Could help
Extremely preterm infants who require PDA closure and are at high risk for post-procedural instability.
✕Less likely to help
Less likely to benefit are infants beyond the most premature category or those with contraindications to milrinone.
What this research studies
This project aims to determine if early milrinone can reduce post-procedure instability after PDA closure in the most premature infants. It builds on early data suggesting milrinone may support heart function and stabilize blood pressure and respiration during a critical time. The study uses a UH3 framework to coordinate multicenter efforts, monitor safety, and collect outcomes related to respiratory and neurodevelopmental trajectories. Parents and clinicians may gain a clearer path to safer procedures and better short- and long-term outcomes for ELBW infants.
Why it matters
Potential benefit: If successful, milrinone could reduce post-procedural instability and improve respiratory and neurodevelopmental outcomes after PDA closure in extremely preterm babies.
How similar studies have gone: Preliminary data and observational work suggest milrinone may reduce PLCS; this trial seeks to confirm efficacy in a rigorous, multi-center setting.
Where this research is happening
-
University of Iowa
Iowa City, United States Active
Researchers
- Principal investigator: Mcnamara, Patrick J — University of Iowa
- Study coordinator: Mcnamara, Patrick J
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About this research
- This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
- Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
- For full project details, budget, and progress reports, visit the official NIH RePORTER page.