Exogenous Surfactant in Very Preterm Neonates in Prevention of Bronchopulmonary Dysplasia (CURDYS)
Exogenous Surfactant in Very Preterm Neonates Presenting With Severe Respiratory Distress in Prevention of Bronchopulmonary Dysplasia
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Amiens, France, 80054
- CHU Hopital Nord
-
Angers, France, 49033
- CHU
-
Arras, France, 62000
- Centre Hospitalier
-
Caen, France, 14033
- CHU Hôpital Clemenceau
-
Dijon, France, 21079
- CHU Hôpital d'Enfants
-
Lens, France, 62037
- Centre Hospitalier
-
Lille, France, 59037
- CHU Hopital Jeanne de Flandre
-
Lyon, France, 69004
- CHU Hopital de la Croix Rousse
-
Marseille, France, 13385
- APHM Hôpital de la Conception
-
Montreuil, France, 93105
- Chi Andre Gregoire
-
Nancy, France, 54042
- Maternite Regionale Universitaire
-
Paris, France, 75179
- AP-HP Hopital Port Royal
-
Tours, France, 37044
- CHU Hopital Gatien de Clocheville
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- any neonate of gestational age less than 33 weeks of amenorrhea still on conventional assisted ventilation or HFOV (High Frequency Oscillatory Ventilation), after 14 ± 2 days of life
Exclusion Criteria:
- active infection (CRP > 30 mg/L) not controlled by appropriate antibiotic treatment
- use of corticosteroids in the postnatal period
- significant neurological or malformative disease
- surgical intervention < 72 hours
- refusal of parental approval
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Surfactant instillation
2.5 ml/kg of Surfactant will be instilled in the trachea
|
2.5 ml/kg instilled in the trachea
|
|
Placebo Comparator: Placebo instillation
2.5 ml/kg of Air will be instilled in the trachea
|
2.5ml/kg of Air will be instilled in the trachea
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
duration of assisted ventilation
Time Frame: days
|
we aim to demonstrate a significant reduction in the duration of assisted ventilation in children presenting with severe respiratory distress at 14+/-2 days of life.
|
days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
to reduce the incidence of BPD
Time Frame: 36 weeks post conceptional age
|
36 weeks post conceptional age
|
|
to improve the inflammatory status of the lung and to restore its capacities for healing and growth
Time Frame: one month
|
one month
|
|
to improve development in stature and weight, psychomotor development, and to reduce respiratory sequelae leading to re-hospitalisation
Time Frame: 2 years of age
|
2 years of age
|
|
to improve height development, psychomotor development and respiratory function
Time Frame: 7 years of age
|
7 years of age
|
Collaborators and Investigators
Sponsor
Sponsor
Collaborators
Collaborators
Investigators
Investigators
- Study Director: Jean-Michel HASCOET, MD, Maternite Regionale Universitaire NANCY
Publications and helpful links
General Publications
- Hascoet JM, Picaud JC, Ligi I, Blanc T, Moreau F, Pinturier MF, Zupan V, Guilhoto I, Hamon IR, Alexandre C, Bouissou A, Storme L, Patkai J, Pomedio M, Rouabah M, Coletto L, Vieux R. Late Surfactant Administration in Very Preterm Neonates With Prolonged Respiratory Distress and Pulmonary Outcome at 1 Year of Age: A Randomized Clinical Trial. JAMA Pediatr. 2016 Apr;170(4):365-72. doi: 10.1001/jamapediatrics.2015.4617.
- Hascoet JM, Picaud JC, Ligi I, Blanc T, Daoud P, Zupan V, Moreau F, Guilhoto I, Rouabah M, Alexandre C, Saliba E, Storme L, Patkai J, Pomedio M, Hamon I. Review shows that using surfactant a number of times or as a vehicle for budesonide may reduce the risk of bronchopulmonary dysplasia. Acta Paediatr. 2018 Jul;107(7):1140-1144. doi: 10.1111/apa.14171. Epub 2017 Dec 22.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Respiratory Tract Diseases
- Respiration Disorders
- Lung Diseases
- Infant, Newborn, Diseases
- Lung Injury
- Ventilator-Induced Lung Injury
- Infant, Premature, Diseases
- Hyperplasia
- Respiratory Distress Syndrome
- Respiratory Distress Syndrome, Newborn
- Bronchopulmonary Dysplasia
- Respiratory System Agents
- Pulmonary Surfactants
- Poractant alfa
Other Study ID Numbers
Other Study ID Numbers
- MRU-09-02
- 2009-012817-23 (Registry Identifier: EUDRACT)
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