Erythropoietin for Neonatal Hypoxic-Ischemic Encephalopathy: A Randomized Clinical Trial - Takeaways - MDSpire
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Erythropoietin Treatment in Neonatal Hypoxic-Ischemic Encephalopathy: Results from a Randomized Clinical Study

  • By

  • Helen G. Liley

  • Rod W. Hunt

  • Rachel L. O’Connell

  • Malcolm R. Battin

  • Iona Novak

  • Yvonne W. Wu

  • Roberta Ballard

  • Lisa Askie

  • Nadia Badawi

  • Alpana Ghadge

  • Susan E. Jacobs

  • Sandra E. Juul

  • Lucille Sebastian

  • Deepika Wagh

  • R. John Simes

  • PAEAN Study Investigators

  • Shannon Clough

  • Jennifer Bowen

  • Paul Colditz

  • Girsih Deshpande

  • Lisa Gold

  • Wendy Hague

  • Kei Lui

  • Dominic Wilkinson

  • Nicola Austin

  • Sarah Bellhouse

  • Max Berry

  • Clare Collins

  • Amanda Dyson

  • Antonio G de Paoli

  • Koert de Waal

  • Bevan Headley

  • Leah Hickey

  • James Holberton

  • David Hou

  • Alison L Kent

  • Vinayak Kodur

  • Richard Mausling

  • Scott Morris

  • Arun Nair

  • David Osborn

  • Victor Samuel Rajadurai

  • Nadia Schmidt

  • Jason Tan

  • Mark B Tracy

  • Flora Y Wong

  • Sarah Finlayson

  • Shannon Hunt

  • Carbo Yeung

  • Laurence Ralston

  • October 1, 2026

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  • 1

    Neonatal hypoxic-ischemic encephalopathy (HIE) results from inadequate oxygenation or blood flow to the fetal brain before delivery.

  • 2

    The PAEAN trial evaluated high-dose erythropoietin (EPO) for improving outcomes in infants with HIE receiving therapeutic hypothermia.

  • 3

    Eligibility for the trial included infants born at 35 weeks or later with indicators of birth depression and moderate or severe encephalopathy.

  • 4

    Infants received intravenous EPO or placebo in a 1:1 ratio, with treatment beginning within 24 hours after birth.

  • 5

    The primary outcome at 2 years was all-cause death or survival with moderate or severe developmental deficits.

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