Related Experiment Video
Updated: Sep 5, 2025

Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
Effect of clofibrate on reducing neonatal jaundice: a systematic review and meta-analysis
Fatemeh Eghbalian1, Lotfollah Karimi2, Roya Raeisi1
1Department of Pediatrics, Hamadan University of Medical Sciences, Hamadan, Iran.
Insights
Clofibrate effectively reduces neonatal jaundice by lowering bilirubin levels. This treatment also decreases hospitalization duration, costs, and associated side effects in newborns.
Area of Science:
- Neonatal Medicine
- Pharmacology
- Biochemistry
Background:
- Neonatal jaundice, characterized by bilirubin deposition in tissues, signals bilirubin excretion disorders.
- Early detection and intervention are crucial for managing neonatal hyperbilirubinemia.
Purpose of the Study:
- To systematically review the efficacy of clofibrate in reducing neonatal jaundice.
- To evaluate clofibrate's impact on total serum bilirubin levels and clinical outcomes.
Main Methods:
- A systematic review of international databases (PubMed, Scopus, Web of Science, Embase, Cochrane, Google Scholar) was conducted.
- Included 17 studies with 665 neonates, published between 2005-2019.
- Analyzed clofibrate doses ranging from 25-100 mg/kg body weight.
Main Results:
- Clofibrate significantly decreased total serum bilirubin levels in neonates at 24, 36, 48, and 72 hours post-treatment.
- The reduction in bilirubin was particularly notable from the second day of treatment onwards.
- Clofibrate administration was associated with reduced hospitalization time, lower hospital costs, and fewer side effects.
Conclusions:
- Clofibrate demonstrates significant efficacy in treating neonatal jaundice.
- The drug offers a promising therapeutic option for reducing hyperbilirubinemia and improving clinical outcomes in neonates.
Abstract:
In neonates, bilirubin tends to be deposited in body tissues, especially the skin and mucous membranes. Jaundice is an early symptom of bilirubin excretion disorders. Therefore, the aim of this study was to investigate the effect of clofibrate on reducing neonatal jaundice. In this systematic review, international databases, including PubMed, Scopus, Web of Science, Embase, Cochrane, and Google Scholar, were searched without time and language restrictions. The reference lists of all studies ultimately included were manually searched. In the 17 articles reviewed, with a sample size of 665 people published between 2005 and 2019, the average weight of the neonates varied from 2,186 g to 4,000 g. Furthermore, the average age of neonates varied from 2 days to 9 days. Four doses of clofibrate (25, 30, 50, 100 mg/kg of neonatal body weight) were used. The bilirubin level of neonates significantly decreased in the intervention group 24, 36, 48, and 72 hours after the start of treatment. Clofibrate administration decreased total serum bilirubin, especially from the second day onwards, and also reduced hospitalization time, hospital costs, and side effects from hospitalization.
Related Concept Videos
Hepatic Drug Excretion: Influencing Factors
Lipid-Lowering Drugs: Statins and Miscellaneous Agents
Hepatic Drug Clearance: Effect of Protein Binding
For low-extraction-ratio drugs that are less than 80% protein-bound, minor changes in protein binding...
Cholesterol: Significance and Regulation
Considering cholesterol and...
Teratogenicity
Overview of Fatty Acid Metabolism
Fatty acids are catabolized in a process called beta-oxidation, which takes place in the matrix of the mitochondria and converts their fatty acid chains into two-carbon units of acetyl groups. The acetyl...

