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.

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